TVT-SECUR (TVT-S) TVT-Exact TVT-Abbrevo Other _________________________________________ _________________________________________ Date of Implantation as to Each Product: ________________________________ ________________________________ ________________________________ Hospital(s) where Plaintiff was implanted (including City and State): __________________________________ __________________________________ Implanting Surgeon(s): ___________________________________ ___________________________________ Counts in the Master Complaint brought by Plaintiff(s): Count I Negligence – Count II Strict Liability Manufacturing Defect – – Count III Strict Liability Failure to Warn – – Count IV Strict Liability Defective Product – – Count V Strict Liability Design Defect – –
TVT-SECUR (TVT-S) TVT-Exact TVT-Abbrevo Other _________________________________________ _________________________________________ Date of Implantation as to Each Product: ________________________________ ________________________________ ________________________________ Hospital(s) where Plaintiff was implanted (including City and State): __________________________________ __________________________________ Implanting Surgeon(s): ___________________________________ ___________________________________ Counts in the Master Complaint brought by Plaintiff(s): Count I – Negligence Count II – Strict Liability – Manufacturing Defect Count III – Strict Liability – Failure to Warn Count IV – Strict Liability – Defective Product Count V – Strict Liability – Design Defect
EthiconShortFormComplaint.docx