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

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:
  1. 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.
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