Brand Name | ESSURE |
Manufacturer (Section D) |
|
MDR Report Key | 4569275 |
Report Number | MW5041064 |
Device Sequence Number | 1 |
Product Code |
HHS
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Source Type |
Invalid Data |
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
01/20/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/04/2015 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Other
|
Is the Reporter a Health Professional? |
No
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Death;
|
|
|