MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-10 for LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE manufactured by Unk.
[179108531]
Had tubal performed following a c section. No device tubal parkland method. Extreme blood loss during menstruation, joint pain, immune condition, clots. Allergies: iron. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW5092932 |
MDR Report Key | 9695317 |
Date Received | 2020-02-10 |
Date of Report | 2020-02-06 |
Date of Event | 2014-02-12 |
Date Added to Maude | 2020-02-11 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | PATIENT |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE |
Generic Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE |
Product Code | KNH |
Date Received | 2020-02-10 |
Device Availability | * |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | UNK |
Manufacturer Address | UNK UNK |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Deathisabilit | 2020-02-10 |