BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ESSURE

    MDR report key: 4190269 · Received October 14, 2014

    Report

    Report Number
    MW5038690
    Event Type
    Injury
    Date Received
    October 14, 2014
    Date of Event
    January 10, 2012
    Report Date
    October 14, 2014
    Product Code
    HHS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CRAMPS AND CYSTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    649908 ESSURE NONE HHS

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Other