FDA Adverse Event Malfunction Summary report: N

EASYTOUCH

MDR report key: 18176954 · Received November 20, 2023

Report

Report Number
3005798905-2023-03148
Event Type
Malfunction
Date Received
November 20, 2023
Date of Event
November 15, 2023
Report Date
November 20, 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 60702A, NO ABNORMALITIES WERE FOUND DURING TESTING.

Additional Manufacturer Narrative · 0

INITIAL TREND ANALYSIS FOR LOT 60702A WAS CONDUCTED, NO MALFUNCTIONS WERE FOUND. THIS IS THE ONLY COMPLAINT FOR LOT 60702A. FURTHER INVESTIGATION WILL BE CONDUCTED TO DETERMINE THE ROOT CAUSE OF COMPLAINT.

Description of Event or Problem · 0

END USER REPORTS THAT THE SYRINGE FROM LOT 60702A ARE DIFFERENT IN APPEARANCE THAN SYRINGES PURCHASED IN THE PAST. USER DESCRIBES THE PLUNGER IS EASILY REMOVED FROM THE BARREL,THE CANNULA IS DULL AND THE END CAPS DO NOT FIT PROPERLY WHICH CAUSED A FEW CAPS TO FALL OFF INSIDE OF THE POLYBAG. END USER DID NOT COMMUNICATE AFTER SEVERAL ATTEMPTS AS TO WHICH SIDE OF THE SYRINGE THE CAP WAS OFF INSIDE OF THE POLYBAG.

Description of Event or Problem · 0

END USER REPORTS THAT THE SYRINGE FROM LOT 60702A ARE DIFFERENT IN APPEARANCE THAN SYRINGES PURCHASED IN THE PAST. USER DESCRIBES THE PLUNGER IS EASILY REMOVED FROM THE BARREL,THE CANNULA IS DULL AND THE END CAPS DO NOT FIT PROPERLY WHICH CAUSED A FEW CAPS TO FALL OFF INSIDE OF THE POLYBAG. END USER DID NOT COMMUNICATE AFTER SEVERAL ATTEMPTS AS TO WHICH SIDE OF THE SYRINGE THE CAP WAS OFF INSIDE OF THE POLYBAG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1855446 EASYTOUCH INSULIN SYRINGE FMF FEEL TECH BIO CO., LTD. 60702A

Patients

Seq Age Sex Outcome Treatment
1 Unknown