FDA Adverse Event
Injury
Summary report: N
OTHER ACCESSORIES
MDR report key: 25031490
·
Received April 29, 2026
Report
- Report Number
- 8021545-2026-05362
- Event Type
- Injury
- Date Received
- April 29, 2026
- Date of Event
- March 30, 2026
- Report Date
- April 2, 2026
- Manufacturer
- UNOMEDICAL DEVICES S.A DE C.V
- Product Code
- FPA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
NAME- ABBVIE INC STREET-1 NORTH WAUKEGAN ROAD CITY- NORTH CHICAGO STATE- IL ZIP CODE- 60064. 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
ITS WAS REPORTED THAT THE PATIENT FACED INFECTION AT INSERTION SITE ON (B)(6) 2026 AND WAS TREATED WITH ANTIBIOTICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1090171 | OTHER ACCESSORIES | Set, administration, intravascular | FPA | UNOMEDICAL DEVICES S.A DE C.V | INFUSION DEVICES - UNKNOWN ICD | 6010977 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |