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 |