FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 5104663
·
Received September 25, 2015
Report
- Report Number
- MW5056477
- Event Type
- Injury
- Date Received
- September 25, 2015
- Date of Event
- December 22, 2011
- Report Date
- September 24, 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). TERRIBLE PERIODS, PAIN, BLOATING. THEN HAD ABLATION FOR THE BAD PERIODS. SUCCESSFUL HGC TEST (B)(6) 2012. PAIN CONTINUE VERY BAD. HAD HYSTERECTOMY (B)(6) 2012 ALMOST 1 YEAR AFTER INSERTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 637055 | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 43.000 YR | Hospitalization |