FDA Adverse Event Injury Summary report: N

TERUMO INJECTION FILTER NEEDLE

MDR report key: 23888159 · Received December 24, 2025

Report

Report Number
9681413-2025-00011
Event Type
Injury
Date Received
December 24, 2025
Date of Event
November 17, 2025
Report Date
December 24, 2025
Manufacturer
TERUMO EUROPE N.V
Product Code
QYM
UDI-DI
05413206251223
PMA / PMN Number
K230951
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

D6A: IMPLANTED DATE: DEVICE WAS NOT IMPLANTED. D6B: EXPLANTED DATE: DEVICE WAS NOT EXPLANTED. E3: OCCUPATION: DEVICE QUALITY MANAGER. THE BATCH RECORDS FOR LOT 2412011 (NF3013RBKE05M) HAVE BEEN REVIEWED. THE FOLLOWING TESTS ARE PERFORMED ON THE PRODUCT DURING PRODUCTION: DURING IN-PROCESS CONTROL IN NEEDLE ASSEMBLY, (B)(4) NEEDLES ARE VISUALLY INSPECTED PER SHIFT FOR FOREIGN MATTER. NO ABNORMALITIES RELATED TO THIS COMPLAINT WERE REPORTED DURING THESE INSPECTIONS. DURING IN-PROCESS CONTROL IN PACKAGING, (B)(4) NEEDLES ARE VISUALLY INSPECTED TWICE PER SHIFT FOR FOREIGN MATTER. NO ABNORMALITIES RELATED TO THIS COMPLAINT WERE REPORTED DURING THESE INSPECTIONS. FURTHERMORE, A FINAL VISUAL INSPECTION WAS PERFORMED ON (B)(4) PIECES. (B)(4) PRODUCTS WERE FOUND WITH EMBEDDED DIRT. (B)(4) IN THE HUB AND (B)(4) IN THE PROTECTOR. THIS IS A MINOR DEFECT AND WAS WITHIN THE ACCEPTANCE LEVEL. SINCE THESE PRODUCTS ARE STERILISED AND THE PARTICLES ARE EMBEDDED, IT IS VERY UNLIKELY THAT THIS WOULD CAUSE A PATIENT REACTION. AS PART OF THE FINAL INSPECTION, PARTICULATE MATTER IS TESTED ON (B)(4) PIECES AND A VISUAL INSPECTION ON (B)(4) PIECES. THIS WAS CONFORM THE SPECIFICATION. THE LAL AND STERILIZATION CYCLE WERE EXECUTED ACCORDING TO SPECIFICATION AND NO OBSERVATIONS HAVE BEEN FOUND FOR THESE TESTS. SAMPLE INVESTIGATION: NOT RETURNED. RETENTION SAMPLES ALL REMAINING SAMPLES (B)(4) PIECES WERE VISUALLY INSPECTED FOR FOREIGN MATTER BY N. EYMAEL ON 10/12/2025 BY THE NAKED EYE. NO DEFECTS WERE FOUND. BASED ON OUR INVESTIGATION INCLUDING A BATCH RECORD REVIEW AND RETENTION SAMPLE INVESTIGATION, NO ROOT CAUSE RELATED TO OUR PRODUCTION PROCESS HAS BEEN FOUND. TERUMO MEDICAL PRODUCTS (TMP) (IMPORTER) REGISTRATION NO. 2243441 IS SUBMITTING THIS REPORT ON BEHALF OF TERUMO EUROPE N.V. (MANUFACTURER) REGISTRATION NO. 9681413.

Description of Event or Problem · 0

TERUMO RECEIVED THE FOLLOWING REPORTED INFORMATION: THE COMPLAINT AFFECTS FILTER NEEDLES CO-PACKED WITH VABYSMO. A DOCTOR, FROM THE SPANISH HOSPITAL, REPORTED TO OUR LOCAL APS DEPARTMENT THAT HE HAS CONCERNS ABOUT THE QUALITY OF VABYSMO PFS. THE DOCTOR REQUESTS ROCHE TO INVESTIGATE ANY POTENTIAL PRODUCT QUALITY DEFICIENCIES THAT MAY HAVE CONTRIBUTED TO THE ADVERSE EVENT. THE DOCTOR HAS NOT REPORTED ANY SPECIFIC PRODUCT QUALITY DEFICIENCY. THE PATIENT HAD VITRITIS, PANUVEITIS AND UVEITIS. THE PROCEDURE OUTCOME IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2057080 TERUMO INJECTION FILTER NEEDLE OPHTHALMIC NEEDLE QYM TERUMO EUROPE N.V NF-3013RBKE05M 2412011 05413206251223

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other SYRINGE (FOR PRODUCT VABYSMO).