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