FDA Adverse Event
Injury
Summary report: N
INSET II
MDR report key: 24751548
·
Received April 1, 2026
Report
- Report Number
- 3003442380-2026-06471
- Event Type
- Injury
- Date Received
- April 1, 2026
- Date of Event
- January 7, 2026
- Report Date
- March 3, 2026
- Manufacturer
- UNOMEDICAL UM-D
- Product Code
- FPA
- UDI-DI
- 05705244018181
- PMA / PMN Number
- K032854
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
INITIAL AND FINAL (B)(4) - DEVICE 1 OF 2.
Description of Event or Problem · 0
REFRENCE NUMBER (B)(4). EVENT OCCURED IN UNITED STATES. IT WAS REPORTED THAT THE PATIENT FACED HIGH BLOOD GLUCOSE LEVEL AND MILD DIABETIC KETOACIDOSIS ON (B)(6) 2026, AS THE CUSTOMER STATED THAT HE USED OFF LEBELLED INSULIN WITH INFUSION SET. THE PATIENT WAS TREATED WITH CORRECTION INJECTION VIA MDI (MULTIPLE DAILY INJECTIONS). NO FURTHER INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 814914 | INSET II | UNO INSET II 60/9 GREY TCAP 10PK INT | FPA | UNOMEDICAL UM-D | 1002819 | 6016407 | 05705244018181 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Male | Required Intervention |