BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI-JECT

    MDR report key: 130983 · Received November 7, 1997

    Report

    Report Number
    2182861-1997-00010
    Event Type
    Other
    Date Received
    November 7, 1997
    Report Date
    October 28, 1997
    Manufacturer
    MEDI-JECT CORP.
    Product Code
    KZE
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    USER OF MEDI-JECTOR EXPERIENCED A HYPERGLYCEMIC EPISODE WHICH REQUIRED HOSPITALIZATION TWICE WITHIN THE PAST TWO MONTHS. DRY INJECTIONS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-JECT C2-DME-NEEDLE FREE DELIVERY DEVICE KZE MEDI-JECT CORP. 300036-001 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Hospitalization