ROLLERBALL ABLATION-NOVA SURE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-05 for ROLLERBALL ABLATION-NOVA SURE manufactured by Hologic, Inc..

Event Text Entries

[178208640] I got patss (b)(6) 2019 after an endometrial ablation back in 2016. I had been previously sterilised and was both made aware that ablation can cause major issues. I suffered labour like pains, admitted to hospital for pain management. I also had a lump in my womb and due to the ablation they were unable to biopsy this. This meant i had no other choice but to have a hysterectomy in (b)(6) 2019. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092789
MDR Report Key9676759
Date Received2020-02-05
Date of Report2020-02-03
Date of Event2019-01-04
Date Added to Maude2020-02-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
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 Report3

Device Details

Brand NameROLLERBALL ABLATION-NOVA SURE
Generic NameDEVICE, THERMAL ABLATION, ENDOMETRIAL
Product CodeMNB
Date Received2020-02-05
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2020-02-05

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