FDA Adverse Event
Malfunction
Summary report: N
ULTICARE INSULIN SAFETY SYRINGE
MDR report key: 22627395
·
Received July 28, 2025
Report
- Report Number
- MW5173383
- Event Type
- Malfunction
- Date Received
- July 28, 2025
- Date of Event
- July 23, 2025
- Report Date
- July 23, 2025
- Manufacturer
- ULTI MED, INC.
- Product Code
- FMF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I WENT TO USE A ULTICARE INSULIN SAFETY SYRINGE AND FRESHLY OPENED OUT OF THE PACKAGE IT WAS DIRTY. THERE'S SOMETHING STUCK TO THE NEEDLE. THIS IS A MAJOR HEALTH VIOLATION, THE SYRINGE IS SUPPOSED TO BE STERILIZED. IF I HADN'T NOTICED IT WAS DIRTY I WOULD HAVE INJECTED MYSELF WITH AN UNSTERILE NEEDLE WHICH COULD LEAD TO SERIOUS INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2751292 | ULTICARE INSULIN SAFETY SYRINGE | SYRINGE, PISTON | FMF | ULTI MED, INC. | 240322 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 21 YR | Female | ALLEGRA.| LEUCOVORIN CALCIUM TABLETS.| METHOTREXATE.| MINOXIDIL.| NORGESTIMATE/ETHINYL ESTRADIOL 0.25-0.035 MG. |