FDA Adverse Event
Malfunction
Summary report: N
EASYTOUCH
MDR report key: 19480365
·
Received June 6, 2024
Report
- Report Number
- 3005798905-2024-03187
- Event Type
- Malfunction
- Date Received
- June 6, 2024
- Date of Event
- May 30, 2024
- Report Date
- June 6, 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 LOTS 65215A AND 65841A WAS CONDUCTED, NO MALFUNCTIONS WERE FOUND. THIS IS THE ONLY COMPLAINT FOR LOTS 65215A AND 65841A. FURTHER INVESTIGATION WILL BE CONDUCTED TO DETERMINE THE ROOT CAUSE OF COMPLAINT.
Description of Event or Problem · 0
USER EMAILED STATING SHE HAS THREE BOXES OF SYRINGES OF ITEM 830165 LOTS 65215A AND 65841A THAT LOOK LIKE FAKES DUE TO THE COLORING OF THE POLYBAGS, PLUNGER IS ABLE TO BE PULLED OUT, AS AS WELL AS THE CANNULAS ARE DULL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1863460 | EASYTOUCH | SYRINGE | FMF | FEEL TECH BIO CO., LTD. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |