FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 5212159
·
Received November 9, 2015
Report
- Report Number
- MW5057760
- Event Type
- Injury
- Date Received
- November 9, 2015
- Date of Event
- June 9, 2008
- Report Date
- November 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). PAINFUL, HEAVY PERIODS, DIARRHEA, VOMITING, WEIGHT GAIN. I HAD A HYSTERECTOMY, SALPINGO-OOPHORECTOMY OF MY RIGHT OVARY BECAUSE OF ADENOMYOSIS AND ENDOMETERIOSIS. I HAVE HAD A CYSTECTOMY ON THE LEFT OVARY THIS YEAR. I HAVE DEVELOPED HYPOTHYROIDISM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 740492 | ESSURE | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44.000 YR | Hospitalization| O| S |