COOK CERVICAL RIPENING BALLOON W/STYLET J-CRBS-184000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-02-19 for COOK CERVICAL RIPENING BALLOON W/STYLET J-CRBS-184000 manufactured by Cook Inc.

Event Text Entries

[136495633] (b)(4). The event is currently under investigation. A follow up report will be submitted upon receipt of additional information or completion of the investigation.
Patient Sequence No: 1, Text Type: N, H10


[136495634] It was reported, the baby changed from head-first presentation to breech position after using the j-crbs. They were able to rotate the baby back to head-first presentation and the woman delivered vaginally. Additional details were provided. The fetal station at time of device insertion was determined by inner palpation and reported as above the pelvic inlet. The cook cervical ripening balloon w/stylet was placed before amniotomy with bishop score 4. The balloons were inflated to 80 + 80 ml with saline. The device was in place for 13 hours and no rupture of membranes occurred during placement. No induction medications were given to the patient. When the catheter was removed, the baby had rotated to breech presentation. Attempts to rotate the baby back to head-first presentation were successful. The induction was continued with angusta (misoprostol per os) and the baby delivered vaginally. In the doctor? S opinion there is nothing wrong with the device itself. The reason for the event is rather that the catheter shall not be used when the presenting part is too high or when the baby is in a non-stabilized position. Then the balloon mechanically can rotate the baby. No harm to the patient or baby has been reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1820334-2019-00484
MDR Report Key8350272
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-02-19
Date of Report2019-03-04
Date of Event2019-02-07
Date Mfgr Received2019-02-21
Date Added to Maude2019-02-19
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 ContactMR. LARRY POOL
Manufacturer Street750 DANIELS WAY
Manufacturer CityBLOOMINGTON IN 47404
Manufacturer CountryUS
Manufacturer Postal47404
Manufacturer Phone8123392235
Manufacturer G1COOK INC
Manufacturer Street750 DANIELS WAY
Manufacturer CityBLOOMINGTON IN 47404
Manufacturer CountryUS
Manufacturer Postal Code47404
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOOK CERVICAL RIPENING BALLOON W/STYLET
Generic NamePFJ, DILATOR, CERVICAL, HYGROSCOPIC-IAMINARIA
Product CodePFJ
Date Received2019-02-19
Catalog NumberJ-CRBS-184000
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOOK INC
Manufacturer Address750 DANIELS WAY BLOOMINGTON IN 47404 US 47404


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-02-19

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