FDA Adverse Event
Malfunction
Summary report: N
INSET II
MDR report key: 24934740
·
Received April 21, 2026
Report
- Report Number
- 3003442380-2026-08270
- Event Type
- Malfunction
- Date Received
- April 21, 2026
- Date of Event
- March 25, 2026
- Report Date
- March 26, 2026
- Manufacturer
- UNOMEDICAL DEVICES S.A DE C.V
- Product Code
- FPA
- PMA / PMN Number
- K032854
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
MDR 3003442380-2026-08270 / 1 OF 2. NAME: YPSOMED AG, COUNTRY: SWITZERLAND, STREET: WEISSENSTEINSTRASSE 26, CITY: SOLOTHURN, ZIP CODE: 92121. 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: 3003442380.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN EVENT IN WHICH 10 SETS FELL OFF IMMEDIATELY UPON INSERTION ON 25 MAR 2026.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 235107 | INSET II | SET, ADMINISTRATION, INTRAVASCULAR | FPA | UNOMEDICAL DEVICES S.A DE C.V | 86-060-52B6 | 6014401 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |