Flexor G46168Recalls & reported problems
Cook Incorporated · Flexor, Ureteral Access Sheath with AQ, Hydrophilic Coating · Class 2
Data updated Oct 13, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 6
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 6 adverse event reports that list this exact device (DI 00827002461680), received between Oct 27, 2017 and Jan 2, 2020 — classified as 6 malfunctions.
The most frequently reported specific device problem is “Peeled/Delaminated” (2 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Most reported problems
Device problems
- Peeled/Delaminated2
- Contamination /Decontamination Problem1
- Crack1
- Material Discolored1
- Unsealed Device Packaging1
Patient problems
- No Consequences Or Impact To Patient4
- Blood Loss1
- No Patient Involvement1
Recent adverse event reports
The 6 most recent of 6 reports, in the reporter's own words as published by the FDA.
MalfunctionJan 2, 2020Crack; Crack
IT WAS REPORTED THAT DURING A URETEROSCOPIC LITHOTRIPSY, THE OUTER SHEATH OF A FLEXOR URETERAL ACCESS SHEATH CRACKED AND CAUSED THE URETERAL MUCOSA TO BLEED. THE QUANTITY OF BLOOD LOST WAS UNSPECIFIED. THE URETERAL BLEEDING RESULTED SURGICAL VISION LOSS. THE SURGERY WAS SUSPENDED UNTIL A ANOTHER URETERAL SHEATH WAS OBTAINED TO COMPLETE THE PROCEDURE. NO ADDITIONAL CONSEQUENCES TO THE PATIENT WERE REPORTED AS A RESULT OF THIS OCCURRENCE. ADDITIONAL INFORMATION HAS BEEN REQUESTED REGARDING THE PATIENT AND EVENT. AT THIS TIME, NOT ADDITIONAL INFORMATION HAS BEEN PROVIDED.
Patient problems: Blood Loss
MAUDE report 9538502 ↗MalfunctionJul 23, 2019Unsealed Device Packaging; Unsealed Device Packaging
NO ADDITIONAL INFORMATION HAS BEEN RECEIVED SINCE THE LAST REPORT WAS SUBMITTED ON 23JUL2019.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 8816235 ↗MalfunctionJul 22, 2019Contamination /Decontamination Problem; Contamination /Decontamination Problem
NO ADDITIONAL INFORMATION HAS BEEN RECEIVED SINCE THE LAST REPORT WAS SUBMITTED ON 20AUG2019.
Patient problems: No Patient Involvement
MAUDE report 8812985 ↗MalfunctionNov 13, 2018Peeled/Delaminated; Peeled/Delaminated
IT WAS REPORTED, THE USER OPENED THE PACKAGE OF THE FLEXOR URETERAL ACCESS SHEATH AND DILATORS AND USED WATER TO ACTIVE THE HYDROPHILIC COATING, BUT FOUND OUT THE THERE WAS WHITE EMULSIONS LIKE MATTER COMING OFF FROM THE SHEATH. THE USER TESTED THE SHEATH WITH THEIR HAND AND FELT RESISTANCE ON THE SURFACE OF THE SHEATH. THE USER SUSPECTED THE HYDROPHILIC COATING IS ABSENT FROM THE SHEATH. THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE. ACCORDING TO THE INITIAL REPORTER, THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 8065211 ↗MalfunctionAug 7, 2018Peeled/Delaminated; Peeled/Delaminated
IT WAS REPORTED THE PHYSICIAN WAS USING THE FLEXOR URETERAL ACCESS SHEATH WITH THE SCOPE, AND THE INNER ¿LINER¿ FROM THE OUTSIDE SHEATH PEELED AWAY. CASE WAS COMPLETED AS NORMAL. ADDITIONAL INFORMATION WAS PROVIDED DURING FOLLOW UP. THE SHEATH WAS TAKEN OUT OF THE PATIENT AND THE STENT WAS PLACED. NO UNINTENDED SECTION OF THE DEVICE REMAINED INSIDE THE PATIENT'S BODY. THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE. THERE WERE NO ADVERSE EFFECTS TO THE PATIENT.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 7757486 ↗MalfunctionOct 27, 2017Material Discolored; Material Discolored
THE DISTRIBUTOR REPORTED THAT PRIOR TO USE, THE USER FACILITY OBSERVED A WHITE STAIN AT THE DISTAL END OF THE FLEXOR URETERAL ACCESS SHEATH. THIS DEVICE WAS NOT USED. THERE WAS NO CONTACT WITH THE PATIENT. AS REPORTED, THERE WAS NO IMPACT TO THE PATIENT.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 6983508 ↗
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Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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