FDA Adverse Event
Injury
Summary report: N
STIMULAN
MDR report key: 18674904
·
Received February 9, 2024
Report
- Report Number
- 9617083-2024-00001
- Event Type
- Injury
- Date Received
- February 9, 2024
- Date of Event
- November 1, 2023
- Report Date
- February 9, 2024
- Manufacturer
- BIOCOMPOSITES LTD
- Product Code
- MQV
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
TWO EMAILS HAVE BEEN SENT TO THE REPORTING CA. ONE REQUESTING FURTHER PAITENT AND SUBMITTER DETAILS, THIS REQUEST WAS DENIED DUE TO NO PERMISSION TO SUBMIT DETAILS. SECOND EMAIL WAS REQUESTS FOR FURTHER INFORMATION ON THE DEVICE TYPES, SIZE AND ANY MXIING INFORMATION. NO FURTHER CORRESPONDENCE. NO FURTHER INVESITGATIONS CAN BE PLANNED. ON-GOING MONITORING OF INCIDENTS AND EVENTS SHALL BE CONDUCTED AS PER QUALITY SYSTEM
Description of Event or Problem · 0
THE NOTIFICATION FORM STATED: "STIMULAN BEADS INSERTED DURING OPERATIVE PROCEDURE, PATIENT SUBSEQUENTLY DEVELOPED SEVERE HYPERCALCEMIA WHICH REQUIRED EMERGENCY MANAGEMENT."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1338631 | STIMULAN | STIMULAN | MQV | BIOCOMPOSITES LTD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization |