FDA Adverse Event Injury Summary report: N

INFUSION DEVICES - UNKNOWN

MDR report key: 20046464 · Received August 23, 2024

Report

Report Number
3003442380-2024-20405
Event Type
Injury
Date Received
August 23, 2024
Date of Event
July 18, 2024
Report Date
May 28, 2026
Manufacturer
UNOMEDICAL A/S
Product Code
FPA
PMA / PMN Number
UNKNOWN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

PATIENT CITY: (B)(6).

Description of Event or Problem · 0

REFERENCE NUMBER (B)(4). EVENT OCCURRED IN KUWAIT. IT WAS REPORTED THAT THE PATIENT FACED HIGH BLOOD GLUCOSE LEVEL OF 21 MMOL/L. THEREFORE, THE PATIENT WAS HOSPITALISED FOR THREE DAYS. DURING HOSPITALISATION, THE PATIENT RECEIVED INTRAVENOUS INSULIN DRIP. CURRENTLY, THE BLOOD GLUCOSE LEVEL OF THE PATIENT WAS 12 MMOL/L. NO FURTHER INFORMATION WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2071188 INFUSION DEVICES - UNKNOWN INFUSION DEVICES - UNKNOWN FPA UNOMEDICAL A/S INFUSION DEVICES - UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H