FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 5431152
·
Received February 8, 2016
Report
- Report Number
- MW5060112
- Event Type
- Injury
- Date Received
- February 8, 2016
- Date of Event
- February 6, 2015
- Report Date
- February 8, 2016
- Manufacturer
- BAYER CORP
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
ESSURE INSTALLATION WENT WRONG, TOO DEEP INTO THE FALLOPIAN. A NUMBER OF SIDE EFFECTS; PAIN, HEAVY AND IRREGULAR PERIODS, HAIR LOSS, E-BELLY, SWELLING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 75224 | ESSURE | ESSURE | HHS | BAYER CORP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Hospitalization| R| S |