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