ESSURE ESS205

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,other report with the FDA on 2020-03-27 for ESSURE ESS205 manufactured by Bayer Pharma Ag.

Event Text Entries

[186152053] This spontaneous case was reported by a lawyer and describes the occurrence of pelvic inflammatory disease ('reproductive system disorder or condition type of disorder or condition pid') in an adult female patient who had essure (ess205) inserted for female sterilisation. The occurrence of additional non-serious events is detailed below. Other product or product use issues identified: device monitoring procedure not performed "plaintiff did not undergo essure confirmation test". On (b)(6) 2007, the patient had essure (ess205) inserted. On an unknown date, the patient experienced pelvic inflammatory disease (seriousness criterion medically significant), genital haemorrhage ("general abnormal bleeding"), pelvic pain ("chronic pelvic pain"), dysmenorrhoea ("dysmenorrhea (cramping)"), abdominal pain ("abdominal pain "), back pain ("back pain"), menorrhagia ("menorrhagia (heavy menstrual bleeding)"), metrorrhagia ("metrorrhagia (bleeding between periods)"), bladder disorder ("bladder problems "), urinary tract infection ("urinary tract infection "), fatigue ("fatigue"), gastrointestinal disorder ("gastrointestinal conditions "), tooth disorder ("dental problems"), vaginal haemorrhage ("vaginal bleeding"), nausea ("nausea") and complication of device insertion ("she could not implant the left side with an essure coil/ procedure unsuccessful - double ligation with filshie clips") and was found to have hormone level abnormal ("hormonal changes "), weight increased ("weight gain ") and weight decreased ("weight loss"). Essure (ess205) treatment was not changed. At the time of the report, the pelvic inflammatory disease, genital haemorrhage, pelvic pain, dysmenorrhoea, abdominal pain, back pain, menorrhagia, metrorrhagia, bladder disorder, urinary tract infection, fatigue, gastrointestinal disorder, tooth disorder, hormone level abnormal, weight increased, weight decreased, vaginal haemorrhage, nausea and complication of device insertion outcome was unknown. The reporter considered abdominal pain, back pain, bladder disorder, complication of device insertion, dysmenorrhoea, fatigue, gastrointestinal disorder, genital haemorrhage, hormone level abnormal, menorrhagia, metrorrhagia, nausea, pelvic inflammatory disease, pelvic pain, tooth disorder, urinary tract infection, vaginal haemorrhage, weight decreased and weight increased to be related to essure (ess205). The reporter commented: plaintiff was unable to afford essure removal. Most recent follow-up information incorporated above includes: on (b)(6) 2020: plaintiff fact sheet received. Case became incident. Events pid , vaginal bleeding, nausea & device insertion complication added. Product, patient & reporter information updated. Based on the available information, a review of our complaint records and other relevant data will be conducted; any new and reportable information that becomes available from our investigation will be provided in a supplementary report.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2951250-2020-02761
MDR Report Key9888621
Report SourceCONSUMER,OTHER
Date Received2020-03-27
Date of Report2020-03-27
Date Mfgr Received2018-12-06
Date Added to Maude2020-03-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactK SHAW LAMBERSON
Manufacturer Street100 BAYER BLVD, P.O. BOX 915
Manufacturer CityWHIPPANY NJ 07981
Manufacturer CountryUS
Manufacturer Postal07981
Manufacturer G1BAYER PHARMA AG
Manufacturer StreetM
Manufacturer CityBERLIN, 13353
Manufacturer CountryGM
Manufacturer Postal Code13353
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameESSURE
Generic NameTRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE
Product CodeHHS
Date Received2020-03-27
Model NumberESS205
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBAYER PHARMA AG
Manufacturer AddressM?LLERSTR. 178 BERLIN, 13353 GM 13353


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-27

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.