FILSHIE CLIP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-12-23 for FILSHIE CLIP manufactured by .

Event Text Entries

[5236466] I received this clips when i asked for a tubal back in 2011. I have had nothing but problems and pain ever since. I changed physicians since then because the physician who put them on did so, even when i specifically asked for them to, but cut and tied. My physician i have now, has never heard of these and had to resource to find out about them. They came back with horrible news. She said they were not good. The main problem is they are falling off and becoming dislodged elsewhere. I have been suffering in pain for the last 3 years and have had test after test looking for what the problem is and this is the only thing left. This product should be recalled and investigate before it becomes a huge problem.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5039830
MDR Report Key4375294
Date Received2014-12-23
Date of Report2014-12-23
Date of Event2011-02-20
Date Added to Maude2015-01-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameFILSHIE CLIP
Generic NameNONE
Product CodeKNH
Date Received2014-12-23
Device Sequence No0
Device Event Key0

Device Sequence Number: 1

Brand NameFILSHIE CLIP
Generic NameNONE
Product CodeHGB
Date Received2014-12-23
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-12-23

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