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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FILSHIE CLIP

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FILSHIE CLIP Back to Search Results
Event Date 05/01/2015
Event Type  No Answer Provided  
Event Description

Had filshie clip inserted to prevent pregnancy. The inserting doctor told me that she was uncertain if one of the clips clipped into place so she also burned the tubes as well.

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Type of DeviceFILSHIE CLIP
MDR Report Key7633789
Report NumberMW5078028
Device Sequence Number1
Product CodeKNH
Report Source Voluntary
Reporter Occupation PATIENT
Report Date 06/21/2018
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received06/22/2018
Is This An Adverse Event Report? No
Is This A Product Problem Report? No
Was Device Available For Evaluation? Yes
Is The Reporter A Health Professional? No Answer Provided
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated By Manufacturer?
Is The Device Single Use?
Is this a Reprocessed and Reused Single-Use Device?
Type of Device Usage

Date Received: 06/22/2018 Patient Sequence Number: 1