FDA Adverse Event Malfunction Summary report: N

EZ INJECT THREE PRONG NEEDLE

MDR report key: 24931401 · Received April 20, 2026

Report

Report Number
MW5187000
Event Type
Malfunction
Date Received
April 20, 2026
Date of Event
April 4, 2026
Report Date
April 15, 2026
Manufacturer
COSMOFRANCE
Product Code
GAA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

THE 3 NEEDLE DEVICE MALFUNCTIONED WHEN FILLED WITH PRF DURING A HAIR RESTORATION TREATMENT. WHEN NURSE WAS PUSHING THE BLOOD THROUGH INTO THE CROWN OF THE SCALP, THE NEEDLE CAME OFF AND PATIENTS PRF BLEW BACK IN NURSES FACE AND EYE. NEEDLE WAS A EZ INJECT THREE PRONG NEEDLE BY (B)(4). NEEDLE WAS PART OF LOT NUMBER 202506 WITH AN EXP DATE OF 2028-06.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
995012 EZ INJECT THREE PRONG NEEDLE NEEDLE, ASPIRATION AND INJECTION, DISPOSABLE GAA COSMOFRANCE EZ INJECT-05 202506

Patients

Seq Age Sex Outcome Treatment
1 NA Female