FDA Counts 294 Essure Pregnancy Losses

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FDA says its adverse event data through 12/31/15 show 294 reports of pregnancy loss in patients reporting use of Bayer’s Essure sterilization device. The FDA statement is included in the agency’s response to Rep. Michael Fitzpatrick (R-PA), who has called for the device to be removed from the market. The agency letter challenges the congressman’s statement that it had reported only five pregnancy losses as of his 2/2016 request for an investigation.

“Please note that FDA has consistently and transparently made publicly available adverse events, included pregnancy losses, associated with Essure,” the letter says. “In the agency’s executive summary for the 9/24/15 Obstetrics and Gynecology Devices Panel of the Medical Devices Advisory Committee meeting, we reported 125 pregnancy losses, not five as suggested by the recent report included in your inquiry. Our summary covered the period through 5/31/15.” The updated analysis with seven additional months of data brings the total to 294.

In its response, the agency also describes a new post-market surveillance study it ordered Bayer to conduct to provide additional information on Essure risks. And it says it will require a Boxed Warning in the product labeling to help ensure that women receive and understand information about the device’s benefits and risks.

The agency also acknowledges Fitzpatrick’s allegations of illegal kickbacks reportedly paid by Bayer and his request that those allegations be included as part of the FDA review. “FDA does not regulate financial payments or financial relationships between medical device manufacturers and physicians or hospitals, so we cannot address this issue,” the response says.

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