FDA Adverse Event
Injury
Summary report: N
SURE-T PARADIGM
MDR report key: 19328737
·
Received May 16, 2024
Report
- Report Number
- 3003442380-2024-01851
- Event Type
- Injury
- Date Received
- May 16, 2024
- Report Date
- May 16, 2024
- Product Code
- FPA
- UDI-DI
- 05705244006058
- PMA / PMN Number
- K160648
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
UNOMEDICAL REFERENCE NUMBER (B)(4). EVENT OCCURRED IN CHINA. ON (B)(6) 2024, IT WAS REPORTED THAT PATIENT WAS HOSPITALIZED DUE TO HIGH BLOOD GLUCOSE LEVEL (AROUND 22.2 MMOL/L). NO FURTHER INFORMATION AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 546770 | SURE-T PARADIGM | UNO CONTACT DETACH G29 80/6 PCC MIMX | FPA | UNKNOWN | 05705244006058 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |