FDA Adverse Event Injury Summary report: N

ESSURE

MDR report key: 3910710 · Received July 2, 2014

Report

Report Number
MW5037010
Event Type
Injury
Date Received
July 2, 2014
Date of Event
June 27, 2012
Report Date
June 29, 2014
Manufacturer
BAYER
Product Code
HHS
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

SINCE HAVING THE ESSURE PUT IN, I WAS BLEEDING FOR MONTH'S LATER ALONG WITH SEVERE PAINS. I WAS HAVING BLOOD CLOTS THE SIZE OF LEMONS. DIZZINESS, WEIGHT GAIN, LOSS OF SEX DRIVE, AND IN (B)(6) 2014 I HAD TO HAVE A FULL VAGINAL ASSIST HYSTO. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
386951 ESSURE HHS BAYER

Patients

Seq Age Sex Outcome Treatment
1 31.000 YR Hospitalization| O