FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 4781015
·
Received May 19, 2015
Report
- Report Number
- MW5042757
- Event Type
- Injury
- Date Received
- May 19, 2015
- Date of Event
- May 2, 2014
- Report Date
- May 4, 2015
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
(B)(4). AFTER INSERTED, I BLEED FOR A MONTH AND HALF, HAD LOWER BACK PAIN AND SEVERE PAIN ON MY LEFT SIDE . THEN GAIN ABOUT 40 LBS AND STILL HAD PAIN EVERYDAY IN LOWER ABDOMEN, DON'T HAVE REGULAR PERIODS, I HAVEN'T BLEED FOR MORE THAN ONE DAY A MONTH SINCE THEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 325182 | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36.000 YR | Hospitalization| O | DEPO AT THE SAME TIME THEY WERE IMPLANTED |