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 2016-02-25 for FILSHIE CLIP manufactured by Cooper Surgical.

Event Text Entries

[39423075] I had the filshie clips put in (b)(6) 2010 at the age of (b)(6). Since then, i've had sever cramping, migraines, irregular periods, fatigue, extreme weight gain. I have had to quit my job due to sever pain. I can also feel tearing sensations around the area of the clips, and popping feelings. I'm in so much agony i'd rather be dead.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5060597
MDR Report Key5469996
Date Received2016-02-25
Date of Report2016-02-25
Date of Event2010-08-01
Date Added to Maude2016-03-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameFILSHIE CLIP
Generic NameFILSHIE CLIP
Product CodeKNH
Date Received2016-02-25
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No0
Device Event Key0
ManufacturerCOOPER SURGICAL

Device Sequence Number: 1

Brand NameFILSHIE CLIP
Generic NameFILSHIE CLIP
Product CodeHGB
Date Received2016-02-25
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOOPER SURGICAL


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Deathisabilit 2016-02-25

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