FDA Adverse Event
Injury
Summary report: N
ESSURE
MDR report key: 5881890
·
Received August 12, 2016
Report
- Report Number
- MW5064115
- Event Type
- Injury
- Date Received
- August 12, 2016
- Date of Event
- May 1, 2014
- Report Date
- August 12, 2016
- Manufacturer
- BAYER
- Product Code
- HHS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WI, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAD THE ESSURE PLACED IN 2013, INITIALLY NO COMPLICATIONS, HOWEVER; SINCE THE PROCEDURE I HAVE EXPERIENCED CHRONIC LLQ ABDOMINAL PAIN, IRREGULAR BLEEDING AND SPOTTING REQUIRING BIRTH CONTROL PILLS ALONG WITH PASSING LARGE CLOTS. I AM SCHEDULED FOR A HYSTERECTOMY LATER THIS YEAR TO HAVE THIS REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 523263 | ESSURE | PERMANENT BIRTH CONTROL | HHS | BAYER |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Required Intervention |