Types and characteristics of balloon catheters designed for intrauterine use (all are single-use balloon catheters)

Name and manufacturer	Balloon composition	Manufacturer-recommended maximum fill volume*	Actual filling capacity (as demonstrated by in vitro trials)^¶^[1]	Maximum time*	Special features	Limitations
Bakri Cook Medical	Single silicone balloon	500 mL	2850 mL	24 hours	Rapid instillation components available to fill by spiking a bag of fluid May inflate with a syringe Drainage port allows efflux Latex free	Vaginal packing may be needed Intrauterine drainage port protrudes past balloon surface
BT-Cath Utah Medical	Single soft silicone balloon	500 mL	>5000 mL	24 hours	Intrauterine drainage port flush with top of balloon Allows inflation from syringe or IV bag Latex free	Vaginal packing may be required
ebb Complete Tamponade System	Double balloon system Intrauterine balloon: Polyurethane	300 mL (vaginal balloon) 750 mL (intrauterine balloon)	>5000 mL (intrauterine balloon)	24 hours	Vaginal balloon may reduce expulsion and may be left uninflated Rapid inflation from IV or syringe	Two ports required for inflation

IV: intravenous.
* As published by the device manufacturer.
¶ Actual filling capacity (prior to balloon rupture) may be higher than the maximum manufacturer-recommended fill volumes and is important to note if instillation of additional fluid is required to effectively stop bleeding.

Reference:

Antony KM, Racusin DA, Belfort MA, Dildy GA 3rd. Under Pressure: Intraluminal Filling Pressures of Postpartum Hemorrhage Tamponade Balloons. AJP Rep 2017; 7:e86.

Courtesy of Karin A. Fox, MD, MEd.

Graphic 128495 Version 3.0

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Types and characteristics of balloon catheters designed for intrauterine use (all are single-use balloon catheters)