BEUDAMED
    FDA Adverse Event Other Summary report: N

    FILSHIE CLIP

    MDR report key: 353722 · Received October 1, 2001

    Report

    Report Number
    MW1022953
    Event Type
    Other
    Date Received
    October 1, 2001
    Date of Event
    August 1, 2001
    Report Date
    October 1, 2001
    Manufacturer
    FEMCARE, INC.
    Product Code
    KNH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    UNDESIRED PREGNANCY. THIS IS A FOURTH PREGNANCY THAT PHYSICIAN HAS SEEN WITH THIS DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    44387 FILSHIE CLIP TUBAL STERILIZATION KNH FEMCARE, INC. * 9912/1

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other