FDA Adverse Event Malfunction Summary report: N

GRANULES FOR FILLING - STERILE PRODUCTS

MDR report key: 21784324 · Received April 7, 2025

Report

Report Number
3004549189-2025-00007
Event Type
Malfunction
Date Received
April 7, 2025
Date of Event
March 17, 2025
Report Date
June 13, 2025
Manufacturer
S.B.M. SAS
Product Code
MQV
PMA / PMN Number
K021963
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

APRIL 02, 2025. NO OTHER COMPLAINT CONCERNING THIS BATCH NUMBER. ADDITIONAL INFORMATION REQUESTED ON MARCH 20, 2025: - WHAT WAS THE DATE OF THE INCIDENT? - HAVE THE PRODUCTS BEEN USED? - IF NOT, WHAT WAS USED TO COMPLETE THE PROCEDURE? - IS THERE AN IMPACT TO PATIENT? - EVENT RELATED INCREASE IN SURGICAL TIME OF MORE THAN 30 MINUTES? - DO YOU HAVE ANY PHOTOS OF THE PRODUCT? INCIDENT REPORT RECEIVED ON MARCH 27, 2025: NO CLINICAL CONSEQUENCES TO THE PATIENT AND NO DELAY IN SURGERY OVER THAN 30MN. DATE OF THE INCIDENT: MONTH AND YEAR INFORMATION ONLY (DAY NOT SPECIFIED). RESULT OF ANALYSIS: THESE PRODUCTS HAVE A QUANTITY ERROR IN THE VIALS: LESS GRANULES THAN SPECIFIED IN THE PACKAGING REFERENTIAL. THIS QUANTITY ERROR CAN GENERATE A POTENTIAL DELAY DURING SURGERY IF THE SURGEON RUNS OUT OF GRANULES. 1 PRODUCTION OF 30 DEVICES IS CONCERNED. 1 CUSTOMER COMPLAINT WAS REGISTERED. 10 PRODUCTS DELIVERED IN THE USA TO A DISTRIBUTOR / DEVICES NOT USED. INCORRECT QUANTITY OF GRANULES RESULTING IN INSUFFICIENT IMPLANTABLE DEVICES AVAILABLE. POSSIBLE CONSEQUENCE: PROLONGED OPERATING TIME FOR THE SURGEON TO PROCURE REPLACEMENT DEVICES. NO OR INSUFFICIENT BONE VOID FILLING. POTENTIAL IMPACT ON THE PATIENT: POOR CONSOLIDATION IF NO DEVICE IS IMPLANTED, OR IF INSUFFICIENT DEVICES ARE IMPLANTED. DELAYED FUSION / PSEUDARTHROSIS. THIS BATCH IS BEING RECALLED TO AVOID ANY IMPACT ON THE PATIENT IF THE LACK OF GRANULES CAUSES A POSSIBLE DELAY IN SURGERY OR INSUFFICIENT FILLING OF THE BONE VOID. MAY 13, 2025 - FOLLOW-UP1: ADDED TRANSLATION OF INCIDENT DESCRIPTION INTO ENGLISH (B5 SECTION). JUNE 16, 2025 - FOLLOW UP2: FINAL REPORT_CLOSURE OF FIELD ACTION. SBM HAS CONDUCTED A FIELD ACTION FROM THE LOT 240781 AND IDENTIFIED 10 PRODUCTS DELIVERED TO 1 DISTRIBUTOR IN USA. THE 10 DEVICES WERE DESTROYED BY THE DISTRIBUTOR. CORRECTIVE ACTION: MASS CONTROL / CREATION OF A PACKAGING CONTROL SHEET FOR GRANULES (BIO1 PRODUCT FAMILY) WITH THE WEIGHT OF THE 1ST VIAL(S) ACCORDING TO THE REFERENCE. DOCUMENT REFERENCE: (B)(4). NEW RISK ADDED TO OUR RISK ANALYSIS DOCUMENT (B)(4) NON-CONFORMING QUANTITY PACKAGED RESULTING IN INSUFFICIENT QUANTITY OF IMPLANTABLE DEVICES AVAILABLE. THIS FSCA IS CONSIDERED CLOSED PER SBM PROCESS.

Additional Manufacturer Narrative · 0

APRIL 02, 2025. NO OTHER COMPLAINT CONCERNING THIS BATCH NUMBER. ADDITIONAL INFORMATION REQUESTED ON MARCH 20, 2025: - WHAT WAS THE DATE OF THE INCIDENT? - HAVE THE PRODUCTS BEEN USED? - IF NOT, WHAT WAS USED TO COMPLETE THE PROCEDURE? - IS THERE AN IMPACT TO PATIENT? - EVENT RELATED INCREASE IN SURGICAL TIME OF MORE THAN 30 MINUTES? - DO YOU HAVE ANY PHOTOS OF THE PRODUCT? INCIDENT REPORT RECEIVED ON MARCH 27, 2025: NO CLINICAL CONSEQUENCES TO THE PATIENT AND NO DELAY IN SURGERY OVER THAN 30MN. DATE OF THE INCIDENT: MONTH AND YEAR INFORMATION ONLY (DAY NOT SPECIFIED). RESULT OF ANALYSIS: THESE PRODUCTS HAVE A QUANTITY ERROR IN THE VIALS: LESS GRANULES THAN SPECIFIED IN THE PACKAGING REFERENTIAL. THIS QUANTITY ERROR CAN GENERATE A POTENTIAL DELAY DURING SURGERY IF THE SURGEON RUNS OUT OF GRANULES. 1 PRODUCTION OF 30 DEVICES IS CONCERNED. 1 CUSTOMER COMPLAINT WAS REGISTERED. 10 PRODUCTS DELIVERED IN THE USA TO A DISTRIBUTOR / DEVICES NOT USED. INCORRECT QUANTITY OF GRANULES RESULTING IN INSUFFICIENT IMPLANTABLE DEVICES AVAILABLE. POSSIBLE CONSEQUENCE: PROLONGED OPERATING TIME FOR THE SURGEON TO PROCURE REPLACEMENT DEVICES. NO OR INSUFFICIENT BONE VOID FILLING. POTENTIAL IMPACT ON THE PATIENT: POOR CONSOLIDATION IF NO DEVICE IS IMPLANTED, OR IF INSUFFICIENT DEVICES ARE IMPLANTED. DELAYED FUSION / PSEUDARTHROSIS. THIS BATCH IS BEING RECALLED TO AVOID ANY IMPACT ON THE PATIENT IF THE LACK OF GRANULES CAUSES A POSSIBLE DELAY IN SURGERY OR INSUFFICIENT FILLING OF THE BONE VOID. MAY 13, 2025 - FOLLOW-UP1. ADDED TRANSLATION OF INCIDENT DESCRIPTION INTO ENGLISH (B5 SECTION).

Additional Manufacturer Narrative · 0

APRIL 02, 2025 NO OTHER COMPLAINT CONCERNING THIS BATCH NUMBER. ADDITIONAL INFORMATION REQUESTED ON MARCH 20, 2025: - WHAT WAS THE DATE OF THE INCIDENT? - HAVE THE PRODUCTS BEEN USED? - IF NOT, WHAT WAS USED TO COMPLETE THE PROCEDURE? - IS THERE AN IMPACT TO PATIENT? - EVENT RELATED INCREASE IN SURGICAL TIME OF MORE THAN 30 MINUTES? - DO YOU HAVE ANY PHOTOS OF THE PRODUCT? INCIDENT REPORT RECEIVED ON MARCH 27, 2025: NO CLINICAL CONSEQUENCES TO THE PATIENT AND NO DELAY IN SURGERY OVER THAN 30MN. DATE OF THE INCIDENT: MONTH AND YEAR INFORMATION ONLY (DAY NOT SPECIFIED). RESULT OF ANALYSIS: THESE PRODUCTS HAVE A QUANTITY ERROR IN THE VIALS: LESS GRANULES THAN SPECIFIED IN THE PACKAGING REFERENTIAL. THIS QUANTITY ERROR CAN GENERATE A POTENTIAL DELAY DURING SURGERY IF THE SURGEON RUNS OUT OF GRANULES. 1 PRODUCTION OF 30 DEVICES IS CONCERNED. 1 CUSTOMER COMPLAINT WAS REGISTERED. 10 PRODUCTS DELIVERED IN THE USA TO A DISTRIBUTOR / DEVICES NOT USED. INCORRECT QUANTITY OF GRANULES RESULTING IN INSUFFICIENT IMPLANTABLE DEVICES AVAILABLE. POSSIBLE CONSEQUENCE: PROLONGED OPERATING TIME FOR THE SURGEON TO PROCURE REPLACEMENT DEVICES. NO OR INSUFFICIENT BONE VOID FILLING. POTENTIAL IMPACT ON THE PATIENT: POOR CONSOLIDATION IF NO DEVICE IS IMPLANTED, OR IF INSUFFICIENT DEVICES ARE IMPLANTED. DELAYED FUSION / PSEUDARTHROSIS. THIS BATCH IS BEING RECALLED AVOIDING ANY IMPACT ON THE PATIENT IF THE LACK OF GRANULES CAUSES A POSSIBLE DELAY IN SURGERY OR INSUFFICIENT FILLING OF THE BONE VOID.

Description of Event or Problem · 0

(B)(4). INCIDENT OCCURED IN ITALY. TRADUCTION: NON-CONFORMITY FOUND ON MD REF (B)(4) MICROGRANULES OF BONE SUBSTITUTE OF SYNTHETIC ORIGIN (REPERTORY N 14417, CND P900401) LOT 240781 EXP 01/03/2029: WHEN THE PACKAGE IS OPENED, THE VIAL IS ONLY MINIMALLY FILLED INSIDE WITH SUCH A QUANTITY OF MICROGRANULES THAT IS NOT SUFFICIENT FOR THE PROPER USE OF THE DEVICE.THE SAME ISSUE WAS FOUND ON 5 VIALS BELONGING TO THE SAME LOT (2 OF WHICH ARE AVAILABLE AT THE OPERATING BLOCK PHARMACY). THE REINSTATEMENT OF THE BOTTLES OR THE ISSUANCE OF A CREDIT NOTE IS REQUESTED.

Description of Event or Problem · 0

(B)(4). INCIDENT OCCURED IN ITALY. TRADUCTION: NON-CONFORMITY FOUND ON MD REF (B)(4) MICROGRANULES OF BONE SUBSTITUTE OF SYNTHETIC ORIGIN (REPERTORY N 14417, CND P900401) LOT 240781 EXP 01/03/2029: WHEN THE PACKAGE IS OPENED, THE VIAL IS ONLY MINIMALLY FILLED INSIDE WITH SUCH A QUANTITY OF MICROGRANULES THAT IS NOT SUFFICIENT FOR THE PROPER USE OF THE DEVICE.THE SAME ISSUE WAS FOUND ON 5 VIALS BELONGING TO THE SAME LOT (2 OF WHICH ARE AVAILABLE AT THE OPERATING BLOCK PHARMACY). THE REINSTATEMENT OF THE BOTTLES OR THE ISSUANCE OF A CREDIT NOTE IS REQUESTED.

Description of Event or Problem · 0

(B)(4). INCIDENT OCCURED IN ITALY. TRADUCTION: NON-CONFORMITY FOUND ON MD REF (B)(4) MICROGRANULES OF BONE SUBSTITUTE OF SYNTHETIC ORIGIN (REPERTORY N 14417, CND P900401) LOT 240781 EXP 01/03/2029: WHEN THE PACKAGE IS OPENED, THE VIAL IS ONLY MINIMALLY FILLED INSIDE WITH SUCH A QUANTITY OF MICROGRANULES THAT IS NOT SUFFICIENT FOR THE PROPER USE OF THE DEVICE. THE SAME ISSUE WAS FOUND ON 5 VIALS BELONGING TO THE SAME LOT (2 OF WHICH ARE AVAILABLE AT THE OPERATING BLOCK PHARMACY). THE REINSTATEMENT OF THE BOTTLES OR THE ISSUANCE OF A CREDIT NOTE IS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
654215 GRANULES FOR FILLING - STERILE PRODUCTS BIO 1® GRANULES FOR FILLING Ø 1 MM (2 CM³) MQV S.B.M. SAS 240781

Patients

Seq Age Sex Outcome Treatment
1 0 DA Unknown Other