FDA Adverse Event Injury Summary report: N

CONTACT DETACH

MDR report key: 24624871 · Received March 18, 2026

Report

Report Number
3003442380-2026-02337
Event Type
Injury
Date Received
March 18, 2026
Date of Event
February 23, 2026
Report Date
April 28, 2026
Manufacturer
UNOMEDICAL UM-D
Product Code
FPA
UDI-DI
05705244019317
PMA / PMN Number
K041545
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

(B)(6).

Description of Event or Problem · 0

REFERENCE NUMBER (B)(4). EVENT OCCURRED IN PORTUGAL. IT WAS REPORTED THAT THE PATIENT WENT TO THE EMERGENCY ROOM AND WAS HOSPITALIZED ON (B)(6) 2026 DUE TO HIGH BLOOD GLUCOSE AND HIGH KETONE LEVELS. THE NURSE PROVIDED ASSISTANCE AND TREATMENT WAS GIVEN BY PEN INJECTION. THE HOSPITALIZATION LASTED LESS THAN 24 HOURS. THE KETONE VALUE WAS 3.8 MMOL/L. NO FURTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
299289 CONTACT DETACH UNO CONTACT DETACH G29 60/6 SC1 MIMX FPA UNOMEDICAL UM-D MMT-864A 6016495 05705244019317

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention