FDA Adverse Event Injury Summary report: N

ESSURE

MDR report key: 10013050 · Received April 30, 2020

Report

Report Number
2951250-2020-06239
Event Type
Injury
Date Received
April 30, 2020
Report Date
May 5, 2020
Manufacturer
BAYER PHARMA AG
Product Code
HHS
UDI-DI
10888853003051
PMA / PMN Number
P020014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS SPONTANEOUS CASE WAS REPORTED BY A LAWYER AND DESCRIBES THE OCCURRENCE OF MEDICAL DEVICE REMOVAL ('OVARIES REMOVED') IN A FEMALE PATIENT WHO HAD ESSURE INSERTED. THE OCCURRENCE OF ADDITIONAL NON-SERIOUS EVENTS IS DETAILED BELOW. OTHER PRODUCT OR PRODUCT USE ISSUES IDENTIFIED: MEDICAL DEVICE MONITORING ERROR "I HAD A UTERINE ABLATION DONE WHEN ESSURE IMPLANTS WERE PLACED" IN (B)(6)2014. THE PATIENT'S MEDICAL HISTORY INCLUDED MUSCLE CRAMPS. IN (B)(6)2014, THE PATIENT HAD ESSURE INSERTED. ON AN UNKNOWN DATE, THE PATIENT UNDERWENT MEDICAL DEVICE REMOVAL (SERIOUSNESS CRITERIA MEDICALLY SIGNIFICANT AND INTERVENTION REQUIRED) AND EXPERIENCED HYPOMENORRHOEA ("I HAVE A LIGHT SPOTTING PERIOD EVERY MONTH"), ABDOMINAL PAIN ("CRAMPING"), ALOPECIA ("I HAVE THICK HAIR BUT LITERALLY CLUMPS AND CLUMPS COME OUT EVERY TIME I WASH OR EVEN COMB MY HAIR") AND STRESS ("I WAS THINKING IT WAS STRESS UNTIL I READ THIS POST"). THE PATIENT WAS TREATED WITH SURGERY (ESSURE REMOVAL). ESSURE WAS REMOVED. AT THE TIME OF THE REPORT, THE MEDICAL DEVICE REMOVAL, HYPOMENORRHOEA, ABDOMINAL PAIN, ALOPECIA AND STRESS OUTCOME WAS UNKNOWN. THE REPORTER CONSIDERED ABDOMINAL PAIN, ALOPECIA, HYPOMENORRHOEA, MEDICAL DEVICE REMOVAL AND STRESS TO BE RELATED TO ESSURE. QUALITY-SAFETY EVALUATION OF PTC: UNABLE TO CONFIRM COMPLAINT. MOST RECENT FOLLOW-UP INFORMATION INCORPORATED ABOVE INCLUDES: ON 30-APR-2020: QUALITY SAFETY EVALUATION OF PTC. BASED ON THE AVAILABLE INFORMATION, A REVIEW OF OUR COMPLAINT RECORDS AND OTHER RELEVANT DATA WILL BE CONDUCTED; ANY NEW AND REPORTABLE INFORMATION THAT BECOMES AVAILABLE FROM OUR INVESTIGATION WILL BE PROVIDED IN A SUPPLEMENTARY REPORT.

Description of Event or Problem · 1

THIS SPONTANEOUS CASE WAS REPORTED BY A LAWYER AND DESCRIBES THE OCCURRENCE OF MEDICAL DEVICE REMOVAL ('OVARIES REMOVED') IN A FEMALE PATIENT WHO HAD ESSURE INSERTED. THE OCCURRENCE OF ADDITIONAL NON-SERIOUS EVENTS IS DETAILED BELOW. OTHER PRODUCT OR PRODUCT USE ISSUES IDENTIFIED: MEDICAL DEVICE MONITORING ERROR "I HAD A UTERINE ABLATION DONE WHEN ESSURE IMPLANTS WERE PLACED" IN (B)(6) 2014. THE PATIENT'S MEDICAL HISTORY INCLUDED MUSCLE CRAMPS. IN (B)(6) 2014, THE PATIENT HAD ESSURE INSERTED. ON AN UNKNOWN DATE, THE PATIENT UNDERWENT MEDICAL DEVICE REMOVAL (SERIOUSNESS CRITERIA MEDICALLY SIGNIFICANT AND INTERVENTION REQUIRED) AND EXPERIENCED HYPOMENORRHOEA ("I HAVE A LIGHT SPOTTING PERIOD EVERY MONTH"), ABDOMINAL PAIN ("CRAMPRING"), ALOPECIA ("I HAVE THICK HAIR BUT LITERALLY CLUMPS AND CLUMPS COME OUT EVERY TIME I WASH OR EVEN COMB MY HAIR") AND STRESS ("I WAS THINKING IT WAS STRESS UNTIL I READ THIS POST"). THE PATIENT WAS TREATED WITH SURGERY (ESSURE REMOVAL). ESSURE WAS REMOVED. AT THE TIME OF THE REPORT, THE MEDICAL DEVICE REMOVAL, HYPOMENORRHOEA, ABDOMINAL PAIN, ALOPECIA AND STRESS OUTCOME WAS UNKNOWN. THE REPORTER CONSIDERED ABDOMINAL PAIN, ALOPECIA, HYPOMENORRHOEA, MEDICAL DEVICE REMOVAL AND STRESS TO BE RELATED TO ESSURE. QUALITY-SAFETY EVALUATION OF PTC: UNABLE TO CONFIM COMPLAINT. MOST RECENT FOLLOW-UP INFORMATION INCORPORATED ABOVE INCLUDES: ON 23-MAR-2020: SOCIAL MEDIA PROCESSED. CASE WAS MADE SERIOUS INCIDENT. EVENT MEDICAL DEVICE REMOVAL WAS ADDED. BASED ON THE AVAILABLE INFORMATION, A REVIEW OF OUR COMPLAINT RECORDS AND OTHER RELEVANT DATA WILL BE CONDUCTED; ANY NEW AND REPORTABLE INFORMATION THAT BECOMES AVAILABLE FROM OUR INVESTIGATION WILL BE PROVIDED IN A SUPPLEMENTARY REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
478576 ESSURE TRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE HHS BAYER PHARMA AG ESS305 10888853003051

Patients

Seq Age Sex Outcome Treatment
1 Other| R