FDA Adverse Event
Injury
Summary report: N
QUICK SET
MDR report key: 24786804
·
Received April 5, 2026
Report
- Report Number
- 3003442380-2026-88598
- Event Type
- Injury
- Date Received
- April 5, 2026
- Date of Event
- March 4, 2026
- Report Date
- April 21, 2026
- Manufacturer
- UNOMEDICAL UM-D
- Product Code
- FPA
- UDI-DI
- 05705244017450
- PMA / PMN Number
- K160648
- 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: PORTUGAL.
Description of Event or Problem · 0
REFERENCE NUMBER (B)(4). EVENT OCCURED IN PORTUGAL. IT WAS REPORTED THAT THE PATIENT FACED HIGH BLOOD GLUCOSE LEVEL, DIABETIC KETOACIDOSIS EVENT AND EVENTUALLY GOT HOSPITALIZED ON (B)(6) 2026. THE BLOOD GLUCOSE LEVEL WAS 450 MG/DL AND THE PATIENT WAS TREATED WITH INTRAVENOUS INSULIN DRIP. NO FURTHER INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 848101 | QUICK SET | UNO QUICK-SET 60/6 SC1 MECA | FPA | UNOMEDICAL UM-D | MMT-399A | 6014722 | 05705244017450 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization |