LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-10 for LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE manufactured by Unk.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW5092932
MDR Report Key9695317
Date Received2020-02-10
Date of Report2020-02-06
Date of Event2014-02-12
Date Added to Maude2020-02-11
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 NameLAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE
Generic NameLAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE
Product CodeKNH
Date Received2020-02-10
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2020-02-10

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