FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 3802978
·
Received May 5, 2014
Report
- Report Number
- MW5035953
- Event Type
- Injury
- Date Received
- May 5, 2014
- Date of Event
- December 16, 2010
- Report Date
- May 4, 2014
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OR, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAD ESSURE IMPLANTED ON (B)(6) 2010. SINCE THE PROCEDURE DATE, I HAVE HAD TREMENDOUS PAIN IN THE COIL PLACEMENT AREAS WHEN GOING FROM A SITTING TO STANDING POSITION. VERY PAINFUL, FEELS LIKE SHARP/STABBING AND LITERALLY MAKES ME DOUBLE OVER IN PAIN. IT HAPPENS DAILY. INTENSE BLOATING, HEADACHE, VISION PROBLEMS THAT COME AND GO (SEEING FLOATING BLACK SPECKS), MEMORY LOSS, MIXING WORDS WHEN I SPEAK, ITCHING LIKE I HAVE A RASH BUT I DON'T, NUMBNESS/LOSS OF FEELING IN LEGS, SEVERE PAIN AT TIME OF OVULATION AND INTENSE PAIN PRIOR TO MENSTRUAL CYCLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 267887 | ESSURE | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Disability |