FDA Adverse Event
Injury
Summary report: N
INSET GUARD
MDR report key: 24843449
·
Received April 10, 2026
Report
- Report Number
- 8021545-2026-88526
- Event Type
- Injury
- Date Received
- April 10, 2026
- Date of Event
- March 10, 2026
- Report Date
- March 12, 2026
- Manufacturer
- UNOMEDICAL A/S
- Product Code
- FPA
- UDI-DI
- 05705244022683
- PMA / PMN Number
- K210544
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
E1: EVENT CITY: (B)(6) EVENT COUNTRY: IRELAND NAME: MEDTRONIC MINIMED COUNTRY: (B)(6) STREET: (B)(6) CITY: (B)(6) STATE: (B)(6) ZIP CODE: (B)(6) BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED TO BE A SERIOUS INJURY. 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 THE PATIENT HAD HYPERGLYCEMIA AND TREATED WITH INSULIN PEN INJECTIONS ON (B)(6) 2026.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 904310 | INSET GUARD | SET, ADMINISTRATION, INTRAVASCULAR | FPA | UNOMEDICAL A/S | MMT-431A | 6009113 | 05705244022683 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |