Reported Reactions

Devices › Transcervical contraceptive tubal occlusion device

Device brand name · Transcervical contraceptive tubal occlusion device

Essure: medical device reports filed with FDA

74,072 reports name it, 2004–2026. Manufacturer given most often on reports: Bayer Pharma. Product code HHS.

74,072
device reports naming the brand
0.3% of all MAUDE reports · about 3,305 a year
435
reports, 12 months to August 2026
802 in the 12 months before
1.4%
classified as malfunction
1.4% across the product code
0.2%
classified as death, as reported
135 reports · not verified by FDA

74,072 medical device reports received by FDA name the brand "Essure" (transcervical contraceptive tubal occlusion device); the manufacturer given most often on reports is Bayer Pharma; received from February 2004 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

435 reports arrived in the 12 months to August 2026, down 46% from 802 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (97.9%), malfunction (1.4%) and other (0.3%); across all transcervical contraceptive tubal occlusion device reports (product code HHS) death is recorded in 0.2% and malfunction in 1.4%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are insufficient device problem information (22.9%), patient-device incompatibility (7.5%) and biocompatibility (7.4%). The patient problems coded most often are pain, abdominal pain and heavier menses. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

05271,054Sep 2021: 122Oct 2021: 223Nov 2021: 117Dec 2021: 792022Jan 2022: 73Feb 2022: 89Mar 2022: 216Apr 2022: 67May 2022: 190Jun 2022: 94Jul 2022: 214Aug 2022: 117Sep 2022: 80Oct 2022: 130Nov 2022: 246Dec 2022: 1202023Jan 2023: 404Feb 2023: 267Mar 2023: 1,054Apr 2023: 105May 2023: 749Jun 2023: 105Jul 2023: 62Aug 2023: 108Sep 2023: 157Oct 2023: 185Nov 2023: 270Dec 2023: 1492024Jan 2024: 75Feb 2024: 97Mar 2024: 50Apr 2024: 88May 2024: 78Jun 2024: 71Jul 2024: 47Aug 2024: 47Sep 2024: 24Oct 2024: 97Nov 2024: 46Dec 2024: 1072025Jan 2025: 75Feb 2025: 97Mar 2025: 61Apr 2025: 48May 2025: 84Jun 2025: 71Jul 2025: 68Aug 2025: 24Sep 2025: 52Oct 2025: 40Nov 2025: 52Dec 2025: 382026Jan 2026: 20Feb 2026: 55Mar 2026: 47Apr 2026: 41May 2026: 32Jun 2026: 20Jul 2026: 22Aug 2026: 16

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

08,06216,1232004: 420042005: 122006: 242007: 2320072008: 542009: 1192010: 11020102011: 1022012: 1362013: 74320132014: 2,2082015: 5,9162016: 4,91020162017: 11,8212018: 5,9502019: 15,05920192020: 16,1232021: 3,7172022: 1,63620222023: 3,6152024: 8272025: 71020252026: 253

Event type and report source

Event type, as classified on the report

Death0.2%135
Injury97.9%72,481
Malfunction1.4%1,040
Other0.3%231
Not given0.2%185

Who filed the report

Manufacturer report86.3%63,931
Voluntary report13.5%10,002
User facility report0%0
Distributor report0%0
Not given0.2%139

Grey bar: all 74,519 reports carrying product code HHS. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Insufficient device problem information16,94022.9%22.9%
Patient-device incompatibilitythe device did not suit the patient5,5927.5%7.6%
Biocompatibility5,4687.4%7.3%
Device dislodged or dislocated5,2977.2%7.1%
Breakthe device broke4,9316.7%6.6%
Migrationthe device moved from where it was placed4,8026.5%6.5%
Migration or expulsion of device3,3744.6%4.6%
Expulsion2,2513%3%
Device operates differently than expectedthe device behaved unexpectedly1,0421.4%1.4%
Patient device interaction problem4980.7%0.7%
Malposition of device4170.6%0.6%
Difficult to removethe device was hard to remove3690.5%0.5%
Difficult to insertthe device was hard to insert3590.5%0.5%
Mechanical problema mechanical problem2770.4%0.4%
Material integrity problema problem with the device material1960.3%0.3%
Positioning failure1950.3%0.3%
Entrapment of device1850.2%0.3%
Material fragmentation1640.2%0.2%
Fracturea broken bone1600.2%0.2%
Extrusion1530.2%0.2%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Painpain, site not specified37,01350%
Abdominal painstomach or belly pain12,39616.7%
Heavier menses11,24415.2%
Headachehead pain8,77511.8%
Hemorrhage/blood loss/bleeding8,73611.8%
Foreign body in patientpart of a device left in the patient8,72111.8%
Uterine perforationa hole in the wall of the womb7,58010.2%
Fatiguetiredness7,1459.6%
Menstrual irregularities6,4808.7%
Weight changes5,9748.1%
Hair loss4,9836.7%
Device embedded in tissue or plaque4,6466.3%
Depressionlow mood3,9655.4%
Cramp(s)3,1724.3%
Hypersensitivity/allergic reaction3,1244.2%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureEssureProduct code HHSAll MAUDE reports
Reports74,07274,51926,136,888
Share of that pool—99.4%0.3%
Classified as death, per 1,000 reports229
Classified as injury97.9%97.8%36.2%
Classified as malfunction1.4%1.4%62.3%
Filed by the manufacturer86.3%85.9%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code HHS

BrandReportsLatest 12 monthsClassified as death
Colleague Volumetric Infusion Pump13,67800.1%
Filshie Clips24560%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Essure reports

How many FDA reports name Essure?

74,072 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 435 in the latest 12 months.

What kinds of events are reported?

injury (97.9%), malfunction (1.4%) and other (0.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

insufficient device problem information (22.9%), patient-device incompatibility (7.5%), biocompatibility (7.4%), device dislodged or dislocated (7.2%) and break (6.7%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (86.3%) and voluntary reports (13.5%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Essure was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.