FDA Adverse Event Malfunction Summary report: N

PEN NEEDLE 32G 4MM 5B XTW 100CT EU

MDR report key: 21937235 · Received April 30, 2025

Report

Report Number
3023359743-2025-00332
Event Type
Malfunction
Date Received
April 30, 2025
Report Date
April 30, 2025
Manufacturer
EMBECTA PENEL LIMITED - DUN LAOGHAIRE, IRELAND
Product Code
FMI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS MEDWATCH REPORT IS BOTH AN INITIAL AND FINAL SUBMISSION AS THE INVESTIGATION HAS BEEN COMPLETED. INVESTIGATION SUMMARY: NO SAMPLES (INCLUDING PHOTOS) WERE RETURNED THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED AND THE ROOT CAUSE IS UNDETERMINED. THIS IS THE 1ST COMPLAINT FOR THE REPORTED LOT NUMBER. A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED, AND NO NON-CONFORMANCES WERE RAISED IN ASSOCIATION WITH THIS TYPE OF EVENT FOR THIS LOT. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. IF SAMPLES ARE RECEIVED IN THE FUTURE THE COMPLAINT WILL BE REOPENED FOR FURTHER INVESTIGATION. BASED ON THE ABOVE, NO ADDITIONAL INVESTIGATION AND NO CORRECTIVE/PREVENTATIVE ACTION (CAPA) OR SITUATIONAL ANALYSIS (SA) IS REQUIRED AT THIS TIME.

Description of Event or Problem · 0

DEAR ALL, WE RECEIVED THE BELOW QUALITY COMPLAINT WHICH OCCURRED IN THE NETHERLANDS. NEEDLES NOT LETTING INSULIN THROUGH. BD MICROFINE ULTRA 0,23 X 4MM 32 G. LOT 4192029 - EXPIRY DATE 2029-07. NO PICTURES WERE PROVIDED AS IT WAS NOT POSSIBLE TO SHOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1241395 PEN NEEDLE 32G 4MM 5B XTW 100CT EU Needle, hypodermic, single lumen FMI EMBECTA PENEL LIMITED - DUN LAOGHAIRE, IRELAND 320584 4192029

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown