FDA Adverse Event
Malfunction
Summary report: N
PEN NEEDLE 32G 6 MM 1/4 TIP
MDR report key: 23341586
·
Received October 20, 2025
Report
- Report Number
- MW5177649
- Event Type
- Malfunction
- Date Received
- October 20, 2025
- Report Date
- October 13, 2025
- Manufacturer
- NOVO NORDISK INC.
- Product Code
- FMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- 003
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PER PARENT OF THE PT: I PUT THE NEEDLE IN THE PEN AND APPLIED THE MEDICATION TO IT. WHEN I TRIED TO REMOVE THE NEEDLE, I SAW THAT IT WAS STUCK. IT GOT TANNED IN THE PEN AND DIDN'T COME OUT AT ALL. I PUSHED A LOT AND THEN WHEN IT FINALLY CAME OUT I SAW THAT THE PEN WAS DAMAGED. NO FURTHER INFO. UNKNOWN IF DEVICE ON HAND FOR RETURN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2451593 | PEN NEEDLE 32G 6 MM 1/4 TIP | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | NOVO NORDISK INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |