FDA Adverse Event Malfunction Summary report: N

SOL-M

MDR report key: 24980013 · Received April 24, 2026

Report

Report Number
3014312726-2026-00032
Event Type
Malfunction
Date Received
April 24, 2026
Date of Event
April 1, 2026
Report Date
April 23, 2026
Manufacturer
SOL-MILLENNIUM MEDICAL INC
Product Code
FMF
UDI-DI
00810018095161
PMA / PMN Number
K101359
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE IS NO EVIDENCE OF QUALITY ISSUES ASSOCIATED WITH THIS COMPLAINT BASED ON THE ARCHIVE SAMPLE ANALYSIS. AS PART OF OUR CONTINUOUS PROCESS IMPROVEMENT PLAN, A RANDOM SAMPLING STRATEGY WAS REINFORCED FOR 27 IDENTIFIED BATCH NUMBERS OF SYRINGE IN BULK STERILE, AND THE FINAL PRODUCT INSPECTION WAS UPGRADED. THE INSPECTION INVOLVED (B)(4) SAMPLES PER LOT (TOTAL (B)(4) PCS) AND CONFIRMED FULL COMPLIANCE WITH PRODUCT SPECIFICATIONS, WITH NO CRACKED SYRINGES DETECTED. BASED ON THE DETERMINED RISK PRIORITY NUMBER, THE RESIDUAL RISK RELATED TO THE COMPLAINT IS CONSIDERED ACCEPTABLE. SOL MILLENNIUM CONTINUES TO MONITOR THIS KIND OF ISSUE. ADDITIONAL ASSESSMENT WILL BE TAKEN IF A SIGNIFICANT PATTERN EMERGES.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT THE 10 ML SYRINGE FROM THE NASAL PACK CRACKED WHEN THE SURGEON WENT TO USE IT (MINIMAL PRESSURE APPLIED).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
381439 SOL-M SOL-M 10ML LUER LOCK SYRINGE W/O NEEDLE FMF SOL-MILLENNIUM MEDICAL INC P180010BS 04505010 00810018095161

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown