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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTRINSIC THERAPEUTICS, INC BARRICAID ACD

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INTRINSIC THERAPEUTICS, INC BARRICAID ACD Back to Search Results
Model Number BAR-A8-8MM
Medical Device Problem Code Failure to Advance (2524)
Health Effect - Clinical Code Vertebral Fracture (4520)
Date of Event 02/14/2025
Type of Reportable Event Malfunction
Event or Problem Description
The defect in the anulus was tight, and the implant got caught in the annulus and buckled.The implant was impacted to try and push through the obstruction, but didn't succeed.The surgeon made a surgical intervention and used a removal tool to remove the damaged device and this caused some minor damage (bone removal) to the vertebra beyond what is considered trivial.No negative patient effects were reported.
 
Additional Manufacturer Narrative
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.
 
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Brand Name
BARRICAID ACD
Common Device Name
BARRICAID
Manufacturer (Section D)
INTRINSIC THERAPEUTICS, INC
30 commerce way
woburn MA 01801
Manufacturer (Section G)
INTRINSIC THERAPEUTICS, INC
30 commerce way
woburn MA 01801
Manufacturer Contact
nicholas grow
30 commerce way
woburn, MA 01801
7819320222
MDR Report Key21606695
Report Number3006232063-2025-00015
Device Sequence Number9217773
Product Code QES
UDI-Device IdentifierM906BARA88MM0
UDI-PublicM906BARA88MM0
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
PMA/510(K) Number
P160050
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/14/2025
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? Yes
Operator of Device Health Professional
Device Model NumberBAR-A8-8MM
Device Catalogue Number2730815-A8
Device Lot Number09092402
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/14/2025
Initial Report FDA Received Date03/14/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/20/2024
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 Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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