FDA Adverse Event Injury Summary report: N

NOVOFINE (32G)

MDR report key: 3800298 · Received May 2, 2014

Report

Report Number
9681821-2014-00017
Event Type
Injury
Date Received
May 2, 2014
Date of Event
April 3, 2014
Report Date
April 4, 2014
Manufacturer
NOVO NORDISK A/S
Product Code
FMI
PMA / PMN Number
K062500
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

NEEDLE STUCK IN ABDOMEN [NEEDLE ISSUE]. CASE DESCRIPTION: DOES THE INCIDENT REPRESENT A SERIOUS PUBLIC HEALTH THREAT? NO. THIS SERIOUS SPONTANEOUS CASE FROM THE UNITED STATES WAS REPORTED BY A CONSUMER AS "NEEDLE STUCK IN ABDOMEN" BEGINNING ON (B)(6) 2014, AND CONCERNED A (B)(6)-YEAR-OLD FEMALE PT USING NOVOFINE 32G NEEDLE FROM AN UNK DATE "MANY YEARS AGO" AND ONGOING, DUE TO TYPE 1 DIABETES MELLITUS. PT'S HEIGHT: 160 CM. PT'S WEIGHT: 81 KG. MEDICAL HISTORY INCLUDES TYPE 1 DIABETES MELLITUS FROM 1977 AND HYPERTHYROIDISM. THE PT HAD A PAST HISTORY OF CELLULITIS. A PT REPORTED THAT SHE WAS USING NOVOFINE 32G NEEDLES WITH SYMLINPEN (PRAMLINTIDE) AND THE NOVOFINE NEEDLE GOT STUCK IN HER ABDOMEN ON (B)(6) 2014. AT THE TIME OF THE INITIAL REPORT, THE PT STATED THAT SHE HAD AN APPOINTMENT WITH HER PHYSICIAN WHO WOULD REMOVE THE NEEDLE FROM HER ABDOMEN LATER THAT DAY. THE OUTCOME FOR THE EVENT WAS REPORTED AS NOT RECOVERED. THE NEEDLES WILL NOT BE RETURNED AS THE PT WAS STILL USING THEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
264244 NOVOFINE (32G) NEEDLE FMI NOVO NORDISK A/S NA UNK

Patients

Seq Age Sex Outcome Treatment
1 40 YR Other SYMLINPEN (PRAMLINTIDE ACETATE)