ESSURE ESS305

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 ESS305 manufactured by Bayer Pharma Ag.

Event Text Entries

[186528999] This spontaneous case was reported by a lawyer and describes the occurrence of pelvic pain ('pelvic pain') in an adult female patient who had essure inserted for female sterilization. The occurrence of additional non-serious events is detailed below. Other product or product use issues identified: device monitoring procedure not performed "essure confirmation procedure not done". The patient's medical history included sore throat, tinnitus, chest pain, weakness and constipation. On (b)(6) 2008, the patient had essure inserted. On an unknown date, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required), dysmenorrhoea ("dysmenorrhea (cramping),"), abdominal pain ("abdominal pain"), back pain ("back pain"), fatigue ("fatigue"), gastrointestinal disorder ("gi conditions"), headache ("headaches"), vaginal haemorrhage ("abnormal bleeding (vaginal)"), menorrhagia ("abnormal bleeding (menorrhagia)"), pruritus ("itchiness"), rash papular ("small red bumps on arms, back, and legs"), migraine ("migraines"), ovarian cyst ("ovarian cysts"), uterine enlargement ("enlarged uterus"), dyspareunia ("dyspareunia (painful sexual intercourse)"), abdominal pain lower ("lower abdominal pain") and incontinence ("incontinence") and was found to have hormone level abnormal ("hormonal changes"). The patient was treated with wound care (supracervical hysterectomy (uterus only)). Essure was removed. At the time of the report, the pelvic pain, dysmenorrhoea, abdominal pain, back pain, fatigue, gastrointestinal disorder, headache, hormone level abnormal, vaginal haemorrhage, menorrhagia, pruritus, rash papular, migraine, ovarian cyst, uterine enlargement, dyspareunia, abdominal pain lower and incontinence outcome was unknown. The reporter considered abdominal pain, abdominal pain lower, back pain, dysmenorrhoea, dyspareunia, fatigue, gastrointestinal disorder, headache, hormone level abnormal, incontinence, menorrhagia, migraine, ovarian cyst, pelvic pain, pruritus, rash papular, uterine enlargement and vaginal haemorrhage to be related to essure. The reporter commented: (b)(6) 2011 (discrepancy noted in insertion date), (b)(6) 2008 and 2009. Removal recommended by treating physician? No plaintiff states that essure removal was not planned as she is not able to afford surgery. Essure insertion date provided in pfs: (b)(6) 2008. Left side- 3 coils, right side- 2 trailing coils. Quality-safety evaluation of ptc: unable to confirm complaint. Most recent follow-up information incorporated above includes: on (b)(6) 2020: pfs and mr received : events- "abnormal bleeding (vaginal), abnormal bleeding (menorrhagia), itchiness, small red bumps on arms, back, and legs, migraines, ovarian cysts, enlarged uterus, dyspareunia (painful sexual intercourse), lower abdominal pain, incontinence", reporter, medical history added. 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 Number2951250-2020-02757
MDR Report Key9888636
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 NumberESS305
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBAYER PHARMA AG
Manufacturer AddressM?LLERSTR. 178 BERLIN, 13353 GM 13353


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2020-03-27

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