BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OTHER ACCESSORIES

    MDR report key: 25054040 · Received May 1, 2026

    Report

    Report Number
    8021545-2026-05548
    Event Type
    Malfunction
    Date Received
    May 1, 2026
    Report Date
    April 2, 2026
    Manufacturer
    UNOMEDICAL A/S
    Product Code
    FPA
    PMA / PMN Number
    UNKNOWN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    NAME: ABBVIE INC. ADDRESS ¿ 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 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: 8021545.

    Description of Event or Problem · 0

    THE PATIENT EXPERIENCED A LEAKAGE PROBLEM, WITH INSULIN LEAKING FROM UNDERNEATH THE ADHESIVE PATCH. NO FURTHER INFORMATION AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    115316 OTHER ACCESSORIES Set, administration, intravascular FPA UNOMEDICAL A/S INFUSION DEVICES - UNKNOWN ICD 6013582

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown