FDA Adverse Event Malfunction Summary report: N

BARRICAID ACD

MDR report key: 21606695 · Received March 14, 2025

Report

Report Number
3006232063-2025-00015
Event Type
Malfunction
Date Received
March 14, 2025
Date of Event
February 14, 2025
Report Date
March 14, 2025
Manufacturer
INTRINSIC THERAPEUTICS, INC
Product Code
QES
UDI-DI
M906BARA88MM0
PMA / PMN Number
P160050
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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 DEFECT IN THE ANULUS WAS TIGHT, AND THE IMPLANT GOT CAUGHT IN THE ANNULUS AND BUCKLED. THE IMPLANT WAS IMPACTED TO TRY AND PUSH THROUGH THE OBSTRUCTION, BUT DIDN'T SUCCEED. THE SURGEON MADE A SURGICAL INTERVENTION AND USED A REMOVAL TOOL TO REMOVE THE DAMAGED DEVICE AND THIS CAUSED SOME MINOR DAMAGE (BONE REMOVAL) TO THE VERTEBRA BEYOND WHAT IS CONSIDERED TRIVIAL. NO NEGATIVE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1229092 BARRICAID ACD BARRICAID QES INTRINSIC THERAPEUTICS, INC BAR-A8-8MM 09092402 M906BARA88MM0

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention