FDA Adverse Event Injury Summary report: N

CERENE CRYOTHERAPY DEVICE

MDR report key: 17792701 · Received September 21, 2023

Report

Report Number
3012018285-2023-00004
Event Type
Injury
Date Received
September 21, 2023
Date of Event
August 23, 2023
Report Date
September 21, 2023
Manufacturer
CHANNEL MEDSYSTEMS, INC.
Product Code
MNB
PMA / PMN Number
P180032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

POST-PROCEDURAL PAIN/DISCOMFORT IS A KNOWN ADVERSE EVENT, WHICH IS DOCUMENTED IN THE LABELING AS PELVIC PAIN, UTERINE CRAMPS, UTERINE TENDERNESS, POSTOPERATIVE CRAMPING, AND ABDOMINAL PAIN AND/OR BLOATING.

Description of Event or Problem · 0

THE PATIENT WAS TREATED WITH THE CERENE CRYOTHERAPY DEVICE ON (B)(6), 2023. THE PROCEDURE WAS NORMAL AND NOTHING UNUSUAL OCCURED. THE PATIENT WAS DISCHARGED HOME IN GOOD CONDITION. ON DAY 3 POST-PROCEDURE, THE PATIENT BEGAN TO EXPERIENCE "PRESSURE" DESCRIBED AT A LEVEL OF 8 (ON A 0-10 SCALE). THERE WERE NO SIGNS OR SYMPTOMS OF INFECTION. THE PHYSICIAN REPORTED THAT THE PATIENT HAD NOT TAKEN ANY PAIN MEDICATION SINCE THE PROCEDURE AND REFUSED MEDICATION. ON (B)(6), THE PHYSICIAN REPORTED THAT SHE HAD ORDERED AN ULTRASOUND OF THE PELVIS AND IT WAS NORMAL; THE PATIENT IS DOING BETTER AND NO FURTHER WORK UP OR FOLLOW UP IS NEEDED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2036043 CERENE CRYOTHERAPY DEVICE ENDOMETRIAL ABLATION DEVICE MNB CHANNEL MEDSYSTEMS, INC. FGS-7000 102887363

Patients

Seq Age Sex Outcome Treatment
1 Female Required Intervention