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