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Bayer case number: (b)(4).Medical device removal.Diarrhoea in constipated individual "[alternation between constipation and diarrhoea]".Muscle pain.Cervicobracial neuralgia "[cervicobrachialgia]".Fatigue.Mood swings.Case narrative: the below report was received by health authority (b)(6) (reference number: (b)(4)) on 02-sep-2026.The most recent information was received on 09-sep-2026.This spontaneous case was originally reported by a consumer and describes the occurrence of medical device removal ("medical device removal") in a female patient who had essure inserted for female sterilisation.Additional non-serious events are detailed below.There was no information on the patient's medical history or concurrent conditions.In 2016, the patient had essure inserted.In 2016 she experienced gastrointestinal motility disorder ("diarrhoea in constipated individual").On (b)(6) 2026 she underwent medical device removal (seriousness criterion intervention required).Essure was removed the same day.On unknown date she experienced myalgia ("muscle pain"), cervicobrachial syndrome ("cervicobracial neuralgia"), fatigue ("fatigue") and mood swings ("mood swings").The patient was treated with surgery (to remove essure).At the time of the report, the myalgia, cervicobrachial syndrome and fatigue were resolving and the gastrointestinal motility disorder and mood swings had resolved.The outcome of medical device removal was unknown.No causality assessment was received for essure with regard to gastrointestinal motility disorder, cervicobrachial syndrome, medical device removal, myalgia, fatigue or mood swings.The reporter commented: essure implants inserted in the first quarter of 2016.Overall, feels better since the removal.Quality-safety evaluation of ptc:
for essure: no defect could be confirmed by the manufacturer.All product batches have met the specifications regarding labeling, material, and process controls at time of release.Trend analyses of complaints are reviewed regularly, no signal was observed with regard to the reported complaint reason.The risk management file was reviewed, and an update was not deemed required.A technical investigation of the complaint sample and batch record review could not be conducted, as no sample or batch number were available.The most recent follow-up information incorporated above includes data received on:
09-sep-2026: quality safety evaluation of product technical complaint.Case comments: based on the available information, a review of our complaint records and other relevant data was conducted; any new and reportable information that becomes available from our investigation will be provided in a supplementary report.In case a sample is received the investigation might lead to destruction of the sample if required to perform a proper analysis.
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