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 |