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