FDA Adverse Event Malfunction Summary report: N

OTHER ACCESSORIES

MDR report key: 24787195 · Received April 6, 2026

Report

Report Number
8021545-2026-89630
Event Type
Malfunction
Date Received
April 6, 2026
Date of Event
January 3, 2026
Report Date
March 6, 2026
Manufacturer
ABBVIE INC
Product Code
FPA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A REPORTABLE MALFUNCTION. TO DATE NO ADDITIONAL INFORMATION HAS BEEN RECEIVED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. FDA REGISTRATION NUMBER: REPORTING SITE: 8021545. MANUFACTURING SITE: 8021545.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT FACED CANNULA ACCIDENTALLY PULLED OUT THE CANNULA EVENT ON (B)(6) 2026.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
850815 OTHER ACCESSORIES Set, administration, intravascular FPA ABBVIE INC INFUSION DEVICES - UNKNOWN ICD 6013589

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown