FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 3913190
·
Received June 27, 2014
Report
- Report Number
- MW5037022
- Event Type
- Injury
- Date Received
- June 27, 2014
- Date of Event
- August 22, 2013
- Report Date
- June 26, 2014
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I WAS ESSURE IMPLANTED ON (B)(6) 2013. IMMEDIATELY FOLLOWING AND SINCE THEN, I HAVE HAD DEBILITATING SIDE EFFECTS. I DEAL WITH MIGRAINES, STABBING PAINS, CRAMPING, EXCESSIVE BLEEDING DURING "MONTHLY", NAUSEA, DIARRHEA, DIZZINESS, HEAD FOG, DEPRESSION, MOOD SWINGS, TINGLING IN HANDS AND FEET, JOINT PAIN, AND BLOATING. I AM ALLERGIC TO NICKEL AND WAS NOT TOLD THAT THIS PRODUCT CONTAINED NICKEL. I HAD MY HSG AND I HAVE A BROKEN COIL, MY COILS ARE TOO FAR INTO UTERUS, AND I NOW HAVE AN ANTEFLEXED UTERUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 376257 | ESSURE | ESSURE | HHS | BAYER | ESS306 | B30422 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26 YR |