FDA Adverse Event Injury Summary report: N

ESSURE

MDR report key: 11281133 · Received February 4, 2021

Report

Report Number
2951250-2021-00438
Event Type
Injury
Date Received
February 4, 2021
Date of Event
June 1, 2014
Report Date
April 11, 2023
Manufacturer
BAYER PHARMA AG
Product Code
HHS
UDI-DI
10888853003051
PMA / PMN Number
P020014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE BELOW REPORT WAS RECEIVED BY HEALTH AUTHORITY ANSM (REFERENCE NUMBER: (B)(4)) ON 01-FEB-2021. THE MOST RECENT INFORMATION WAS RECEIVED ON 06-APR-2023. THIS SPONTANEOUS CASE WAS ORIGINALLY REPORTED BY A CONSUMER AND DESCRIBES THE OCCURRENCE OF BACK PAIN ("PERMANENT RIGHT SUBCOSTAL PAIN (WITH 3 CRISIS PERIODS OF TEN DAYS EACH TIME)") IN A FEMALE PATIENT WHO HAD ESSURE INSERTED (LOT NO. B44011). ADDITIONAL NON-SERIOUS EVENTS ARE DETAILED BELOW. THERE WAS NO INFORMATION ON THE PATIENT'S MEDICAL HISTORY OR CONCURRENT CONDITIONS. ON (B)(6) 2013, THE PATIENT HAD ESSURE INSERTED. ON (B)(6) 2014, 164 DAYS AFTER ESSURE INSERTION, SHE EXPERIENCED BACK PAIN (SERIOUSNESS CRITERION INTERVENTION REQUIRED), EPIGASTRIC DISCOMFORT ("INCREASE IN GASTRIC PROBLEMS / INCREASED GASTRIC DISCOMFORT") AND HAEMORRHOIDS ("HAEMORRHOIDS"). ESSURE WAS REMOVED ON (B)(6) 2021. IN 2021 SHE EXPERIENCED TINNITUS ("BUZZING IN THE LEFT EAR"), HEADACHE ("HEADACHES"), BALANCE DISORDER ("LOSS OF BALANCE") AND VISUAL IMPAIRMENT ("LEFT-EYE VISION IMPAIRMENT"). AN UNKNOWN TIME LATER SHE EXPERIENCED BRAIN OEDEMA ("CEREBRAL OEDEMA") AND WAS FOUND TO HAVE UTERINE LEIOMYOMA ("FIBROIDS") AND BRAIN NEOPLASM ("BRAIN TUMOUR"). THE PATIENT WAS TREATED WITH SURGERY (TO REMOVE ESSURE). AT THE TIME OF THE REPORT, THE BACK PAIN, EPIGASTRIC DISCOMFORT, HAEMORRHOIDS AND UTERINE LEIOMYOMA HAD NOT RESOLVED. THE REPORTER CONSIDERED BACK PAIN, EPIGASTRIC DISCOMFORT, HAEMORRHOIDS AND UTERINE LEIOMYOMA TO BE RELATED TO ESSURE ADMINISTRATION. NO CAUSALITY ASSESSMENT WAS RECEIVED FOR ESSURE WITH REGARD TO TINNITUS, HEADACHE, BALANCE DISORDER, VISUAL IMPAIRMENT, BRAIN OEDEMA OR BRAIN NEOPLASM. THE REPORTER COMMENTED: THE PATIENT HAS ONLY ONE ESSURE (RIGHT SIDE) INSERTED AND ON THE LEFT SIDE, SHE UNDERWENT A LIGATION UNDER LAPAROSCOPY. DIAGNOSIS IN (B)(6) 2023 UNDER MRI EXAMINATION FOR: CEREBRAL OEDEMA BRAIN TUMOUR (VENTRICULAR). SUSPICION OF A CAUSE-AND-EFFECT RELATIONSHIP BETWEEN THE REMOVAL OF THE MD (MEDICAL DEVICE) AND THE BRAIN TUMOUR / OEDEMA; REMOVAL RELEASED THE IMPLANT¿S STABILIZING COMPOUNDS (ORGANOTINS). DIAGNOSTIC RESULTS (NORMAL RANGES ARE PROVIDED IN PARENTHESIS IF AVAILABLE): [MAGNETIC RESONANCE IMAGING] IN (B)(6) 2023: CEREBRAL OEDEMA, BRAIN TUMOUR (VENTRICULAR). BATCH NO: B44011. PRODUCTION DATE: 2013-06-24. EXPIRATION DATE: 2016-06-30. QUALITY-SAFETY EVALUATION OF PTC: FOR ESSURE: UNABLE TO CONFIRM COMPLAINT. THE MOST RECENT FOLLOW-UP INFORMATION INCORPORATED ABOVE INCLUDES DATA RECEIVED ON: 06-APR-2023: EVENTS BUZZING IN THE LEFT EAR, HEADACHE, LEFT-EYE VISION IMPAIRMENT , CEREBRAL EDEMA & BRAIN TUMOR ADDED. LAB DATA ADDED. ESSURE REMOVAL DETAILS ADDED. WE RECEIVED A LOT NUMBER IN THIS CASE. A TECHNICAL INVESTIGATION WAS CONDUCTED, INCLUDING A BATCH REVIEW, AND A REVIEW OF COMPLAINT RECORDS AND OTHER RELEVANT DATA; SHOULD ANY NEW AND REPORTABLE INFORMATION BECOME AVAILABLE FROM OUR INVESTIGATION, THIS WILL BE PROVIDED IN A SUPPLEMENTARY REPORT.

Additional Manufacturer Narrative · 0

THIS CASE WAS INITIALLY RECEIVED VIA REGULATORY AUTHORITY (ANSM, REFERENCE NUMBER: (B)(4) ON (B)(6) 2021. THE MOST RECENT INFORMATION WAS RECEIVED ON (B)(6) 2021. THIS SPONTANEOUS CASE WAS REPORTED BY A CONSUMER AND DESCRIBES THE OCCURRENCE OF BACK PAIN ('PERMANENT RIGHT SUBCOSTAL PAIN (WITH 3 CRISIS PERIODS OF TEN DAYS EACH TIME)') IN A FEMALE PATIENT WHO HAD ESSURE (BATCH NO. B44011) INSERTED. THE OCCURRENCE OF ADDITIONAL NON-SERIOUS EVENTS IS DETAILED BELOW. ON (B)(6) 2013, THE PATIENT HAD ESSURE INSERTED. ON (B)(6) 2014, THE PATIENT EXPERIENCED BACK PAIN (SERIOUSNESS CRITERION MEDICALLY SIGNIFICANT), EPIGASTRIC DISCOMFORT ("INCREASE IN GASTRIC PROBLEMS / INCREASED GASTRIC DISCOMFORT") AND HAEMORRHOIDS ("HAEMORRHOIDS"), 5 MONTHS 14 DAYS AFTER INSERTION OF ESSURE. ON AN UNKNOWN DATE, THE PATIENT WAS FOUND TO HAVE UTERINE LEIOMYOMA ("FIBROIDS"). ESSURE TREATMENT WAS NOT CHANGED. AT THE TIME OF THE REPORT, THE BACK PAIN, EPIGASTRIC DISCOMFORT, HAEMORRHOIDS AND UTERINE LEIOMYOMA HAD NOT RESOLVED. THE REPORTER CONSIDERED BACK PAIN, EPIGASTRIC DISCOMFORT, HAEMORRHOIDS AND UTERINE LEIOMYOMA TO BE RELATED TO ESSURE. THE REPORTER COMMENTED: THE PATIENT HAS ONLY ONE ESSURE (RIGHT SIDE) INSERTED AND ON THE LEFT SIDE, SHE UNDERWENT A LIGATION UNDER LAPAROSCOPY. BATCH NO B44011 PRODUCTION DATE 2013-06-24 EXPIRATION DATE 2016-06-30 . QUALITY-SAFETY EVALUATION OF PTC: UNABLE TO CONFIRM COMPLAINT MOST RECENT FOLLOW-UP INFORMATION INCORPORATED ABOVE INCLUDES: ON 9-FEB-2021: QUALITY-SAFETY EVALUATION OF PTC WE RECEIVED A LOT NUMBER IN THIS CASE. A TECHNICAL INVESTIGATION WAS CONDUCTED, INCLUDING A BATCH REVIEW, AND A REVIEW OF COMPLAINT RECORDS AND OTHER RELEVANT DATA; SHOULD ANY NEW AND REPORTABLE INFORMATION BECOME AVAILABLE FROM OUR INVESTIGATION, THIS WILL BE PROVIDED IN A SUPPLEMENTARY REPORT.

Description of Event or Problem · 1

THIS CASE WAS INITIALLY RECEIVED VIA REGULATORY AUTHORITY ((B)(6), REFERENCE NUMBER: (B)(4)) ON 01-FEB-2021. THIS SPONTANEOUS CASE WAS REPORTED BY A CONSUMER AND DESCRIBES THE OCCURRENCE OF BACK PAIN ('PERMANENT RIGHT SUBCOSTAL PAIN (WITH 3 CRISIS PERIODS OF TEN DAYS EACH TIME)') IN A FEMALE PATIENT WHO HAD ESSURE (BATCH NO. B44011) INSERTED. THE OCCURRENCE OF ADDITIONAL NON-SERIOUS EVENTS IS DETAILED BELOW. ON (B)(6) 2013, THE PATIENT HAD ESSURE INSERTED. ON (B)(6) 2014, THE PATIENT EXPERIENCED BACK PAIN (SERIOUSNESS CRITERION MEDICALLY SIGNIFICANT), GASTRIC DISORDER ("INCREASE IN GASTRIC PROBLEMS / INCREASED GASTRIC DISCOMFORT") AND HAEMORRHOIDS ("HAEMORRHOIDS"), 5 MONTHS 14 DAYS AFTER INSERTION OF ESSURE. ON AN UNKNOWN DATE, THE PATIENT WAS FOUND TO HAVE UTERINE LEIOMYOMA ("FIBROIDS"). ESSURE TREATMENT WAS NOT CHANGED. AT THE TIME OF THE REPORT, THE BACK PAIN, GASTRIC DISORDER, HAEMORRHOIDS AND UTERINE LEIOMYOMA HAD NOT RESOLVED. THE REPORTER CONSIDERED BACK PAIN, GASTRIC DISORDER, HAEMORRHOIDS AND UTERINE LEIOMYOMA TO BE RELATED TO ESSURE. THE REPORTER COMMENTED: REPORTED THAT THE PATIENT HAS ONLY ONE ESSURE (RIGHT SIDE) INSERTED AND ON THE LEFT SIDE, SHE UNDERWENT A LIGATION UNDER LAPAROSCOPY. WE RECEIVED A LOT NUMBER IN THIS CASE. A TECHNICAL INVESTIGATION WILL BE CONDUCTED, INCLUDING A BATCH REVIEW, AND A REVIEW OF COMPLAINT RECORDS AND OTHER RELEVANT DATA; SHOULD ANY NEW AND REPORTABLE INFORMATION BECOME AVAILABLE FROM OUR INVESTIGATION, THIS WILL BE PROVIDED IN A SUPPLEMENTARY REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
179274 ESSURE TRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE HHS BAYER PHARMA AG ESS305 B44011 10888853003051

Patients

Seq Age Sex Outcome Treatment
1 42 YR Female Other| R