FDA Adverse Event
Malfunction
Summary report: N
INNOVATIVE MEDICAL TECHNOLOGIES INC.
MDR report key: 25048273
·
Received April 30, 2026
Report
- Report Number
- 3001451226-2026-00001
- Event Type
- Malfunction
- Date Received
- April 30, 2026
- Date of Event
- March 20, 2026
- Report Date
- April 30, 2026
- Manufacturer
- INNOVATIVE MEDICAL TECHNOLOGIES
- Product Code
- JKA
- UDI-DI
- 00857182006487
- PMA / PMN Number
- K220458
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
COULD NOT REPRODUCE PROBLEM DURING TESTING.
Description of Event or Problem · 0
BUTTERFLY NEEDLE DID NOT RETRACT FULLY INTO THE SHEATH WHEN BUTTON WAS PUSHED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190745 | INNOVATIVE MEDICAL TECHNOLOGIES INC. | PUSH BUTTON BLOOD COLLECTION SET | JKA | INNOVATIVE MEDICAL TECHNOLOGIES | 250402M | 00857182006487 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |