BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI-JECTOR

    MDR report key: 294478 · Received August 31, 2000

    Report

    Report Number
    2182861-2000-00006
    Event Type
    Other
    Date Received
    August 31, 2000
    Date of Event
    August 27, 2000
    Report Date
    August 28, 2000
    Manufacturer
    MEDI-JECT CORP.
    Product Code
    KZE
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT WAS HOSPITALIZED ON 8/27/00 WITH BLOOD SUGAR OF 700. PT HAD BEEN TAKING ONE ORAL PILL FOR DIABETES AND ALSO USING A MEDI-JECTOR MJ6 NEEDLE-FREE INJECTOR WITH A COMBINATION OF LILLY HUMULIN N AND R.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-JECTOR NEEDLE-FREE INSULIN INJECTION SYSTEM KZE MEDI-JECT CORP. 100425-001 *

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization