FDA Adverse Event
Malfunction
Summary report: N
POSI-STOP INJECTION NEEDLE
MDR report key: 23271330
·
Received October 10, 2025
Report
- Report Number
- 1220592-2025-00002
- Event Type
- Malfunction
- Date Received
- October 10, 2025
- Date of Event
- September 10, 2025
- Report Date
- October 10, 2025
- Manufacturer
- HOBBS MEDICAL, INC.
- Product Code
- FBK
- PMA / PMN Number
- K834403
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT, DURING USE OF POSI-STOP INJECTION NEEDLE 4708, LOT H03-24-008, THE PROXIMAL LUER FITTING DISCONNECTED FROM THE HANDLE CANNULA/INNER SHEATH OF THE DEVICE. THE MALFUNCTION OCCURRED WHILE BOTOX WAS BEING ADMINISTERED THROUGH THE NEEDLE, WHICH RESULTED IN LESS OF THE DRUG BEING ADMINISTERED THAN INTENDED. THE PROCEDURE WAS COMPLETED USING A DIFFERENT BRAND OF NEEDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2227367 | POSI-STOP INJECTION NEEDLE | ENDOSCOPIC INJECTION NEEDLE | FBK | HOBBS MEDICAL, INC. | H03-24-008 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | BOTOX |