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 |