Cordis Cypher Stent

Submit a claim

If you or a loved one has suffered injury or fear potential complications as a result of procedures using the Cordis Heart Stent, contact us to find out about your legal options. Our attorneys have recovered millions of dollars for people injured by medical devices.

By submitting you have read and agree to our terms and conditions.

Your information is confidential and will help us process your claim quickly. You may also call 1-800-942-2056.


Title:

First Name:

  M. I.

  

 Last Name:

 Address:

 City:

 State:

 Zip Code:

 Phone Number (day):

 Phone Number (eve):

Email Address 

 If this inquiry is not for yourself, please tell us the name of the person?:

Title:

First Name:

M. I.

Last Name:

What is the Injured's relationship to you?:

Injured's Date of Birth? 
(ie. mm/dd/19yy)

Have you or a loved one ever been diagnosed with blocked coronary arteries?:

Have you or the injured had a stent implanted as a result of your cardiac condition?: 

 Yes No
What was the date your stent was implanted?

What is the name or type of the stent that was implanted? 

What is the name of the hospital where the stent was implanted? 

What is the city and state of the hospital where the stent was implanted? 
Did any of the following injuries occur to a loved one after the stent surgery? 

Death? What was the date of the person's death? 

Heart attack? What was the date of the heart attack?

Stroke? What was the date of the stroke?

Clotted stent requiring a revision of surgery? What was the date the clot was discovered? 

Have you experienced any of the following symptoms after the stent surgery: Pain, Rash, Hives, Fever? 

Please briefly describe your legal concern
 
 I understand that submitting this form does not create an attorney client relationship: Agree


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