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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAYER PHARMA AG ESSURE; TRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE

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BAYER PHARMA AG ESSURE; TRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE Back to Search Results
Device Problems Break (1069); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Vessel Or Plaque, Device Embedded In (1204); Pulmonary Embolism (1498); Syncope (1610); Abdominal Pain (1685); Abortion (1688); Adhesion(s) (1695); Anemia (1706); Angina (1710); Rheumatoid Arthritis (1724); Asthma (1726); Autoimmune Disorder (1732); Bacterial Infection (1735); Breast Cancer (1759); Cervical Changes (1773); Cyst(s) (1800); Death (1802); Dementia (1808); Ectopic Pregnancy (1819); Embolism (1829); Emotional Changes (1831); Fatigue (1849); Death, Intrauterine Fetal (1855); Flatus (1865); Gastritis (1874); Hair Loss (1877); Headache (1880); Hematoma (1884); Hemoptysis (1887); Hemorrhage/Bleeding (1888); Hypersensitivity/Allergic reaction (1907); High Blood Pressure/ Hypertension (1908); Incontinence (1928); Unspecified Infection (1930); Inflammation (1932); Damage to Ligament(s) (1952); Liver Damage/Dysfunction (1954); Memory Loss/Impairment (1958); Menstrual Irregularities (1959); Miscarriage (1962); Muscle Spasm(s) (1966); Myocardial Infarction (1969); Nausea (1970); Nerve Damage (1979); Internal Organ Perforation (1987); Pain (1994); Pelvic Inflammatory Disease (2000); Perforation (2001); Pneumonia (2011); Pulmonary Infarction (2021); Rash (2033); Raynauds Phenomenon (2034); Renal Disease, End Stage (2039); Scar Tissue (2060); Shock (2072); Sjogren's Syndrome (2073); Thrombus (2101); Thyroid Problems (2102); Urinary Tract Infection (2120); Uterine Perforation (2121); Loss of Vision (2139); Hot Flashes/Flushes (2153); Immunodeficiency (2156); Chills (2191); Cramp(s) (2193); Dizziness (2194); Rupture (2208); Induced Abortion (2214); Myalgia (2238); Hernia (2240); Urinary Frequency (2275); Urticaria (2278); Anxiety (2328); Discomfort (2330); Injury (2348); Hypoesthesia (2352); Hypoesthesia, Arm/Hand (2353); Arthralgia (2355); Depression (2361); Fasciitis (2375); Numbness (2415); Fungal Infection (2419); Obstruction/Occlusion (2422); Tooth Fracture (2428); Neck Pain (2433); Premature Labor (2465); Palpitations (2467); Prolapse (2475); Sleep Dysfunction (2517); Abdominal Cramps (2543); Abdominal Distention (2601); Weight Changes (2607); Heavier Menses (2666); Bowel Perforation (2668); Foreign Body In Patient (2687); Nervous System Injury (2689); Valvular Stenosis (2697); Device Embedded In Tissue or Plaque (3165); No Code Available (3191); Pregnancy (3193); Cancer (3262); Pericardial Effusion (3271); Constipation (3274)
Event Type  Injury  
Manufacturer Narrative
This is the marker fda 3500a form for medical device reporting variance e2020002 for the essure system ((b)(4)) submitted by bayer on 10aug2020 for the period, 01jul2020 to 31jul2020.


a spreadsheet of mdr line-item data for the reports referenced in this report can be found on the "problems reported with essure" page of the fda web site.


a.Total number of reports:


1.By report type: 3314 serious injuries, 63 malfunctions, and 10 deaths


2.By patient problem code(s):


1019 reports associated with patient problem code 3191: no code available.
624 reports associated with patient problem code 1994: pain.
600 reports associated with patient problem code 2121: uterine perforation.
377 reports associated with patient problem code 2687: foreign body in patient.
284 reports associated with patient problem code 3165: device fragments in patient.
248 reports associated with patient problem code 3193: pregnancy.
77 reports associated with patient problem code 1819: pregnancy, ectopic.
74 reports associated with patient problem code 1685: pain, abdominal.
65 reports associated with patient problem code 1888: hemorrhage.
60 reports associated with patient problem code 2666: heavier menses.
55 reports associated with patient problem code 1962: miscarriage.
52 reports associated with patient problem code 1907: hypersensitivity.
49 reports associated with patient problem code 2001: perforation.
36 reports associated with patient problem code 1855: death, intrauterine fetal.
30 reports associated with patient problem code 2000: pelvic inflammatory disease.
25 reports associated with patient problem code 1688: abortion.
23 reports associated with patient problem code 2607: weight fluctuations.
21 reports associated with patient problem code 1959: menstrual irregularities.
18 reports associated with patient problem code 1877: hair loss.
17 reports associated with patient problem code 2355: arthralgia.
16 reports associated with patient problem code 2668: bowel perforation.
13 reports associated with patient problem code 2033: rash.
13 reports associated with patient problem code 2060: scar tissue.
13 reports associated with patient problem code 2601: distention.
11 reports associated with patient problem code 1880: headache.
11 reports associated with patient problem code 1987: organ(s), perforation of.
11 reports associated with patient problem code 2328: anxiety.
10 reports associated with patient problem code 1800: cyst(s), formation of.
10 reports associated with patient problem code 1802: death.
10 reports associated with patient problem code 1865: flatus.
9 reports associated with patient problem code 2475: prolapse.
8 reports associated with patient problem code 2091: swelling.
7 reports associated with patient problem code 2359: malaise.
7 reports associated with patient problem code 2361: depression.
6 reports associated with patient problem code 1732: autoimmune disease.
6 reports associated with patient problem code 1932: inflammation.
6 reports associated with patient problem code 2465: labor, premature.
5 reports associated with patient problem code 1695: adhesion(s).
5 reports associated with patient problem code 2102: thyroid problems.
5 reports associated with patient problem code 3262: cancer fda.
4 reports associated with patient problem code 1849: fatigue.
4 reports associated with patient problem code 2348: injury.
3 reports associated with patient problem code 1831: emotional changes.
3 reports associated with patient problem code 1928: incontinence.
3 reports associated with patient problem code 1930: infection.
3 reports associated with patient problem code 2067: sepsis.
3 reports associated with patient problem code 2330: discomfort.
3 reports associated with patient problem code 2375: fasciitis.
3 reports associated with patient problem code 3274: constipation.
2 reports associated with patient problem code 1204: vessel or plaque, device embedded in.
2 reports associated with patient problem code 1498: pulmonary embolism.
2 reports associated with patient problem code 1724: arthritis, rheumatoid.
2 reports associated with patient problem code 1735: infection, bacterial.
2 reports associated with patient problem code 1884: hematoma.
2 reports associated with patient problem code 1958: memory loss.
2 reports associated with patient problem code 1966: muscle spasm(s).
2 reports associated with patient problem code 1970: nausea.
2 reports associated with patient problem code 2240: hernia.
2 reports associated with patient problem code 2278: urticaria.
2 reports associated with patient problem code 2415: numbness.
2 reports associated with patient problem code 2428: fracture, tooth.
1 report associated with patient problem code 1610: syncope.
1 report associated with patient problem code 1706: anemia.
1 report associated with patient problem code 1710: angina.
1 report associated with patient problem code 1726: asthma.
1 report associated with patient problem code 1759: cancer, breast.
1 report associated with patient problem code 1773: cervical changes.
1 report associated with patient problem code 1808: dementia.
1 report associated with patient problem code 1829: embolism.
1 report associated with patient problem code 1874: gastritis.
1 report associated with patient problem code 1887: hemoptysis.
1 report associated with patient problem code 1908: hypertension.
1 report associated with patient problem code 1952: ligament(s), damage to.
1 report associated with patient problem code 1954: liver dysfunction.
1 report associated with patient problem code 1969: myocardial infarction.
1 report associated with patient problem code 1979: nerve damage.
1 report associated with patient problem code 2011: pneumonia.
1 report associated with patient problem code 2021: pulmonary infarction.
1 report associated with patient problem code 2034: raynauds phenomenon.
1 report associated with patient problem code 2039: renal disease, end stage.
1 report associated with patient problem code 2041: renal failure.
1 report associated with patient problem code 2072: shock.
1 report associated with patient problem code 2073: sjogren's syndrome.
1 report associated with patient problem code 2101: thrombus.
1 report associated with patient problem code 2120: infection, urinary tract.
1 report associated with patient problem code 2139: vision, loss of.
1 report associated with patient problem code 2146: burning sensation.
1 report associated with patient problem code 2153: hot flashes.
1 report associated with patient problem code 2156: immuno-deficiency.
1 report associated with patient problem code 2191: chills.
1 report associated with patient problem code 2193: cramp(s).
1 report associated with patient problem code 2194: dizziness.
1 report associated with patient problem code 2208: rupture.
1 report associated with patient problem code 2214: abortion, induced.
1 report associated with patient problem code 2238: myalgia.
1 report associated with patient problem code 2275: urinary frequency.
1 report associated with patient problem code 2352: hypoesthesia.
1 report associated with patient problem code 2353: hypoesthesia, arm/hand.
1 report associated with patient problem code 2419: infection, fungal.
1 report associated with patient problem code 2422: obstruction.
1 report associated with patient problem code 2433: pain, neck.
1 report associated with patient problem code 2467: palpitations.
1 report associated with patient problem code 2493: ischemic heart disease.
1 report associated with patient problem code 2517: sleep disturbances.
1 report associated with patient problem code 2543: abdominal cramps.
1 report associated with patient problem code 2689: nervous system injury.
1 report associated with patient problem code 2697: valvular stenosis.
1 report associated with patient problem code 3271: pericardial effusion.


3.By device problem code(s):


3102 reports associated with device problem code 2993: no known device problem.
285 reports associated with device problem code 1069: break.


b.The average patient demographics: 34 year old females from the united states based on a sample size of 357 of 3387 reports where a patient age was reported.


c.Report source: legal - all reports are from the two sources described within the essure variance letter (e2020002) dated 24apr2020.


d.Entities submitting reports: bayer pharma ag.


e.Device(s) involved: essure; ess205, ess305.


an analysis of the mentioned information will be conducted periodically as described within the essure variance letter (e2020002) dated 24apr2020.
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Brand Name
ESSURE
Type of Device
TRANSCERVICAL CONTRACEPTIVE TUBAL OCCLUSION DEVICE
Manufacturer (Section D)
BAYER PHARMA AG
müllerstr. 178
berlin, 13353
GM  13353
Manufacturer (Section G)
BAYER PHARMA AG
müllerstr. 178
berlin, 13353
GM   13353
Manufacturer Contact
k shaw lamberson
100 bayer blvd
p.o. box 915
whippany, nj 
MDR Report Key10464545
MDR Text Key204699642
Report Number2951250-2020-12723
Device Sequence Number1
Product Code HHS
Combination Product (y/n)N
PMA/PMN Number
P020014
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Type of Report Initial
Report Date 08/10/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Device Operator No Information
Initial Date Manufacturer Received Not provided
Initial Date FDA Received08/28/2020
Type of Device Usage N
Patient Sequence Number1
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