FDA Adverse Event
Malfunction
Summary report: N
PEN NEEDLE 31G 5MM 3/16 UF
MDR report key: 24569806
·
Received March 11, 2026
Report
- Report Number
- MW5185077
- Event Type
- Malfunction
- Date Received
- March 11, 2026
- Report Date
- March 9, 2026
- Manufacturer
- EMBECTA MEDICAL II LLC.
- Product Code
- FMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PATIENT'S MOTHER REPORTED LEAKAGE WITH EMBECTA PEN NEEDLE. SHE WOULD BE RECEIVING A HUMATROPE PEN REPLACEMENT FROM MANUFACTURER. UNKNOWN IF MISSED DOSE OCCURRED. NO ADVERSE EVENT REPORTED. UNKNOWN IF AVAILABLE FOR RETURN. NO FURTHER INFORMATION PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 222782 | PEN NEEDLE 31G 5MM 3/16 UF | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | EMBECTA MEDICAL II LLC. | 5014088 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | HUMATROPE CART KIT. |