FDA Adverse Event
Injury
Summary report: N
INSET GUARD
MDR report key: 24656826
·
Received March 21, 2026
Report
- Report Number
- 8021545-2026-02022
- Event Type
- Injury
- Date Received
- March 21, 2026
- Date of Event
- February 18, 2026
- Report Date
- February 20, 2026
- Manufacturer
- UNOMEDICAL A/S
- Product Code
- FPA
- UDI-DI
- 05705244022683
- PMA / PMN Number
- K210544
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
E1: PATIENT CITY: (B)(6) PATIENT COUNTRY: SAN MARINO REQUEST WAS PERFORMED FOR ADDITIONAL INFORMATION INCLUDING LOT NUMBER; HOWEVER, LOT NUMBER WAS NOT PROVIDED. A COMPLAINT INVESTIGATION WAS INITIATED UNDER COMPLAINT INVESTIGATION. UNFORTUNATELY, NO SPECIFIC LOT NUMBER WAS IDENTIFIED, WHICH LIMITS THE ABILITY TO TRACE OR ANALYZE A PARTICULAR ITEM. INVESTIGATION IN PROGRESS.
Description of Event or Problem · 0
REFERENCE NUMBER (B)(4). EVENT OCCURRED IN SAN MARINO IT WAS REPORTED THAT THE PATIENT EXPERIENCED HYPOGLYCEMIA ON (B)(6)2026 AFTER ADMINISTERING A BOLUS 15 MINUTES PRIOR TO THE MEAL AND WAS TREATED WITH 5 SACHETS OF SUGAR. NO FURTHER INFORMATION AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 717835 | INSET GUARD | UNO EWIS BLUE 60/6 HCAP 10PK INT | FPA | UNOMEDICAL A/S | MMT-431A | UNKNOWN | 05705244022683 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |