FDA Adverse Event Injury Summary report: N

CERENE CRYOTHERAPY DEVICE

MDR report key: 17466054 · Received August 4, 2023

Report

Report Number
3012018285-2023-00003
Event Type
Injury
Date Received
August 4, 2023
Date of Event
January 20, 2023
Report Date
August 4, 2023
Manufacturer
CHANNEL MEDSYSTEMS, INC.
Product Code
MNB
UDI-DI
00850008595035
PMA / PMN Number
P180032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DEVICE DISCARDED AND NOT AVAILABLE FOR RETURN.

Description of Event or Problem · 0

THE PHYSICIAN REPORTED SHE PERFORMED ENDOMETRIAL ABLATION IN MID-JANUARY USING THE CERENE DEVICE. THERE WERE NO PROBLEMS DURING THE PROCEDURE ALTHOUGH, NOTABLY, THE PATIENT HAD A THICK ENDOMETRIUM (20MM) ONE MONTH PRIOR TO THE TREATMENT DATE, REGARDLESS OF USING PROGESTIN (PROMETRIUM) TO THIN THE ENDOMETRIUM AND CONTROL BLEEDING. FOUR DAYS AFTER THE PROCEDURE, THE PATIENT DEVELOPED A LOW-GRADE FEVER, HEAVY BLEEDING WITH CLOTS, AND INCREASED PELVIC PAIN. THE PATIENT WAS EVALUATED AND ADMITTED TO THE HOSPITAL FOR PRESUMED ENDOMETRITIS, WHERE SHE SPENT 2 DAYS WITH IV ANTIBIOTIC TREATMENT BEFORE BEING DISCHARGED HOME WITH ORAL ANTIBIOTICS. ONCE BLEEDING STOPPED, THE PATIENT WAS FEELING BETTER. UPON DISCUSSION WITH THE PHYSICIAN, SHE STATED SHE FELT THAT THE PATIENT'S PAIN AND LOW-GRADE FEVER WERE MORE LIKELY RELATED TO THE HEAVY BLEEDING AND CLOTS, WHICH CAUSED THE INCREASED PELVIC PAIN VERSUS ENDOMETRITIS, BUT ERRED ON THE SIDE OF CAUTION AND TREATED THE PATIENT FOR ENDOMETRITIS. THE PATIENT WAS SEEN ONE-MONTH POST-OP (ON (B)(6) 2023) AND IS DOING WELL AND AWAITING HER NEXT MENSES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
890989 CERENE CRYOTHERAPY DEVICE ENDOMETRIAL ABLATION DEVICE MNB CHANNEL MEDSYSTEMS, INC. FGS-7000 00850008595035

Patients

Seq Age Sex Outcome Treatment
1 Female Hospitalization| R