FDA Adverse Event Injury Summary report: N

UNIPLEX® NANOLINE®

MDR report key: 22436772 · Received July 8, 2025

Report

Report Number
9611612-2025-00028
Event Type
Injury
Date Received
July 8, 2025
Date of Event
November 23, 2023
Report Date
July 8, 2025
Manufacturer
PAJUNK GMBH MEDIZINTECHNOLOGIE
Product Code
BSP
UDI-DI
04048223043486
PMA / PMN Number
K053283
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS CASE IS REPORTED IN RETROSPECT BASED ON A RE-EVALUATION CONDUCTED IN 2025 FOR FORMAL REASONS. THERE WAS NO PARTICULAR RISK TO PATIENTS, USERS, OR THIRD PARTIES.

Description of Event or Problem · 0

(B)(4). INCIDENT OCCURRED IN BRAZIL: THE MATERIAL USED BROKE DURING THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
387588 UNIPLEX® NANOLINE® UNIPLEX® NANOLINE® BSP PAJUNK GMBH MEDIZINTECHNOLOGIE 1471 04048223043486

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention