LAWSUITS NEWS & LEGAL INFORMATION

Silzone Mechanical Heart Valves (defective valve)

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Defendant:
(who caused the harm?)

St. Jude Silzone Mechanical Heart Valve (defective valves)

*Describe your complaint:
(briefly describe the damages you have suffered)

Do you have a St Jude Silzone Heart Valve implanted in you?

Yes No

If so, when did you receive the implant?

If so, what is the valve's model number (listed on implant card)?

Do you still have the St Jude Valve?

Yes No

Has a medical professional informed you that you should have the St Jude Valve removed?

Yes No

Have you had an echocardiogram done?

Yes No

If yes, when was the echocardiogram done?

Have you been told you have a valve leakage?

Yes No

Have you been diagnosed with endocarditis?

Yes No

Are you registered with Medic Alert?

Yes No

*First name:

*Last name:

*Email address:

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*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

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