FDA Adverse Event
Malfunction
Summary report: N
BARRICAID ACD
MDR report key: 22337824
·
Received June 26, 2025
Report
- Report Number
- 3006232063-2025-00027
- Event Type
- Malfunction
- Date Received
- June 26, 2025
- Date of Event
- May 28, 2025
- Report Date
- June 26, 2025
- Manufacturer
- INTRINSIC THERAPEUTICS, INC
- Product Code
- QES
- UDI-DI
- M906BARA88MM0
- PMA / PMN Number
- P160050
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, 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 SURGEON REPORTED TO INTRINSIC THAT THE PATIENT HAD A REHERNIATION AT THE INDEX LEVEL AND PERFORMED A REOPERATION. NO DETAILS ABOUT REOPERATION PERFORMED WERE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1201206 | BARRICAID ACD | BARRICAID | QES | INTRINSIC THERAPEUTICS, INC | BAR-A8-8MM | 04022502 | M906BARA88MM0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |