FDA Adverse Event Malfunction Summary report: N

INSET II

MDR report key: 25054523 · Received May 1, 2026

Report

Report Number
3003442380-2026-13372
Event Type
Malfunction
Date Received
May 1, 2026
Date of Event
April 4, 2026
Report Date
April 7, 2026
Manufacturer
UNOMEDICAL DEVICES S.A DE C.V
Product Code
FPA
PMA / PMN Number
K032854
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

E1: NAME: YPSOMED AG. STREET: WEISSENSTEINSTRASSE 26. CITY: SOLOTHURN. COUNTRY: SWITZERLAND. POSTAL CODE: CH-4503. 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: 3003442380.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A BENT CANNULA CAUSING AN OCCLUSION, WHICH LED TO HYPERGLYCEMIA ON (B)(6) 2026.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
115340 INSET II SET, ADMINISTRATION, INTRAVASCULAR FPA UNOMEDICAL DEVICES S.A DE C.V 86-060-52B6 6004937

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown