FDA Adverse Event
Malfunction
Summary report: N
ONPRO KIT
MDR report key: 22059871
·
Received May 21, 2025
Report
- Report Number
- 22059871
- Event Type
- Malfunction
- Date Received
- May 21, 2025
- Date of Event
- May 10, 2025
- Report Date
- May 19, 2025
- Manufacturer
- AMGEN INC.
- Product Code
- KZH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
THE ON-BODY DEVICE DID NOT ADHERE TO THE PATIENT AND DID NOT INFUSE. PATIENT NOTED THE DEVICE BLINKING RED. THE CATHETER DID NOT PERFORATE THE SKIN AND WAS LYING UP AGAINST THE SKIN. CLEAR PLASTIC ASPECT AROUND THE CATHETER WAS DISLODGED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 886465 | ONPRO KIT | INTRODUCER, SYRINGE NEEDLE | KZH | AMGEN INC. | 9002136 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Male |