FDA Adverse Event Malfunction Summary report: N

CERENE CRYOTHERAPY DEVICE

MDR report key: 22163244 · Received June 7, 2025

Report

Report Number
3012018285-2025-00003
Event Type
Malfunction
Date Received
June 7, 2025
Date of Event
May 9, 2025
Report Date
June 6, 2025
Manufacturer
CHANNEL MEDSYSTEMS, INC.
Product Code
MNB
UDI-DI
00850008595035
PMA / PMN Number
P180032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ANY DEVICE MALFUNCTION DURING TREATMENT CAN POTENTIALLY LEAD TO A USER ELECTING TO PERFORM A REPEAT ENDOMETRIAL ABLATION, WHICH CAN POSE A SERIOUS RISK TO HEALTH. LABELING FOR THE CERENE CRYOTHERAPY DEVICE STATES THAT THE "TREATMENT STATUS AND NEXT STEPS" FOR ERROR CODE 390 IS "UTERUS PARTIALLY TREATED, END PROCEDURE, DO NOT RE-TREAT." NO INJURY OR ADVERSE EVENTS WERE REPORTED.

Description of Event or Problem · 0

THE PHYSICIAN BEGAN TREATMENT WITH THE CERENE CRYOTHERAPY DEVICE WITHOUT ISSUE. AFTER 67 SECONDS OF TREATMENT, THE DEVICE SHOWED ERROR CODE 379 AND STOPPED TREATMENT. THE PHYSICIAN REMOVED AND VENTED THE DEVICE, AND ELECTED TO OPEN A SECOND DEVICE. THE PROCEDURE WAS COMPLETED WITH A FULL TREATMENT, AND THE PATIENT WAS DISCHARGED WITH NO INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
603543 CERENE CRYOTHERAPY DEVICE ENDOMETRIAL ABLATION DEVICE MNB CHANNEL MEDSYSTEMS, INC. FGS-7000 110199742 00850008595035

Patients

Seq Age Sex Outcome Treatment
1 NA Female