FDA Adverse Event Malfunction Summary report: N

EASYTOUCH

MDR report key: 17221018 · Received June 28, 2023

Report

Report Number
3005798905-2023-03124
Event Type
Malfunction
Date Received
June 28, 2023
Date of Event
June 27, 2023
Report Date
June 28, 2023
Manufacturer
FEEL TECH BIO CO., LTD.
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

CMO INSPECTED RETAINED LOT 58214A FOR SUCTION AND PLUNGER BARREL SUITABILITY, NO ABNORMALITIES WERE FOUND DURING TESTING.

Additional Manufacturer Narrative · 0

PRODUCTION RECORDS INVESTIGATED FOR LOT NUMBER 58214A. THE TESTING SHOWED NO INDICATION OF ABNORMALITIES OR MALFUNCTION AT TIME OF PRODUCTION.

Description of Event or Problem · 0

END USER REPORTS THAT USING INSULIN SYRINGES ITEM 830165 LOT 58214A, THE PLUNGER OF THE SYRINGES HAVE A WEAK SUCTION, EASILY DRAWING IN AIR INTO THE BARREL AND THE PLUNGER IS EASY TO REMOVE WITHOUT RESISTANCE. THE USER DID NOT WISH TO DISCLOSE THE TYPE OF MEDICATION BEING USED WITH THE SYRINGES, NOR DID HE VERIFY THAT THE MEDICATION VIAL WAS BEING DEPRESSURIZED PRIOR TO PULLING MEDICINE WITH THE SYRINGE.

Description of Event or Problem · 0

END USER REPORTS THAT USING INSULIN SYRINGES ITEM 830165 LOT 58214A, THE PLUNGER OF THE SYRINGES HAVE A WEAK SUCTION, EASILY DRAWING IN AIR INTO THE BARREL AND THE PLUNGER IS EASY TO REMOVE WITHOUT RESISTANCE. THE USER DID NOT WISH TO DISCLOSE THE TYPE OF MEDICATION BEING USED WITH THE SYRINGES, NOR DID HE VERIFY THAT THE MEDICATION VIAL WAS BEING DEPRESSURIZED PRIOR TO PULLING MEDICINE WITH THE SYRINGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1783228 EASYTOUCH INSULIN SYRINGE FMF FEEL TECH BIO CO., LTD. 58214A

Patients

Seq Age Sex Outcome Treatment
1 Unknown