COOK CERVICAL RIPENING BALLOON 18.0FR, 40 CM, 80 ML

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-06-19 for COOK CERVICAL RIPENING BALLOON 18.0FR, 40 CM, 80 ML manufactured by Cook.

Event Text Entries

[4647547] The proximal balloon on the cook cervical ripening balloon failed to deflate. Diagnosis or reason for use: pregnancy - for cervical ripening.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5036795
MDR Report Key3893889
Date Received2014-06-19
Date of Report2014-06-18
Date of Event2014-06-17
Date Added to Maude2014-06-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCOOK CERVICAL RIPENING BALLOON 18.0FR, 40 CM, 80 ML
Generic NameCERVICAL RIPENING BALLOON
Product CodeHDY
Date Received2014-06-19
Lot NumberU2452709
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerCOOK
Manufacturer AddressBLOOMINGTON 47402 47402


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-06-19

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