FDA Adverse Event Malfunction Summary report: N

EASYTOUCH

MDR report key: 11641974 · Received April 9, 2021

Report

Report Number
3005798905-2021-02997
Event Type
Malfunction
Date Received
April 9, 2021
Date of Event
March 8, 2021
Report Date
April 7, 2021
Manufacturer
MHC MEDICAL PRODUCTS, LLC
Product Code
FMF
PMA / PMN Number
K102178
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

PRODUCTION RECORDS FOR LOTS 52215 AND 52211 WERE ANALYZED. NO ABNORMALITY WAS FOUND AT TIME OF PRODUCTION.

Additional Manufacturer Narrative · 0

NO DEVICE WAS RETURNED FOR PRODUCT TESTING BUT PHOTOS OF THE PRODUCT WERE PROVIDED. PRODUCTION RECORDS FOR LOTS 52215 AND 52211 WERE ANALYZED. RETAINED LOT NUMBERS 52215 AND 52211 ANALYSIS SHOWED NO ABNORMALITY AT TIME OF PRODUCTION.

Description of Event or Problem · 0

END USER REPORTS THAT SYRINGES ARE DULL AND BENT. HOWEVER, CUSTOMER SUGGESTS THAT THE PRODUCT IS NOT BEING USED FOR ITS INTENDED PURPOSE. SYRINGE LOT NUMBERS 52215 EXPIRATION DATE 07/20/2025 AND 52211 EXPIRATION DATE 07/16/2025.

Description of Event or Problem · 0

END USER REPORTS THAT SYRINGES ARE DULL AND BENT. HOWEVER, CUSTOMER SUGGESTS THAT THE PRODUCT IS NOT BEING USED FOR ITS INTENDED PURPOSE. SYRINGE LOT NUMBERS 52215 EXPIRATION DATE 07/20/2025 AND 52211 EXPIRATION DATE 07/16/2025.

Additional Manufacturer Narrative · 1

WHEN INITIAL TREND ANALYSIS FOR LOT NUMBERS 52215 AND 52211 WAS CONCLUDED THIS WAS THE ONLY COMPLAINT RECEIVED. FURTHER INVESTIGATION WILL BE CONDUCTED FOR ROOT CAUSE OF COMPLAINT.

Description of Event or Problem · 1

END USER REPORTS THAT SYRINGES ARE DULL AND BENT. HOWEVER, CUSTOMER SUGGESTS THAT THE PRODUCT IS NOT BEING USED FOR ITS INTENDED PURPOSE. SYRINGE LOT NUMBERS 52215 EXPIRATION DATE 07/20/2025 AND 52211 EXPIRATION DATE 07/16/2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
539829 EASYTOUCH SYRINGE FMF MHC MEDICAL PRODUCTS, LLC

Patients

Seq Age Sex Outcome Treatment
1