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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
Model Number ESS305
Device Problems Patient-Device Incompatibility (2682); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Abdominal Pain (1685); Anemia (1706); Fatigue (1849); Hair Loss (1877); Hemorrhage/Bleeding (1888); Menstrual Irregularities (1959); Nausea (1970); Pain (1994); Abnormal Vaginal Discharge (2123); Vomiting (2144); Depression (2361); Weight Changes (2607); Heavier Menses (2666)
Event Date 03/01/2009
Event Type  Injury  
Event Description
This spontaneous case was reported by a lawyer and describes the occurrence of dyspareunia ("pain during intercourse"), pelvic pain ("pelvic pain"), uterine leiomyoma ("uterine fibroids"), vaginal haemorrhage ("vaginal bleeding"), menorrhagia ("menorrhagia") and genital haemorrhage ("heavy bleeding") in a (b)(6) female patient who had essure (batch no.628048) inserted for female sterilisation.The occurrence of additional non-serious events is detailed below.Concomitant products included oxycocet (percocet).On (b)(6) 2009, the patient had essure inserted.In (b)(6) 2009, the patient experienced vaginal haemorrhage (seriousness criteria medically significant and intervention required), menorrhagia (seriousness criteria medically significant and intervention required), genital haemorrhage (seriousness criterion medically significant) and abdominal pain ("abdominal pain").In (b)(6) 2009, the patient experienced weight fluctuation ("weight fluctuation / weight gain and loss").In 2009, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required) and back pain ("back pain").In (b)(6) 2012, the patient experienced dyspareunia (seriousness criteria medically significant and intervention required).In (b)(6) 2012, the patient experienced alopecia ("hair loss").In (b)(6) 2014, the patient experienced nausea ("nausea") and vomiting ("vomiting").In (b)(6) 2016, the patient experienced vaginal discharge ("vaginal discharge").In 2017, the patient experienced uterine leiomyoma (seriousness criterion medically significant).In (b)(6) 2017, the patient experienced dysmenorrhoea ("severe menstrual pain").On an unknown date, the patient experienced depression ("depression"), fatigue ("fatigue"), anaemia ("anemia") and iron deficiency anaemia ("iron deficiency anemia").The patient was treated with iron, anovlar (microgestin) and surgery (hysterectomy with bilateral salpingectomy).Essure was removed on (b)(6) 2017.At the time of the report, the dyspareunia, pelvic pain, dysmenorrhoea, abdominal pain, back pain, anaemia, nausea, vaginal discharge and vomiting had resolved, the uterine leiomyoma, vaginal haemorrhage, menorrhagia, genital haemorrhage, fatigue and iron deficiency anaemia outcome was unknown and the depression, alopecia and weight fluctuation was resolving.The reporter considered abdominal pain, alopecia, anaemia, back pain, depression, dysmenorrhoea, dyspareunia, fatigue, genital haemorrhage, iron deficiency anaemia, menorrhagia, nausea, pelvic pain, uterine leiomyoma, vaginal discharge, vaginal haemorrhage, vomiting and weight fluctuation to be related to essure.The reporter commented: on (b)(6) 2017: total abdominal hysterectomy with bilateral salpingectomies: postoperative diagnoses: symptomatic uterine fibroids.Chronic pelvic pain.Menorrhagia.Dyspareunia.Chronic anemia.Diagnostic results (normal ranges are provided in parenthesis if available): hysterosalpingogram - in (b)(6) 2009: confirmed that fallopian tubes were fully occluded ultrasound scan - on an unknown date: total bilateral occlusion.Concerning the injuries reported in this case, the following one/ones were described in patient¿s medical records: hair loss, genital bleeding, menorrhagia, iron deficiency anemia, weight loss, uterine leiomyoma, dysmenorrhea, dyspareunia most recent follow-up information incorporated above includes: on (b)(6) 2018: pfs and mr received.Lot number provided (628048).Events added: vaginal bleeding, menorrhagia, anemia, nausea, vaginal discharge, hair loss, vomiting, iron deficiency anemia.It was reported that on (b)(6) 2017 hysterectomy with bilateral salpingectomy was performed.Incident: at the time of reporting, there is no evidence that a device-related defect or malfunction caused a death or serious injury.If additional information becomes available it will be provided on a supplemental report.
 
Manufacturer Narrative
Ntaneous case was reported by a lawyer and describes the occurrence of dyspareunia ("pain during intercourse"), pelvic pain ("pelvic pain"), uterine leiomyoma ("uterine fibroids"), vaginal haemorrhage ("vaginal bleeding"), menorrhagia ("menorrhagia") and genital haemorrhage ("heavy bleeding") in a 39-year-old female patient who had essure (batch no.628048) inserted for female sterilisation.The occurrence of additional non-serious events is detailed below.Concomitant products included oxycocet (percocet).On (b)(6) 2009, the patient had essure inserted.In (b)(6) 2009, the patient experienced vaginal haemorrhage (seriousness criteria medically significant and intervention required), menorrhagia (seriousness criteria medically significant and intervention required), genital haemorrhage (seriousness criterion medically significant) and abdominal pain ("abdominal pain").In (b)(6) 2009, the patient experienced weight fluctuation ("weight fluctuation / weight gain and loss").In 2009, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required) and back pain ("back pain").In (b)(6) 2012, the patient experienced dyspareunia (seriousness criteria medically significant and intervention required).In (b)(6) 2012, the patient experienced alopecia ("hair loss").In (b)(6) 2014, the patient experienced nausea ("nausea") and vomiting ("vomiting").In (b)(6) 2016, the patient experienced vaginal discharge ("vaginal discharge").In 2017, the patient experienced uterine leiomyoma (seriousness criterion medically significant).In (b)(6) 2017, the patient experienced dysmenorrhoea ("severe menstrual pain").On an unknown date, the patient experienced depression ("depression"), fatigue ("fatigue"), anaemia ("anemia") and iron deficiency anaemia ("iron deficiency anemia").The patient was treated with iron, anovlar (microgestin), surgery (hysterectomy with bilateral salpingectomy).Essure was removed on (b)(6) 2017.At the time of the report, the dyspareunia, pelvic pain, dysmenorrhoea, abdominal pain, back pain, anaemia, nausea, vaginal discharge and vomiting had resolved, the uterine leiomyoma, vaginal haemorrhage, menorrhagia, genital haemorrhage, fatigue and iron deficiency anaemia outcome was unknown and the depression, alopecia and weight fluctuation was resolving.The reporter considered abdominal pain, alopecia, anaemia, back pain, depression, dysmenorrhoea, dyspareunia, fatigue, genital haemorrhage, iron deficiency anaemia, menorrhagia, nausea, pelvic pain, uterine leiomyoma, vaginal discharge, vaginal haemorrhage, vomiting and weight fluctuation to be related to essure.The reporter commented: on (b)(6) 2017: total abdominal hysterectomy with bilateral.Salpingectomies: postoperative diagnoses: symptomatic uterine fibroids.Chronic pelvic pain.Menorrhagia.Dyspareunia.Chronic anemia.Diagnostic results (normal ranges are provided in parenthesis if available): hysterosalpingogram - in (b)(6) 2009: confirmed that fallopian tubes were fully occluded.Ultrasound scan - on an unknown date: total bilateral occlusion.Concerning the injuries reported in this case, the following one/ones were described in patient¿s medical records: hair loss, genital bleeding, menorrhagia, iron deficiency anemia, weight loss, uterine leiomyoma, dysmenorrhea, dyspareunia.Quality-safety evaluation of ptc: unable to confirm complaint.Most recent follow-up information incorporated above includes: on 7-aug-2018: quality safety evaluation of ptc.Incident: at the time of reporting, there is no evidence that a device-related defect or malfunction caused a death or serious injury.If additional information becomes available it will be provided on a supplemental report.
 
Manufacturer Narrative
This spontaneous case was reported by a lawyer and describes the occurrence of dyspareunia ('pain during intercourse'), pelvic pain ('pelvic pain'), uterine leiomyoma ('uterine fibroids'), vaginal haemorrhage ('vaginal bleeding'), menorrhagia ('menorrhagia') and genital haemorrhage ('heavy bleeding') in a 39-year-old female patient who had essure (batch no.628048) inserted for female sterilisation.The occurrence of additional non-serious events is detailed below.The patient's medical history included overweight and hypertension.Concomitant products included oxycodone hydrochloride;paracetamol (percocet).On (b)(6) 2009, the patient had essure inserted.In (b)(6) 2009, the patient experienced depression ("depression").In (b)(6) 2009, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required), vaginal haemorrhage (seriousness criteria medically significant and intervention required), menorrhagia (seriousness criteria medically significant and intervention required), genital haemorrhage (seriousness criterion medically significant), abdominal pain ("abdominal pain") and back pain ("back pain").In (b)(6) 2009, the patient experienced weight fluctuation ("weight fluctuation / weight gain and loss/ both weight gain and loss").In (b)(6) 2012, the patient experienced dyspareunia (seriousness criteria medically significant and intervention required).In (b)(6) 2012, the patient experienced alopecia ("hair loss").In (b)(6) 2014, the patient experienced nausea ("nausea") and vomiting ("vomiting").In (b)(6) 2015, the patient experienced vaginal discharge ("vaginal discharge").In 2017, the patient was found to have uterine leiomyoma (seriousness criterion medically significant).In (b)(6) 2017, the patient experienced dysmenorrhoea ("severe menstrual pain"), reproductive tract disorder ("reproductive system disorder or condition"), blood disorder ("blood or heart disorder") and cardiac disorder ("blood or heart disorder").On an unknown date, the patient experienced fatigue ("fatigue"), anaemia ("anemia") and iron deficiency anaemia ("iron deficiency anemia").The patient was treated with ethinylestradiol;norethisterone acetate (microgestin), iron and surgery (hysterectomy with bilateral salpingectomy and hysterectomy).Essure was removed on (b)(6) 2017.At the time of the report, the dyspareunia, pelvic pain, dysmenorrhoea, abdominal pain, back pain, depression, anaemia, nausea, vaginal discharge, alopecia, vomiting and weight fluctuation had resolved and the uterine leiomyoma, vaginal haemorrhage, menorrhagia, genital haemorrhage, fatigue, iron deficiency anaemia, reproductive tract disorder, blood disorder and cardiac disorder outcome was unknown.The reporter considered abdominal pain, alopecia, anaemia, back pain, blood disorder, cardiac disorder, depression, dysmenorrhoea, dyspareunia, fatigue, genital haemorrhage, iron deficiency anaemia, menorrhagia, nausea, pelvic pain, reproductive tract disorder, uterine leiomyoma, vaginal discharge, vaginal haemorrhage, vomiting and weight fluctuation to be related to essure.The reporter commented: on (b)(6) 2017: total abdominal hysterectomy with bilateral salpingectomies: postoperative diagnoses: 1.Symptomatic uterine fibroids.2.Chronic pelvic pain.3.Menorrhagia.4.Dyspareunia.5.Chronic anemia.Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 29.5 kg/sqm.Hysterosalpingogram - in (b)(6) 2009: results: confirmed that fallopian tubes were fully occluded.Ultrasound scan - on an unknown date: results: total bilateral occlusion.Concerning the injuries reported in this case, the following one/ones were described in patient¿s medical records: hair loss, genital bleeding, menorrhagia, iron deficiency anemia, weight loss, uterine leiomyoma, dysmenorrhea, dyspareunia quality-safety evaluation of ptc: unable to confirm complaint most recent follow-up information incorporated above includes: on 23-dec-2019: plaintiff fact sheet received.Events per pfs: reproductive system disorder or condition and blood or heart disorder.Outcome for weight fluctuations, hair loss and depression were resolved.A technical investigation will be conducted, including a batch review, and a review of complaint records and other relevant data; should any new and reportable information become available from our investigation, this will be provided in a supplementary report.
 
Manufacturer Narrative
This spontaneous case was reported by a lawyer and describes the occurrence of dyspareunia ('pain during intercourse/ dyspareunia'), pelvic pain ('pelvic pain, few times evert month/ pain'), uterine leiomyoma ('uterine fibroids'), vaginal haemorrhage ('vaginal bleeding'), menorrhagia ('menorrhagia') and genital haemorrhage ('heavy bleeding/ abnormal bleeding') in a 39-year-old female patient who had essure (batch no.628048) inserted for female sterilisation.The occurrence of additional non-serious events is detailed below.The patient's medical history included overweight and hypertension.Concomitant products included oxycodone hydrochloride;paracetamol (percocet).On (b)(6) 2009, the patient had essure inserted.In (b)(6) 2009, the patient experienced depression ("depression").In (b)(6) 2009, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required), vaginal haemorrhage (seriousness criteria medically significant and intervention required), menorrhagia (seriousness criteria medically significant and intervention required), genital haemorrhage (seriousness criterion medically significant), dysmenorrhoea ("severe menstrual pain/ dysmenorrhoea "), abdominal pain ("abdominal pain") and back pain ("back pain").In (b)(6) 2009, the patient experienced weight fluctuation ("weight fluctuation / weight gain and loss/ both weight gain and loss").In (b)(6) 2012, the patient experienced dyspareunia (seriousness criteria medically significant and intervention required).In (b)(6) 2012, the patient experienced alopecia ("hair loss").In (b)(6) 2014, the patient experienced nausea ("nausea") and vomiting ("vomiting").In (b)(6) 2015, the patient experienced vaginal discharge ("vaginal discharge").In 2017, the patient was found to have uterine leiomyoma (seriousness criterion medically significant).In (b)(6) 2017, the patient experienced reproductive tract disorder ("reproductive system disorder or condition"), blood disorder ("blood or heart disorder") and cardiac disorder ("blood or heart disorder").On an unknown date, the patient experienced fatigue ("fatigue"), anaemia ("anemia") and iron deficiency anaemia ("iron deficiency anemia") and was found to have weight increased ("weight gain").The patient was treated with ethinylestradiol;norethisterone acetate (microgestin), iron and surgery (hysterectomy with bilateral salpingectomy, hysterectomy and hysterectomy with bilateral salpingectomy).Essure was removed on (b)(6) 2017.At the time of the report, the dyspareunia, pelvic pain, dysmenorrhoea, abdominal pain, back pain, depression, anaemia, nausea, vaginal discharge, alopecia, vomiting and weight fluctuation had resolved and the uterine leiomyoma, vaginal haemorrhage, menorrhagia, genital haemorrhage, fatigue, iron deficiency anaemia, reproductive tract disorder, blood disorder, cardiac disorder and weight increased outcome was unknown.The reporter considered abdominal pain, alopecia, anaemia, back pain, blood disorder, cardiac disorder, depression, dysmenorrhoea, dyspareunia, fatigue, genital haemorrhage, iron deficiency anaemia, menorrhagia, nausea, pelvic pain, reproductive tract disorder, uterine leiomyoma, vaginal discharge, vaginal haemorrhage, vomiting, weight fluctuation and weight increased to be related to essure.The reporter commented: on (b)(6) 2017: total abdominal hysterectomy with bilateral salpingectomies: postoperative diagnoses: 1.Symptomatic uterine fibroids.2.Chronic pelvic pain.3.Menorrhagia.4.Dyspareunia.5.Chronic anemia.Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 29.5 kg/sqm.Hysterosalpingogram - in (b)(6) 2009: results: confirmed that fallopian tubes were fully occluded.Ultrasound scan - on an unknown date: results: total bilateral occlusion.Quality-safety evaluation of ptc: unable to confirm complaint.Most recent follow-up information incorporated above includes: on 17-aug-2020: pif received.Event added: weight gain.A technical investigation will be conducted, including a batch review, and a review of complaint records and other relevant data; should any new and reportable information become available from our investigation, this will be provided in a supplementary report.
 
Manufacturer Narrative
This spontaneous case was reported by a lawyer and describes the occurrence of pelvic pain ('pelvic pain, few times evert month/ pain'), dyspareunia ('pain during intercourse/ dyspareunia'), vaginal haemorrhage ('vaginal bleeding'), menorrhagia ('menorrhagia'), genital haemorrhage ('heavy bleeding/ abnormal bleeding') and uterine leiomyoma ('uterine fibroids') in a 39-year-old female patient who had essure (batch no.628048) inserted for female sterilisation.The occurrence of additional non-serious events is detailed below.The patient's medical history included overweight and hypertension.Concomitant products included oxycodone hydrochloride;paracetamol (percocet).On (b)(6) 2009, the patient had essure inserted.In (b)(6) 2009, the patient experienced depression ("depression").In (b)(6) 2009, the patient experienced pelvic pain (seriousness criteria medically significant and intervention required), vaginal haemorrhage (seriousness criteria medically significant and intervention required), menorrhagia (seriousness criteria medically significant and intervention required), genital haemorrhage (seriousness criterion medically significant), dysmenorrhoea ("severe menstrual pain/ dysmenorrhoea "), abdominal pain ("abdominal pain") and back pain ("back pain").In (b)(6) 2009, the patient experienced weight fluctuation ("weight fluctuation / weight gain and loss/ both weight gain and loss").In (b)(6) 2012, the patient experienced dyspareunia (seriousness criteria medically significant and intervention required).In june 2012, the patient experienced alopecia ("hair loss").In (b)(6) 2014, the patient experienced nausea ("nausea") and vomiting ("vomiting").In (b)(6) 2015, the patient experienced vaginal discharge ("vaginal discharge").In 2017, the patient was found to have uterine leiomyoma (seriousness criterion medically significant).In july 2017, the patient experienced reproductive tract disorder ("reproductive system disorder or condition"), blood disorder ("blood or heart disorder") and cardiac disorder ("blood or heart disorder").On an unknown date, the patient experienced fatigue ("fatigue"), anaemia ("anemia") and iron deficiency anaemia ("iron deficiency anemia") and was found to have weight increased ("weight gain").The patient was treated with ethinylestradiol;norethisterone acetate (microgestin), iron and surgery (hysterectomy with bilateral salpingectomy).Essure was removed on (b)(6) 2017.At the time of the report, the pelvic pain, dyspareunia, dysmenorrhoea, abdominal pain, back pain, depression, anaemia, nausea, vaginal discharge, alopecia, vomiting and weight fluctuation had resolved and the vaginal haemorrhage, menorrhagia, genital haemorrhage, uterine leiomyoma, fatigue, iron deficiency anaemia, reproductive tract disorder, blood disorder, cardiac disorder and weight increased outcome was unknown.The reporter considered abdominal pain, alopecia, anaemia, back pain, blood disorder, cardiac disorder, depression, dysmenorrhoea, dyspareunia, fatigue, genital haemorrhage, iron deficiency anaemia, menorrhagia, nausea, pelvic pain, reproductive tract disorder, uterine leiomyoma, vaginal discharge, vaginal haemorrhage, vomiting, weight fluctuation and weight increased to be related to essure.The reporter commented: on (b)(6) 2017: total abdominal hysterectomy with bilateral salpingectomies: postoperative diagnoses: symptomatic uterine fibroids.Chronic pelvic pain.Menorrhagia.Dyspareunia.Chronic anemia.Diagnostic results (normal ranges are provided in parenthesis if available): body mass index was 29.5 kg/sqm.Hysterosalpingogram - in (b)(6) 2009: results: confirmed that fallopian tubes were fully occluded.Ultrasound scan - on an unknown date: results: total bilateral occlusion.Most recent follow-up information incorporated above includes: on (b)(6) 2020: quality safety evaluation of ptc.We received a lot number in this case.A technical investigation was conducted, including a batch review, and a review of complaint records and other relevant data; should any new and reportable information become available from our investigation, this will be provided in a supplementary report.
 
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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
MDR Report Key7542316
MDR Text Key109223669
Report Number2951250-2018-02371
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 consumer,other
Type of Report Initial,Followup,Followup,Followup,Followup
Report Date 08/28/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date08/01/2010
Device Model NumberESS305
Device Lot Number628048
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 04/25/2018
Initial Date FDA Received05/24/2018
Supplement Dates Manufacturer Received08/07/2018
12/23/2019
08/17/2020
08/28/2020
Supplement Dates FDA Received08/13/2018
01/10/2020
08/24/2020
08/28/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
PERCOCET; PERCOCET; PERCOCET [OXYCODONE HYDROCHLORIDE,PARACETAMOL]; PERCOCET [OXYCODONE HYDROCHLORIDE,PARACETAMOL]; PERCOCET [OXYCODONE HYDROCHLORIDE,PARACETAMOL]
Patient Outcome(s) Other; Required Intervention;
Patient Age39 YR
Patient Weight78
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