FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 3881351
·
Received June 18, 2014
Report
- Report Number
- MW5036661
- Event Type
- Injury
- Date Received
- June 18, 2014
- Date of Event
- May 30, 2014
- Report Date
- May 30, 2014
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
SINCE HAVING THE ESSURE I'VE HAD EXTREME PERIODS. MISSING PERIODS. FIBROIDS, POLYPS, CYSTS, AND NOW ENDOMETRIAL HYPERPLASIA. WHICH WILL RESULT IN A HYSTERECTOMY SCHEDULED FOR (B)(6), 2014. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 357313 | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30.000 YR | Disability |