FDA Adverse Event Summary report: N

NOVASURE IMPEDANCE CONTROLLED ENDOMETRIAL ABLATION DISPOSABL

MDR report key: 1862024 · Received September 28, 2010

Report

Report Number
1862024
Date Received
September 28, 2010
Date of Event
July 15, 2010
Report Date
September 28, 2010
Manufacturer
HOLOGIC
Product Code
MKN
Report Source
User Facility report
Reporter Location
TX, US

Narratives

Description of Event or Problem · 1

PATIENT WAS SEEN FOR NOVASURE ENDOMETRIAL ABLATION. HYSTEROSCOPE WAS PLACED INTO THE ENDOMETRIAL CAVITY, AFTER SOUNDING THE CAVITY WAS FOUND TO BE 8CM WITH A 4CM CAVITY WIDTH. PICTURES WERE TAKEN AS NORMAL-APPEARING ENDOMETRIAL CAVITY. THE NOVASURE DEVICE WAS INSERTED AND OPENED 2.7CM AND CAVITY ASSESSMENT WAS PERFORMED, WHICH PASSED AND THE PROCEDURE WAS PERFORMED. THE ABLATION WAS PERFORMED WITHOUT DIFFICULTY. DURING FOLLOW UP POST-PROCEDURE, THE CAVITY APPEARED TO HAVE A GOOD BURN; HOWEVER, A SMALL PERFORATION WAS NOTED AT THE TOP OF THE FUNDUS ON THE LEFT SIDE. NO BLEEDING WAS NOTED AND NO EVIDENCE OF ANY OTHER ABNORMALITIES. PATIENT WAS RECOVERED AND DID NOT REQUIRE ANY ADDITIONAL TREATMENT.====================== HEALTH PROFESSIONAL'S IMPRESSION======================THE THREE POINTS ON THE END OF THE DEVICE ARE NOT SHARP PER SAY BUT SEEM TO PENETRATE THE WALL VERY EASILY. THIS IS THE THIRD EVENT WITH THIS TYPE OF DEVICE WHICH RESULTED IN A PUNCTURE IN TWO CASES AND A BURN THROUGH IN ONE CASE (FDA REPORTS ALSO FILED ON THOSE CASES.)====================== MANUFACTURER RESPONSE FOR ENDOMETRIAL ABLATION DISPOSABLE DEVICE KIT, NOVASURE IMPEDANCE CONTROLLED ENDOMETRIAL ABLATION DISPOSABLE DEVICE KIT======================THE NOVASURE REPRESENTATIVE HAS BEEN RESPONSIVE AND HELPFUL IN THIS MATTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVASURE IMPEDANCE CONTROLLED ENDOMETRIAL ABLATION DISPOSABL ENDOMETRIAL ABLATION DISPOSABLE DEVICE KIT MKN HOLOGIC NS2000 09K09RD

Patients

Seq Age Sex Outcome Treatment
1 34 YR NO OTHER THERAPIES