STIMULAN RAPID CURE 20CC 620-020
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
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."
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 |