BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADHERUS AUTOSPRAY ET DURAL SEALANT

    MDR report key: 22282729 · Received June 18, 2025

    Report

    Report Number
    22282729
    Event Type
    Malfunction
    Date Received
    June 18, 2025
    Date of Event
    June 10, 2025
    Report Date
    June 12, 2025
    Manufacturer
    HYPERBRANCH MEDICAL TECHNOLOGY, INC.
    Product Code
    NQR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PRODUCT ASSEMBLED AND FUNCTIONED WELL FOR ABOUT 30 SECONDS. STOPPED FUNCTIONING AND PRODUCT WOULD NOT DISPENSE. NEEDED TO USE ADDITIONAL PRODUCT BECAUSE OF THIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1767529 ADHERUS AUTOSPRAY ET DURAL SEALANT SEALANT, DURAL NQR HYPERBRANCH MEDICAL TECHNOLOGY, INC. NUS-109 10245863

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Female