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 2016-03-01 for FILSHIE CLIP manufactured by .

Event Text Entries

[39742901] I had my tubal ligation in 2012 using filshie clips. Early in 2015, i started experiencing severe lower abdominal pain. After many tests and not knowing what was wrong, my doctor did a diagnostic laparoscopic surgery and found that both of my clips had migrated off of my tubes. The one on my right had moved into my lower abdomen, causing the pain. The left one was not able to be removed and is still lodged behind my liver. I suffer ptsd and severe anxiety related to my health now that i did not have before.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5060752
MDR Report Key5479588
Date Received2016-03-01
Date of Report2016-03-01
Date Added to Maude2016-03-04
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 Received2016-03-01
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No0
Device Event Key0

Device Sequence Number: 1

Brand NameFILSHIE CLIP
Generic NameFILSHIE CLIP
Product CodeHGB
Date Received2016-03-01
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention; 2. Deathisabilit 2016-03-01

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