FDA Adverse Event Summary report: N

NUTROPIN AQ PEN (SOMATROPIN) SOLUTION FOR INJECTION 10 MG

MDR report key: 1553696 · Received November 9, 2009

Report

Report Number
2917293-2009-00006
Date Received
November 9, 2009
Report Date
October 28, 2009
Manufacturer
GENENTECH, INC.
Product Code
KZE
PMA / PMN Number
20-522
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CONSISTENTLY GETTING MORE DOSES PER CARTRIDGE THAN THEY SHOULD WHEN USING NUTROPIN AQ 20 PEN [MEDICATION ERROR]. CASE DESCRIPTION: THIS CASE, MFR CONTROL NUMBER (B)(4), IS A SPONTANEOUS REPORT FROM THE UNITED STATES REFERRING TO A MALE PT OF UNK AGE. THE PT'S MOTHER REPORTED THIS CASE. NO PAST MEDICAL HISTORY, CONCOMITANT MEDICATIONS, ALLERGIES, OR CONCURRENT CONDITIONS WERE REPORTED. ON AN UNSPECIFIED DATE REPORTED AS SIX MONTHS AGO, THE PT STARTED TREATMENT WITH NUTROPIN AQ (1.6 MG, FREQUENCY AND ROUTE NOT REPORTED) AND NUTROPIN AQ PEN (DOSE, FREQUENCY AND ROUTE NOT REPORTED) FOR AN UNK INDICATION. THE NUTROPIN AQ LOT NUMBER WAS NOT REPORTED. THE NUTROPIN AQ PEN LOT NUMBER WAS REPORTED AS B105. THE FIRST PUNCTURE DATE OF THE B105 WAS NOT REPORTED. THIS WAS THE PT'S FIRST PEN. IT WAS NOT REPORTED WHETHER THE PT CONTINUED OR DISCONTINUED USE WITH LOT NUMBER B105. IT WAS NOT REPORTED WHETHER THE PT SWITCHED TO ANOTHER LOT NUMBER. ON AN UNSPECIFIED DATE, THE PT PRESENTED WITH CONSISTENTLY GETTING MORE DOSES PER CARTRIDGE THAN THEY SHOULD WHEN USING NUTROPIN AQ 20 PEN (MEDICATION ERROR). IT WAS REPORTED THAT THE PT RECEIVED 13-15 DOSES PER 20 MG CARTRIDGE INSTEAD OF 12.5 DOSES. RELEVANT LAB TESTS, TREATMENT FOR THE EVENT AND ACTION TAKE WITH NUTROPIN AQ AND NUTROPIN AQ PEN WERE NOT REPORTED. THE MOTHER WAS TO SEND THE NUTROPIN AQ PEN TO GENENTECH, INC. THE EVENT OUTCOME WAS NOT REPORTED. THE CONSUMER DID NOT PROVIDE AN ASSESSMENT OF THE EVENT MEDICATION ERROR IN RELATION TO NUTROPIN AQ AND NUTROPIN AQ PEN. NO OTHER POSSIBLE ETIOLOGICAL FACTORS WERE IDENTIFIED. THIS REPORT WAS FORWARDED TO GENENTECH, INC. PRODUCT QUALITY AND ASSIGNED (B)(4). ADDITIONAL INFO IS BEING REQUESTED. IF RECEIVED, THE CASE WILL BE UPDATED ACCORDINGLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NUTROPIN AQ PEN (SOMATROPIN) SOLUTION FOR INJECTION 10 MG NONE KZE GENENTECH, INC. B105

Patients

Seq Age Sex Outcome Treatment
1