While some Essure removal experts have been able to retrieve the devices through “microsurgery,” leaving a patient’s uterus and Fallopian tubes largely intact, many women have been forced to undergo full hysterectomy procedures.

Follow These Steps – Before Essure Implant Removal

Some patients have even learned that their implants had broken or moved out of position, piercing neighboring organs and making all but the most invasive surgeries impossible. This can be terrifying, but for the many women who have expressed an interest in filing Essure lawsuits, removal procedures become critical for another reason: gathering evidence.

Essure Removal Procedure Infographic

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Our attorneys have spoken to hundreds of women who have received Essure birth control implants, only to suffer a litany of severe side effects. Severe pain, abnormal bleeding and even autoimmune disorders have all been linked to the medical devices, which now seem more associated with hardship and trauma than effective prevention of pregnancy. In hopes of preventing further pain, many patients have sought out medical attention, and asked to have their Essure implants removed. But retrieving the coils, which are permanent, has proven to be an ordeal in itself.

8 Essential Requests To Preserve Evidence

Here are 8 things to demand from your medical professionals, before you undergo an Essure removal procedure. Along with the advisement of your legal counsel, follow these steps to ensure that you keep all the evidence possible for your case:

  1. Ask your doctors to document the entire removal procedure with photos, including their “gross examination,” a visual inspection of any organs and tissues, along with the Essure implants, removed during the process.
  2. Your doctors may choose to remove your uterus and Fallopian tubes intact, in a procedure called hysterectomy with bilateral salpingectomy. This is the surgery with which most doctors will be familiar, and comfortable. Specialists, on the other hand, may attempt to remove only the Fallopian tubes, and then “unscrew” the implants from the uterus. In either case, the implants should remain intact, rather than be cut or pulled from the uterus.
  3. If a Fallopian tube is removed, it should be “sectioned,” essentially dissected into equal segments at 4 millimeter intervals.
  4. Any and all materials removed during the procedure should be preserved, including the Essure implants themselves, and all fluids, organs and tissues. Request copies of every medical record that’s made, and also ask that any paraffin blocks (used for histological analysis, the microscopic inspection of cells and tissues) and slides that are created be preserved.
  5. Organs, tissue implants and the implant coils should be kept in a preservative fluid like formalin, a solution of water and formaldehyde gas.
  6. The hospital may send some or all of the removed tissues for pathologic examination. Have your doctor and your attorney request these specimens for litigation purposes after they’ve been analyzed.
  7. Request that any specimens be transferred into the custody of the hospital’s pathology department chair or risk manager to prevent them from being destroyed.
  8. Finally, require your own personal written consent before any of the tissues, organs, slides, paraffin blocks or components of the Essure device are sent to Essure’s manufacturer.

Please consult your attorney about making these requests formal, by sending a “Preservation Request” to the hospital’s doctors, pathology department and risk manager (an employee who works to prevent situations that might open the hospital up to legal liability). Taking pro-active steps to preserve evidence can only strengthen a future case.

We also urge you to report your side effects directly to the FDA. To learn how, and raise your voice for women’s health, click here.

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