BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ESSURE

    MDR report key: 4251111 · Received November 5, 2014

    Report

    Report Number
    MW5039001
    Event Type
    Injury
    Date Received
    November 5, 2014
    Date of Event
    January 4, 2010
    Report Date
    November 5, 2014
    Product Code
    HHS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD THE ESSURE AND STARTING EXPERIENCING HORRIBLE ABDOMINAL PAINS, AFTER A COUPLE MONTHS. I HAD GONE BACK IN TO SEE MY OB/GYN AND THE IMPLANTS HAD ACTUALLY MIGRATED AND I NEEDED TO HAVE SURGERY TO REMOVE THEM AND MY TUBES REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    710532 ESSURE ESSURE HHS 761616/774372

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Hospitalization| R