FDA Adverse Event
Injury
Summary report: N
BARRICAID ACD
MDR report key: 23681619
·
Received December 1, 2025
Report
- Report Number
- 3006232063-2025-00047
- Event Type
- Injury
- Date Received
- December 1, 2025
- Date of Event
- November 6, 2025
- Report Date
- December 1, 2025
- Manufacturer
- INTRINSIC THERAPEUTICS, INC
- Product Code
- QES
- PMA / PMN Number
- P160050
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
A REVIEW OF PRODUCTION RECORDS SHOWS THE DEVICE WAS STERILIZED WITH NO ANOMALIES DETECTED. 3 OTHER LOTS THAT WERE STERILIZED AT THE SAME TIME HAVE NOT HAD ANY INFECTIONS REPORTED. 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 NEW INFORMATION SUBMITTED, ANOTHER FOLLOW-UP WILL BE COMPLETED. INTRINSIC THERAPEUTICS WILL CONTINUE TO MONITOR FOR UPDATES/TRENDS.
Description of Event or Problem · 0
THE PATIENT EXPERIENCED AN INFECTION. THE SURGEON REMOVED THE DEVICE DURING THE REVISION SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2150404 | BARRICAID ACD | BARRICAID | QES | INTRINSIC THERAPEUTICS, INC | BAR-A8-8MM | 05072402 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| O |