FDA Adverse Event Other Summary report: N

APIDRA SOLO STAR

MDR report key: 2023597 · Received March 17, 2011

Report

Report Number
MW5019835
Event Type
Other
Date Received
March 17, 2011
Date of Event
March 17, 2009
Report Date
March 17, 2011
Manufacturer
SANOFI AVENTIS
Product Code
FMF
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PT HAS UTILIZED INSULIN PEN FOR 2 YEARS AND HAS ALWAYS HAD PROBLEMS WITH DELIVERY. HE STATES THAT THE DEVICE DOES NOT HAVE ENOUGH PRESSURE, SO IT MUST BE HELD FOR 20 SECONDS OR MORE FOR ENTIRE AMOUNT OF INSULIN TO BE ADMINISTERED. HE ALSO STATED THAT BLOOD SEEPS INTO PEN RENDERING THE DEVICE UNUSABLE AND WASTING HIS MONEY. HE HAS CONTACTED THE MFR WITH NO RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 APIDRA SOLO STAR INSULIN PEN FMF SANOFI AVENTIS 0FOO1A

Patients

Seq Age Sex Outcome Treatment
1