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