essure insert complications: see the data prompting lawsuit investigations
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[IMPORTANT]
Zofran Birth Injury Lawsuit
Information
The Essure Insert Device
Essure, non-hormonal, permanent
birth control.
Bayer purchased the original manufacturer and is now responsible for the product.
How Does The Essure
Procedure Work?
• A small, flexible device is inserted into the (micro-insert) fallopian tube.
• Organic body tissue develops around and into the micro-inserts over a 3 month period, for the purpose of blocking the fallopian tubes.
• Like a river dam, the intent is to block sperm from reaching the egg, and thereby preventing fertilization.
Essure Complications
Complications: When an Essureimplant separates, migrates or breaks - removal can require multiple surgeries to ex-plant, in some cases requiring removal of the uterus entirely.
Damages In SCI
Medical Costs
Adverse Side Effect
Reports
Since November 4, 2002, through December 31, 2015, the FDA
received 9,900 medical device reports related to Essure.
Source: FDA’s Review of Reported Problems
Damages In SCI
Most Common Problems
Source: FDA’s Review of Reported Problems
Reported Patient Problems Number of Reports
Abdominal Pain 6989
Menstrual Irregularities 3210
Headache 2990
Fatigue 2159
Weight Fluctuations 2088
The most frequently reported problems:
Damages In SCI
Device Problems Reported
Source: FDA’s Review of Reported Problems
Reported Patient Problems Number of Reports
Patient-Device Incompatibility (like nickel allergy, etc)
2016
Migration of the Device (or devicecomponent)
854
Device Operating Differently Than Expected
490
Device Breakage 429
Device Difficult to Remove 280
The most frequently device problems reported:
Reported Essure
Complications
FDA has received:
• 631 Essure pregnancies reported (despite implantation)
• 294 reports of pregnancy loss by women, 96 of which reported as ectopic pregnancies
• 32 reports coded by the submitter as death
Source: FDA’s Review of Reported Problems
Alleged Essure Side Effects
• Extreme abdominal pain• Severe back pain • Unexplainable fatigue• Weight fluctuations• Heavy menstruation blood flow• Depression and suicidal thoughts • Insert Device migration • Organ perforation • Device breakage • Nickel allergy reactions
Damages In SCI
Medical Costs
Source: FDA Actions to Better Understand Safety of Essure
Essure Contraceptive
Device Recall?
There has not been a recall of Essure. So far, the FDA:
• Ordered Bayer in February 2016 to begin post-market surveillance study of Essure’s benefits and risks.
• Require additional warnings to product labeling, including a Patient Decision Checklist.
Damages In SCI
Source: PAS Study
Reported Patient Problems Number of Reports
Adverse events after the day of the procedure
9%
Period pain & changes in menstrual function
5%
Perforations 7
Expulsion 1
Unsatisfactory device location & a retained micro-insert fragment
2
• Post-Approval Study (PAS) I: 5-year follow-up under Essure
What Research Is Being
Done to Study Risks?
Limitations of PAS I Study
• No comparison groups used• The length to follow-up (5
years)• Study designed to provide
pregnancy rate
Damages In SCI
Source: PAS Study
38 malfunctions in 27 cases (out of 514)
Problems included:1. Detachment problems2. Deployment issues3. Thumbwheel retraction difficulty4. Inner sleeve detachment5. Failure of delivery catheter to retract
Post-Approval Study (PAS)
II: Safety Findings
Damages In SCI
Source: PAS Study
13 adverse events that included:
1. Perforation2. Pelvic Pain3. Bleeding4. Light headed5. Increased blood pressure & temporary decreased pulse
Post-Approval Study (PAS)
II: Safety Findings
• 10X risk in patients undergoing hysteroscopic sterilization of requiring reoperation as opposed to patients who underwent a laporascopic sterilization procedure.
According to a study published in the British Medical Journal:
Is More Research Required?
“The most common complications are perforation, migration (toward the uterine or peritoneal cavity), and occlusion failure.
In hysterosalpingography, vascular intravasation is the most common cause of diagnostic error.”
According to a study published in PubMed:
Hysteroscopically Inserted
Essure Study Findings
52 of 610 cases reported adverse complications:
• perforation• proximal or distal migration of the
device• device expulsion
A study published by the Journal of Obstetrics and GynaecologyCanada Found the following:
Another Essure Micro-Insert
Study
Source: Europe PMC Research
“This case illustrates that perforation of an Essure device can result in a serious complication leading to ileocecal resection.”
Small bowel obstruction and perforation case report found:
Perforation Study
Source: ScienceDirect Case Report
Damages In SCI
Medical Costs
Contraceptive Coil System
Study
“Imaging of Mechanical Tubal Occlusion devices & Potential Complications”
• Migration of the coil device observed along with expulsion and other complications
• Tubal expulsion found to be the most common complication, ejecting the device into the uterine cavity (0.6% to 3%)
• Placing the insert device too near the uterus suggested as cause for expulsion
• Tubal and uterine perforation experienced at 1% to 2%
Source: RNSA Study
Damages In SCI
Medical Costs
Essure Lawsuit Investigation
Source: Study “Imaging of Mechanical Tubal Occlusion devices & Potential Complications”
• Complaints being investigated by Essure attorneys include unwanted pregnancy, peritoneum and bowel perforation, migration and uterine expulsion of the device.
Legal Claims Alleged Against
Bayer
Claims
• Designed a faulty product
• Negligence
• Improperly training doctors on how to use Essure
Claims• Failure to warn the public about health risks
• Fraud
Claims
• Breach of implied and express warranty
• Willfully concealing the dangers of Essure
• Misrepresenting the safety& effectiveness of Essure
Do I Have a Potential
Essure Suit?
• Adverse complications should be brought to the attention of a qualified mass tort attorney immediately
• Injured women are being encouraged to share the details of what happened with a lawyer who will be able to review their case and advise them of their potential lawsuit options.
Essure Lawsuit Settlement
Claims are still being investigated by law firms who handle medical device liability cases.
A successful litigation however, may be be able to recover damages in the form of financial recovery for injuries suffered.
Have More Questions?
Considering suing for compensation? Connect with a qualified lawsuit attorney who will make sure you are aware of your legal rights, and
ensure your voice and needs are not ignored.
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