FDA Adverse Event Malfunction Summary report: N

EASYTOUCH

MDR report key: 16818313 · Received April 26, 2023

Report

Report Number
3005798905-2023-03111
Event Type
Malfunction
Date Received
April 26, 2023
Date of Event
April 6, 2023
Report Date
April 25, 2023
Manufacturer
MHC MEDICAL PRODUCTS, LLC
Product Code
FMI
PMA / PMN Number
K112789
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

PRODUCTION RECORDS INVESTIGATED FOR LOT NUMBER 556611P. THE TESTING SHOWED NO INDICATION OF ABNORMALITIES OR MALFUNCTION AT TIME OF PRODUCTION.

Additional Manufacturer Narrative · 0

REFERENCE (B)(4) FOR UPDATING THE INSULIN NEEDLE, PEN NEEDLE AND SAFETY PEN NEEDLE PACKAGING TO IMPROVE VISIBILITY OF ITEM NUMBERS AND THE ABILITY TO SCAN UDI INFORMATION DURING MANUFACTURING PROCESS TO PREVENT PACKAGING MIX-UPS.

Additional Manufacturer Narrative · 0

PRODUCTION RECORDS INVESTIGATED FOR LOT NUMBER 556611P. THE TESTING SHOWED NO INDICATION OF ABNORMALITIES OR MALFUNCTION AT TIME OF PRODUCTION.

Description of Event or Problem · 0

MCKESSON INVENTORY MANAGER REPORTS THAT ITEM RETAIL LEVEL PACKAGING MIX UP. 831061 SHIPPING CASES IS LABELED WITH 831361. LOT HAS NOT YET BEEN IDENTIFIED.

Description of Event or Problem · 0

MCKESSON INVENTORY MANAGER REPORTS THAT ITEM RETAIL LEVEL PACKAGING MIX UP. 831061 SHIPPING CASES IS LABELED WITH 831361. LOT HAS NOT YET BEEN IDENTIFIED.

Description of Event or Problem · 0

MCKESSON INVENTORY MANAGER REPORTS THAT ITEM RETAIL LEVEL PACKAGING MIX UP. 831061 SHIPPING CASES IS LABELED WITH 831361. LOT HAS NOT YET BEEN IDENTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1404296 EASYTOUCH PEN NEEDLE FMI MHC MEDICAL PRODUCTS, LLC 556611P

Patients

Seq Age Sex Outcome Treatment
1 Unknown