FDA Adverse Event
Malfunction
Summary report: N
EASYTOUCH
MDR report key: 19074240
·
Received April 9, 2024
Report
- Report Number
- 3005798905-2024-03175
- Event Type
- Malfunction
- Date Received
- April 9, 2024
- Date of Event
- April 3, 2024
- Report Date
- April 9, 2024
- Manufacturer
- BERPU MEDICAL TECHNOLOGY 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 64281 WAS CONDUCTED, NO MALFUNCTIONS WERE FOUND. THIS IS THE ONLY COMPLAINT FOR LOT 64281. FURTHER INVESTIGATION WILL BE CONDUCTED TO DETERMINE THE ROOT CAUSE OF COMPLAINT.
Additional Manufacturer Narrative · 0
RETAINED LOT SAMPLES FOR SYRINGE LOT 64281 WERE TESTED FOR NEEDLE SHARPNESS. NO ABNORMALITIES WERE FOUND DURING TESTING.
Description of Event or Problem · 0
OWNER OF A MEDICAL SPA FACILITY REPORTS THAT IS LOT 64281 IS DULL AND NOT PIERCING THE SKIN WITH EASE. SYRINGES ARE BEING USED WITH SEMAGLUTIDE.
Description of Event or Problem · 0
OWNER OF A MEDICAL SPA FACILITY REPORTS THAT IS LOT 64281 IS DULL AND NOT PIERCING THE SKIN WITH EASE. SYRINGES ARE BEING USED WITH SEMAGLUTIDE
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 606399 | EASYTOUCH | SYRINGES | FMF | BERPU MEDICAL TECHNOLOGY CO., LTD | 64281 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |