FDA Adverse Event Injury Summary report: N

DILATOR, UTERINE, HANK, D/E, 15/16 FR

MDR report key: 23032876 · Received September 11, 2025

Report

Report Number
1417592-2025-00467
Event Type
Injury
Date Received
September 11, 2025
Date of Event
August 13, 2025
Report Date
September 11, 2025
Manufacturer
MEDLINE INDUSTRIES, LP
Product Code
HDQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ACCORDING TO THE FACILITY, ON (B)(6) 2025, "DURING A PROCEDURE, A HANK DILATOR FROM JARIT HANK DILATOR 15/16 FR SIZE WAS BEING USED. THEY OPENED AN ANOTHER SET WHICH HAD THE MEDLINE HANK DILATOR 15/16 FR SIZE TO USE AND TORE THE CERVIX DUE TO THE SIZING NOT MATCHING TO THE OTHER." NO ADDITIONAL INFORMATION AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem · 0

ACCORDING TO THE FACILITY, ON (B)(6) 2025, "DURING A PROCEDURE, A HANK DILATOR FROM JARIT HANK DILATOR 15/16 FR SIZE WAS BEING USED. THEY OPENED ANOTHER SET WHICH HAD THE MEDLINE HANK DILATOR 15/16 FR SIZE TO USE AND TORE THE CERVIX DUE TO THE SIZING NOT MATCHING TO THE OTHER."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2365885 DILATOR, UTERINE, HANK, D/E, 15/16 FR HDQ MEDLINE INDUSTRIES, LP (10) 31073806

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other