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 |