FDA Adverse Event
Malfunction
Summary report: N
EASYTOUCH
MDR report key: 20076208
·
Received August 27, 2024
Report
- Report Number
- 3005798905-2024-03199
- Event Type
- Malfunction
- Date Received
- August 27, 2024
- Date of Event
- July 1, 2024
- Report Date
- August 26, 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
CMO INSPECTED RETAINED LOTS 67021 AND 66807, NO ABNORMALITIES WERE FOUND DURING TESTING.
Description of Event or Problem · 0
A REPRESENTATIVE FROM A DIRECT CUSTOMER WAS CONTACTED BY A CUSTOMER OF THEIRS REPORTING THAT CANNULAS ARE BREAKING FROM TWO ITEMS 830365 LOT 67021 AND 830565 LOT 66807.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 968969 | EASYTOUCH | SYRINGE | FMF | BERPU MEDICAL TECHNOLOGY CO., LTD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |