FDA Adverse Event
Malfunction
Summary report: N
MEDIC ANTI STICK NEEDLE
MDR report key: 23479227
·
Received November 5, 2025
Report
- Report Number
- MW5178546
- Event Type
- Malfunction
- Date Received
- November 5, 2025
- Date of Event
- October 29, 2025
- Report Date
- October 31, 2025
- Manufacturer
- NXSTAGE MEDICAL, INC.
- Product Code
- FMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
NEWLY OPENED MEDIC ANTI STICK NEEDLE/CONNECTOR FOUND TO HAVE BLACK SPOTS/DEBRIS IN IT. DID NOT IMPACT A PATIENT AS IT WAS CAUGHT BEFORE USE. THIS IS THE SECOND SIMILAR REPORT IN 24 HOURS REGARDING THIS DEVICE. 1ST PRODUCT IDENTIFIER REF M85007, 2 OCCURRENCE LOT NUMBER 41180011. MANUFACTURER TO BE NOTIFIED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2280890 | MEDIC ANTI STICK NEEDLE | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | NXSTAGE MEDICAL, INC. | 41180011 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |