FDA Adverse Event Injury Summary report: N

OTHER ACCESSORIES

MDR report key: 25091826 · Received May 6, 2026

Report

Report Number
8021545-2026-06067
Event Type
Injury
Date Received
May 6, 2026
Report Date
April 8, 2026
Manufacturer
UNOMEDICAL A/S
Product Code
FPA
PMA / PMN Number
UNKNOWN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

E1: 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

IT WAS REPORTED THAT PATIENT FACED NODULES AND TREATED WITH ORAL ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
419127 OTHER ACCESSORIES SET, ADMINISTRATION, INTRAVASCULAR FPA UNOMEDICAL A/S INFUSION DEVICES - UNKNOWN ICD 6015272

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown