FDA Adverse Event Malfunction Summary report: N

BARRICAID ACD

MDR report key: 20125349 · Received September 3, 2024

Report

Report Number
3006232063-2024-00034
Event Type
Malfunction
Date Received
September 3, 2024
Date of Event
August 8, 2024
Report Date
September 3, 2024
Manufacturer
INTRINSIC THERAPEUTICS, INC
Product Code
QES
UDI-DI
M906BARA88MM0
PMA / PMN Number
P160050
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

EVALUATION OF AVAILABLE IMAGING SUGGESTS THAT THE DEVICE CAUGHT THE S1 VERTEBRAL BODY, AND THE BASEPLATE WAS ADVANCED FAR ENOUGH THAT THE USE OF THE REMOVAL TOOL WOULD DAMAGE THE TARGET VERTEBRAL BODY MORE THAN A TRIVIAL AMOUNT. THE DESCRIPTION OF THE EVENTS DETAILED IN THIS MDR REPRESENT INTRINSIC THERAPEUTIC'S UNDERSTANDING AT THE TIME OF SUBMISSION. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION ANOTHER FOLLOW-UP WILL BE COMPLETED. INTRINSIC THERAPEUTICS WILL CONTINUE TO MONITOR FOR UPDATES/TRENDS.

Description of Event or Problem · 0

THE MESH BUCKLED WHILE IMPLANTING INTO L5 VERTEBRAL BODY. THE IMPLANT HAD TO BE REMOVED WITH THE REMOVAL TOOL WHICH WAS DONE SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1833110 BARRICAID ACD BARRICAID QES INTRINSIC THERAPEUTICS, INC BAR-A8-8MM 05072401 M906BARA88MM0

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown