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 |