FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 3875289
·
Received June 16, 2014
Report
- Report Number
- MW5036609
- Event Type
- Injury
- Date Received
- June 16, 2014
- Date of Event
- May 15, 2014
- Report Date
- May 17, 2014
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
HAVING SEVERE PELVIC PAINS. WAS TOLD ONE OF MY COILS IS MISSING. STILL IN PAIN. NO EXPLANATION OF THE PAIN OR ANYTHING. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 352850 | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26.000 YR | Other | ESSURE |