CERENE CRYOTHERAPY DEVICE
Report
- Report Number
- 3012018285-2026-00001
- Event Type
- Injury
- Date Received
- May 13, 2026
- Date of Event
- April 13, 2026
- Report Date
- May 13, 2026
- Manufacturer
- CHANNEL MEDSYSTEMS, INC.
- Product Code
- MNB
- UDI-DI
- 00850008595035
- PMA / PMN Number
- P180032
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
INVESTIGATION OF THE DEVICE WAS NOT POSSIBLE, AS THE DEVICE WAS DISCARDED. THE LOT NUMBER WAS REPORTED, SO DEVICE HISTORY RECORDS WERE REVIEWED, WITH NO DEVIATIONS IN THE PRODUCTION RECORD NOTED. FOUR EPISODES OF PRESYNCOPE WERE REPORTED IN THE CLARITY PIVOTAL STUDY FOR THE CERENE CRYOTHERAPY DEVICE AND ARE REPORTED IN THE INSTRUCTIONS FOR USE.
PRIOR TO TREATMENT WITH THE CERENE CRYOTHERAPY DEVICE, THE PATIENT RECEIVED A PARACERVICAL BLOCK AND EXPERIENCED RINGING IN HER EARS AND A RACING HEART. AFTER 2-2.5 HOURS OF WAITING AT THE PHYSICIAN'S FACILITY, THE PATIENT AND PHYSICIAN DECIDED TO PROCEED WITH CERENE TREATMENT. THE PROCEDURE WAS COMPLETED SUCCESFULLY. FOLLOWING THE PROCEDURE, THE PATIENT WAS ACCOMPANIED TO THE PARKING LOT BY HER HUSBAND, WHERE SHE LOST CONSCIOUSNESS. THE PATIENT WAS TRANSFERRED TO THE EMERGENCY ROOM AND ACCOMPANIED BY THE PHYSICIAN. THE PATIENT WAS RELEASED THE SAME DAY FROM THE HOSPITAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 390136 | CERENE CRYOTHERAPY DEVICE | ENDOMETRIAL ABLATION DEVICE | MNB | CHANNEL MEDSYSTEMS, INC. | FGS-7000 | 114226858 | 00850008595035 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Hospitalization |