FDA Adverse Event Malfunction Summary report: N

EASYTOUCH

MDR report key: 19044713 · Received April 4, 2024

Report

Report Number
3005798905-2024-03173
Event Type
Malfunction
Date Received
April 4, 2024
Date of Event
April 3, 2024
Report Date
April 4, 2024
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

INITIAL TREND ANALYSIS FOR LOT 62942A WAS CONDUCTED, NO MALFUNCTIONS WERE FOUND. THIS IS THE ONLY COMPLAINT FOR LOT 62942A. FURTHER INVESTIGATION WILL BE CONDUCTED TO DETERMINE THE ROOT CAUSE OF COMPLAINT.

Additional Manufacturer Narrative · 0

RETAINED LOT SAMPLES FOR SYRINGE LOT 62942A WERE TESTED FOR NEEDLE CAP COMPATIBILITY AND COMPLIANCE. NO ABNORMALITIES WERE FOUND DURING TESTING.

Description of Event or Problem · 0

A WORKER FOR A NEEDLE EXCHANGE PROGRAM (HIV ALLIANCE) WHO PASSES OUT SYRINGES REPORTS A POLYBAG OF SYRINGES FROM LOT 62942A WITH THE CAPS COVERING THE CANNULAS BEING "SLIGHTLY OFF". PICTURES WERE PROVIDED SHOWING THAT THE NEEDLE CAPS WERE STILL COVERING THE NEEDLES HOWEVER THERE WAS A SLIGHT GAP BETWEEN THE BARREL AND THE BOTTOM OF THE CAP.

Description of Event or Problem · 0

A WORKER FOR A NEEDLE EXCHANGE PROGRAM (HIV ALLIANCE) WHO PASSES OUT SYRINGES REPORTS A POLYBAG OF SYRINGES FROM LOT 62942A WITH THE CAPS COVERING THE CANNULAS BEING "SLIGHTLY OFF". PICTURES WERE PROVIDED SHOWING THAT THE NEEDLE CAPS WERE STILL COVERING THE NEEDLES HOWEVER THERE WAS A SLIGHT GAP BETWEEN THE BARREL AND THE BOTTOM OF THE CAP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
83880 EASYTOUCH SYRINGE FMF FEEL TECH BIO CO., LTD. 62942A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown