FDA Adverse Event
Malfunction
Summary report: N
FLOVENT ACTUATOR MCG 110
MDR report key: 13417886
·
Received January 31, 2022
Report
- Report Number
- MW5107109
- Event Type
- Malfunction
- Date Received
- January 31, 2022
- Date of Event
- September 1, 2021
- Report Date
- February 23, 2022
- Manufacturer
- GLAXOSMITHKLINE CONSUMER HEALTHCARE HOLDINGS (US) LLC
- Product Code
- CAF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AR, US
- Reporter Occupation
- PATIENT
- Health Professional
- N
Narratives
Description of Event or Problem · 0
ADDITIONAL INFORMATION RECEIVED FROM REPORTER ON 2/23/2022 FOR REPORT MW5107109. REPORTER STATED THAT ONE PERSON HAVING A PROBLEM WITH THEIR DEVICE SHOULD BE ENOUGH FOR THE FDA TO MAKE CHANGES.
Description of Event or Problem · 0
PATIENT CALLED TO REPORT A PRODUCT ISSUE WITH HER INHALER. PATIENT STATED SHE NOTICED AROUND EARLY (B)(6) THAT SHE WAS UNABLE TO REMOVE THE CAP, IT WAS TOO DIFFICULT FOR HER TO GET OFF BY HERSELF AND SHE REQUIRED THE HELP OF HER HUSBAND. PATIENT STATED IT WOULD BE A BETTER DESIGN IF THE CAP COULD BE ATTACHED INSTEAD WHICH WOULD ALSO HELP WITH THE RISK OF IT FALLING AND BECOMING DIRTY. PATIENT STATED SHE HOPES THIS GETS LOOKED INTO ASAP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1561821 | FLOVENT ACTUATOR MCG 110 | NEBULIZER (DIRECT PATIENT INTERFACE) | CAF | GLAXOSMITHKLINE CONSUMER HEALTHCARE HOLDINGS (US) LLC | FP8P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Female | Other |