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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FILSHIE CLIPS LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE

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FILSHIE CLIPS LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE Back to Search Results
Event Date 06/27/2018
Event Type  Injury  
Event Description

I had the filshie clips applied in 2018. Since then i have been suffering from anxiety/depression, burning pain in vagina, frequent urination with no infection and one of the clips had migrated to my upper left abdomen. I have had chronic abdominal and back pain for the last month, yet the drs are not concerned with the clip lodged near my kidney/liver.

 
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Brand NameFILSHIE CLIPS
Type of DeviceLAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION DEVICE
MDR Report Key7650594
Report NumberMW5078173
Device Sequence Number1
Product CodeKNH
Report Source Voluntary
Reporter Occupation PATIENT
Report Date 06/27/2018
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received06/28/2018
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator NO INFORMATION
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

Patient TREATMENT DATA
Date Received: 06/28/2018 Patient Sequence Number: 1
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