MAUDE Adverse Event Report: EBI, LLC. BIOMET EBI BONE HEALING SYSTEM; STIMULATOR, BONE GROWTH, NON-INVASIVE

Model Number	1068228
Medical Device Problem Codes	Patient-Device Incompatibility (2682); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Pain (1994)
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Without a product return, no product evaluation is able to be conducted.The lot number is unknown; therefore the device history records are unable to be reviewed.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.
Event or Problem Description
It was reported that the device (coil) was hurting the patient.The patient stated that the unit wakes him up when sleeping.The patient stated that the pain started 3 days after he got the device (coil).The patient was told by the sales representative not to use the unit for 2 days.The patient was using the device 10 hours a day.The patient stated that the pain is in the bone.The patient did not speak to the doctor.The patient has not increased his daily activity.The patient stated that the pain level is a 10 out of 10.The patient stated that it took about 24 hours for the pain to go away after he stopped using the device (coil).The patient was told to wait until his pain was completely gone and then he could start doing the time test.The patient will call back with an update.Later, it was reported that the patient is still having pain and discomfort from the device.The sales representative stated that the doctor would like the patient to treat with the bone stimulator for 2 months.The sales representative suggested the patient try the orthopak as he is saying he can't use the bhs.
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional and corrected information.The device was not returned to highridge medical for evaluation.The reported event was unable to be confirmed due to limited information received from the customer.The device history record was unable to be reviewed as the lot number of the product is unknown.Root cause was unable to be determined as the necessary information to adequately investigate the reported event was not provided.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Highridge medical will continue to monitor for trends.
Event or Problem Description
It was reported that the device (coil) was hurting the patient.The patient stated that the unit wakes him up when sleeping.The patient stated that the pain started 3 days after he got the device (coil).The patient was told by the sales representative not to use the unit for 2 days.The patient was using the device 10 hours a day.The patient stated that the pain is in the bone.The patient did not speak to the doctor.The patient has not increased his daily activity.The patient stated that the pain level is a 10 out of 10.The patient stated that it took about 24 hours for the pain to go away after he stopped using the device (coil).The patient was told to wait until his pain was completely gone and then he could start doing the time test.The patient will call back with an update.Later, it was reported that the patient is still having pain and discomfort from the device.The sales representative stated that the doctor would like the patient to treat with the bone stimulator for 2 months.The sales representative suggested the patient try the orthopak as he is saying he can't use the bhs.
Additional Manufacturer Narrative
Udi related data quality updates only - a supplemental report is being submitted to address the discrepancies between fda medwatch form 3500a and gudid.Corrections: d1: brand name, d2a: device common name, d4: model number, d4: expiration date, g4: pma/510(k)#, h4: device manufacture date, h5: labeled for single use, h6: evaluation codes.Additional information: b4: date of this report, g3: date received by manufacturer.
Event or Problem Description
It was reported that the device (coil) was hurting the patient.The patient stated that the unit wakes him up when sleeping.The patient stated that the pain started 3 days after he got the device (coil).The patient was told by the sales representative not to use the unit for 2 days.The patient was using the device 10 hours a day.The patient stated that the pain is in the bone.The patient did not speak to the doctor.The patient has not increased his daily activity.The patient stated that the pain level is a 10 out of 10.The patient stated that it took about 24 hours for the pain to go away after he stopped using the device (coil).The patient was told to wait until his pain was completely gone and then he could start doing the time test.The patient will call back with an update.Later, it was reported that the patient is still having pain and discomfort from the device.The sales representative stated that the doctor would like the patient to treat with the bone stimulator for 2 months.The sales representative suggested the patient try the orthopak as he is saying he can't use the bhs.

• Brand Name: BIOMET EBI BONE HEALING SYSTEM
• Common Device Name: STIMULATOR, BONE GROWTH, NON-INVASIVE
• Manufacturer (Section D): EBI, LLC.; 1 gatehall dr; suite 303; parsippany NJ 07054
• Manufacturer (Section G): EBI, LLC; 1 gatehall dr; suite 303; parsippany NJ 07054
• Manufacturer Contact: stephanie smith ; 1 gatehall dr; suite 303; parsippany, NJ 07054 ; 9732999300
• MDR Report Key: 18530857
• Report Number: 0002242816-2024-00008
• Device Sequence Number: 20729842
• Product Code: LOF
• UDI-Device Identifier: 00812301020539
• UDI-Public: 00812301020539
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: P790002
• Exemption Number: 5645646
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Consumer
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 01/30/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Model Number: 1068228
• Device Catalogue Number: 1068228
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: Not provided
• Supplement Date Received by Manufacturer: Not provided; Not provided
• Initial Report FDA Received Date: 01/17/2024
• Supplement Report FDA Received Date: 06/25/2024; 01/30/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: SEE H10 NARRATIVE.; SEE H10 NARRATIVE.; SEE H10 NARRATIVE.
• Patient Age: 43 YR
• Patient Sex: Male
• Patient Ethnicity: Non Hispanic