BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FILSHIE CLIP

    MDR report key: 7762555 · Received August 7, 2018

    Report

    Report Number
    MW5078939
    Event Type
    Injury
    Date Received
    August 7, 2018
    Date of Event
    May 30, 2018
    Report Date
    August 3, 2018
    Manufacturer
    UNK
    Product Code
    KNH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I EXPERIENCED ABDOMINAL PAIN, PAIN DURING INTERCOURSE, HEAVY MENSTRUAL PERIODS, AND HEADACHES/MIGRAINES FOR 6 YEARS WITH DIFFERENT DRS TELLING ME DIFFERENT THINGS. I HAD LAPAROSCOPIC SURGERY IN (B)(6) 2018 TO HAVE THE FILSHIE CLIPS REMOVED BECAUSE I STRONGLY FELT THAT WAS THE PROBLEM AND SINCE THEN ALL OF MY ISSUES HAVE STOPPED. I HAVE BEEN ON MEDICATION FOR MIGRAINES SINCE 2012 AND NOW I NO LONGER TAKE IT. I WAS NEVER TOLD OF ANY SIDE EFFECTS OR SYMPTOMS OF THE FILSHIE CLIPS BEFORE HAVING THEM PUT IN. DATE THE PERSON FIRST STARTED TAKING OR USING THE PRODUCT: (B)(6) 2012; DATE THE PERSON STOPPED TAKING OR USING THE PRODUCT: (B)(6) 2018. REASON FOR USE: TUBAL LIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    600051 FILSHIE CLIP LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE KNH UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR