COOK CERVICAL RIPENING BALLOON J-CRB-184000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2012-04-30 for COOK CERVICAL RIPENING BALLOON J-CRB-184000 manufactured by Cook Urological, Inc..

Event Text Entries

[2687591] During the past year, this facility had three occasions where a pt's water broke while cook medical's cervical ripening balloon was indwelling. In each of these 3 instances, the attending ob deflated the balloons of the cervical ripening balloon and attempted to remove the catheter from the pt. In each of these reported instances, the umbilical cord was wrapped around the cervical ripening balloon when it was removed from the pt which prompted the attending db to perform an emergency c-section. The facility did not report these instances to cook at the time of the occurrence. I learned about them on (b)(4) 2012 during a meeting with the residency program dir, residents, and attending db's. The facility is not requesting any response from cook to address these repeated occurrences although i told them that our company would likely be in touch to try and learn more info about each of these 3 instances which occurred within the past year. The facility is still interested in using the cervical ripening balloon and is considering using the cervical ripening balloon with stylet. The sales rep has reported that the mothers and babies are fine following emergency c-section.
Patient Sequence No: 1, Text Type: D, B5


[9807857] A complete investigation of the product cannot be performed as the product was discarded at the customer's facility. Initial investigation of the customer's comments have been inconclusive as when used correctly the balloon fits very tightly and contours to the cervical canal. We are currently unable to determine how the incident described by the customer has occurred. Our instructions for use warns that the balloon should be removed immediately if the amniotic membrane ruptures or labor begins. We have received no complaints from any other facility regarding this type of occurrence. Further investigation on the customer's comments is currently being conducted by cook clinical staff, ra, products managers, and the dr who invented the balloon catheter. Cook will forward add'l info to fda as it becomes available. It has been reported that caesarian section deliveries were performed and that there was no harm to the babies or mothers.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1825146-2012-00004
MDR Report Key2560338
Report Source05
Date Received2012-04-30
Date of Report2012-04-26
Date Facility Aware2012-03-30
Report Date2012-04-26
Date Mfgr Received2012-03-30
Date Added to Maude2012-05-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCHRIS KILANDER
Manufacturer Street1100 WEST MORGAN ST.
Manufacturer CitySPENCER IN 47460
Manufacturer CountryUS
Manufacturer Postal47460
Manufacturer Phone8128294891
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOOK CERVICAL RIPENING BALLOON
Generic NameHDY DILATOR, CERVICAL
Product CodeHDY
Date Received2012-04-30
Catalog NumberJ-CRB-184000
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOOK UROLOGICAL, INC.
Manufacturer AddressSPENCER IN 47460 US 47460


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2012-04-30

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