FDA Adverse Event Injury Summary report: N

STIMULAN RAPID CURE 20CC 620-020

MDR report key: 9481960 · Received December 17, 2019

Report

Report Number
9617083-2019-00005
Event Type
Injury
Date Received
December 17, 2019
Date of Event
September 16, 2019
Report Date
December 17, 2019
Manufacturer
BIOCOMPOSITES LTD.
Product Code
MQV
UDI-DI
50601557110416
PMA / PMN Number
1065982
Removal / Correction Number
MW5089948
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 1

FDA REPORT MW5089948 HAS BEEN SUBMITTED RELATING TO A PATIENT WITH HYPERGLYCEMIA WITH A CALCIUM LEVEL OF 13.9 (REF RANGE 8.3 -10.) BIOCOMPOSITES LTD HAVE A RISK ASSESSMENT FOR HYPERCALCEMIA RELATED EVENTS WITH THE USE OF STIMULAN PRODUCTS, RISK - 00364 STATES: "USE IN PATIENTS WITH HYPERCALCEMIA IS CONTRAINDICATED. RISK CONTROL MEASURES NOT POSSIBLE AS USE IN PATIENTS WITH A PRE-EXISTING CALCIUM METABOLISM DISORDER IS UNDER DIRECTION OF THE OPERATING SURGEON. RECOMMENDED ACTIONS: NONE REQUIRED. ADDITIONAL RISKS CREATED: NO ADDITIONAL RISK FORESEEN. RESIDUAL RISK: THE RESIDUAL RISK OF EXACERBATED SYMPTOMS ASSOCIATED WITH HYPERGLYCAEMIA REQUIRING INTERVENTION IS BROADLY ACCEPTABLE. RISK/BENEFIT ANALYSIS: THE RESIDUAL RISK OF EXACERBATED SYMPTOMS ASSOCIATED WITH HYPERCALEMIA REQUIRING INTERVENTION IS OUTWEIGHED BY THE CLINICAL BENEFIT OF USING THE DEVICE."

Description of Event or Problem · 1

PT EXPERIENCED HYPERCALCEMIA, WITH A CALCIUM LEVEL OF 13.9 (REF RANGE 8.3 - 10.4).FDA SAFETY REPORT ID#(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1272425 STIMULAN RAPID CURE 20CC 620-020 FILLER, BONE VOID, CALCIUM COMPOUND MQV BIOCOMPOSITES LTD. 620-020 SR190508 50601557110416

Patients

Seq Age Sex Outcome Treatment
1 Other