FDA Adverse Event Injury Summary report: N

CLICKFINE 32GX4MM DONGBAO 7CT

MDR report key: 18185147 · Received November 21, 2023

Report

Report Number
3002806818-2023-00026
Event Type
Injury
Date Received
November 21, 2023
Date of Event
July 5, 2023
Report Date
November 21, 2023
Manufacturer
YPSOMED AG
Product Code
FMI
PMA / PMN Number
K171984
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE PATIENT FELT PAIN DURING AN INSULIN INJECTION. MANUFACTURING REVIEW OF DOCUMENTS AND PENETRATION FORCE IN-PROCESS CONTROLS SHOWED NO ABNORMALITIES OR DEVIATIONS FROM THE VALIDATED MANUFACTURING PROCESS FOR THE MAIN BATCH 221452.

Description of Event or Problem · 0

THE PATIENT FELT PAIN DURING AN INSULIN INJECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1637282 CLICKFINE 32GX4MM DONGBAO 7CT PEN NEEDLE FMI YPSOMED AG CLICKFINE 32GX4MM DONGBAO 7CT 221452-02

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other