Brand Name | ESSURE |
Type of Device | ESSURE |
Manufacturer (Section D) |
|
MDR Report Key | 4684438 |
MDR Text Key | 5670510 |
Report Number | MW5042068 |
Device Sequence Number | 1 |
Product Code |
HHS
|
Combination Product (Y/N) | |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
|
Type of Report
| Initial |
Report Date |
04/07/2015 |
1 Device Was Involved in the Event |
|
1 Patient Was Involved in the Event | |
Date FDA Received | 04/07/2015 |
Is This An Adverse Event Report? |
Yes
|
Is This A Product Problem Report? |
No
|
Device Operator |
HEALTH PROFESSIONAL
|
Is The Reporter A Health Professional? |
Yes
|
Is this a Reprocessed and Reused Single-Use Device? |
No
|
Patient TREATMENT DATA |
Date Received: 04/07/2015 Patient Sequence Number: 1 |
Treatment |
LIDOCAINE; PREMEDICATED WITH PERCOCET, |
|
|
|