BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ESSURE

    MDR report key: 3900370 · Received June 27, 2014

    Report

    Report Number
    MW5036860
    Event Type
    Injury
    Date Received
    June 27, 2014
    Date of Event
    June 24, 2014
    Report Date
    June 24, 2014
    Manufacturer
    BAYER
    Product Code
    HHS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ALLERGIES, MIGRAINES, PAIN IN LOWER BACK, PAIN IN RIGHT SIDE OF THE ABDOMEN, HAIR LOSS, ACNE, GAIN WEIGHT, SWOLLEN FEET, MENSTRUAL PROBLEMS, DEPRESSION. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    376625 ESSURE HHS BAYER

    Patients

    Seq Age Sex Outcome Treatment
    1 32.000 YR Hospitalization| O| S