FDA Adverse Event
Injury
Summary report: N
ESS305
MDR report key: 3020851
·
Received March 19, 2013
Report
- Report Number
- MW5029466
- Event Type
- Injury
- Date Received
- March 19, 2013
- Date of Event
- May 9, 2012
- Report Date
- March 19, 2013
- Manufacturer
- CONCEPTUS INC, USA
- Product Code
- HHS
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CT, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
ESSURE PROCEDURE DONE, MULTIPLE ADVERSE REACTIONS. WEIGHT GAIN, NICKEL ALLERGY, PELVIC PAIN, BLEEDING, PAIN DURING INTERCOURSE WITH BLEEDING, DIZZY, BOWEL ISSUES, HAIR LOSS, HEADACHES, NIGHT SWEATS, SYNCOPAL EPISODES, AND MORE. I AM HAVING A PARTIAL HYSTERECTOMY ON (B)(6) 2013 TO HAVE THEM REMOVED DUE TO ALL OF THE ADVERSE REACTIONS. THIS PRODUCT SHOULD BE TAKEN OFF THE MARKET SO OTHER WOMEN DO NOT HAVE TO GO THROUGH THE PROBLEMS THAT I HAVE HAD, AS WELL AS OTHER WOMEN. I HAVE BEEN OUT OF WORK SINCE (B)(6) 2012 DUE TO PASSING OUT AND DIZZY SPELLS. I HAVE BEEN WORKED UP WITH A CARDIOLOGIST AND NEUROLOGIST DUE TO THESE SYMPTOMS THAT STARTED SHORTLY AFTER HAVING THE ESSURE PLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 114401 | ESS305 | ESSURE | HHS | CONCEPTUS INC, USA | 922602 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Other |