THERMACHOICE
Report
- Report Number
- 2210968-2006-00433
- Event Type
- Injury
- Date Received
- June 16, 2006
- Date of Event
- December 29, 2005
- Report Date
- May 18, 2006
- Manufacturer
- ETHICON, INC.
- Product Code
- MKN
- PMA / PMN Number
- p970021
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- PHYSICIAN
Narratives
ASHERMAN'S SYNDROME IS A SCARRING WITHIN THE ENDOMETRIAL CAVITY THAT CAN OCCUR WITH A VERY VIGOROUS D&C, ACUTE ENDOMETRITIS, OR PROCEDURES DESIGNED TO ABLATE ENDOMETRIUM, REGARDLESS OF THE ENERGY USED TO DO SO. HOWEVER, IT GENERALLY WOULD NO CREATE PAIN. WHAT MIGHT CREATE PAIN IS A SIGNFICANT DEGREE OF CERVICAL STENOSIS CAUSING MARKED CRAMPING IN AN ATTEMPT TO EXPEL THE COLLECTED BLOOD. THIS, AGAIN, CAN OCCUR WITH ANY ABLATION PROCEDURE BUT ACTUALLY IS UNCOMMON. IT IS LIKELY THAT IF THE POSTOPERATIVE INFECTION WAS ENDOMETRISTIS, IT WOULD CAUSE INCREASED SCARRING IN THE UTERINE CAVITY AND INCREASE THE RISK OF PAIN OCCURING WITH CONTINUED BLEEDING. THE PROBLEM IS GENERALLY RESOLVED BY DILATING THE CERVIX, THOUGH RARELY IT CAN RECUR IF THE CERVIX SHOULD STENOSE AGAIN. CLEARLY, THIS IS NOT COMPLETE CERVICAL STENOSIS AS THE PATIENT IS HAVING SPOTTING. THIS WOULD BE RELATED TO THE PROCEDURE BUT NOT THE DEVICE. PMA # IS P970021
THE PATIENT UNDERWENT A BALLOON ABLATION PROCEDURE IN 2005. POSTOPERATIVELY, THE PATIENT REPORTED SPOTTING ACCOMPANIED BY PAIN WHICH WAS TREATED WITH MEDICATION AND A POSTOPERATIVE INFECTION WAS TREATED WITH ANTIBIOTICS. A NURSE AS SUGGESTED THAT THE PAIN MAY BE A RESULT AF ASHERMAN'S SYNDROME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | THERMACHOICE | CATHETER, BALLOON, TRANSCERVICAL | MKN | ETHICON, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |