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 |