STIMULAN RAPID CURE 620-010

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,06,08 report with the FDA on 2014-04-14 for STIMULAN RAPID CURE 620-010 manufactured by Biocomposites Ltd..

Event Text Entries

[4356280] From a maude event report received at biocomposites inc on (b)(4) 2014 from the fda: voluntary report no. : (b)(4) had been received at fda via their medwatch program. Fda had forwarded the details to biocomposites inc. For review, as may have been unaware of the event.
Patient Sequence No: 1, Text Type: D, B5


[11748643] Suspected root cause: serum creatine (a blood measurement) is an important indicator of renal health because it is an easily measured byproduct of muscle metabolism that is excreted unchanged by the kidneys. A serum creatinine of 1. 2mg/dl (110mcg/l) can indicate significant renal disease and systemic toxicity in an elderly female, as the kidney function is depleted. Certain drugs can sometimes cause abnormally elevated creatinine levels. Antibiotics were delivered iv- there is no link established to systemic levels from local delivery. The patient's reading had increased from 1 - normal to 1. 8 - high. Suspected root cause of high creatinine level is associated with renal failure, not stimulan rapid cure, which is contraindicated for renal compromised patients.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9617083-2014-00013
MDR Report Key3775739
Report Source00,06,08
Date Received2014-04-14
Date of Report2014-03-20
Date of Event2014-01-25
Date Mfgr Received2014-03-20
Device Manufacturer Date2013-08-01
Date Added to Maude2014-04-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactRICHELLE HIRST
Manufacturer StreetKEELE SCIENCE PARK
Manufacturer CitySTAFFORDSHIRE ST5 5NL
Manufacturer CountryUK
Manufacturer PostalST5 5NL
Manufacturer Phone440178233
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTIMULAN RAPID CURE
Generic NameBONE VOID FILLER/ GRAFT EXTENDER
Product CodeMBP
Date Received2014-04-14
Catalog Number620-010
Lot Number08/13-R192
Device Expiration Date2015-08-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOCOMPOSITES LTD.
Manufacturer AddressKEELE, STAFFORDSHIRE UK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2014-04-14

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