FDA Adverse Event Other Summary report: N

NOVOPEN 1.5

MDR report key: 43075 · Received September 30, 1996

Report

Report Number
9681821-1996-00002
Event Type
Other
Date Received
September 30, 1996
Date of Event
September 6, 1906
Report Date
September 30, 1996
Manufacturer
NOVO NORDISK A/S
Product Code
KZE
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

OVERDOSE: A WOMAN REPORTED THAT SHE REC'D AN OVERDOSE OF INSULIN WITH HER FIRST INJECTION OF NOVOLIN N (RDNA) PENFILL INSULIN IN A 1.5 DEVICE. THE WOMAN FELT THAT THE DEVICE OVER DELIVERED THE DOSE OF INSULIN. SHE STATED THAT SHE WENT TO THE ER FOLLOWING THE INJECTION BUT SHE DID NOT REMEMBER EXPERIENCING ANY SYMPTOMS. THE WOMAN DENIED ANY LOSS OF CONSCIOUSNESS BUT REPORTED THAT THE WOMAN PRESENTED TO THE ER WITH THE COMPLAINT THAT SHE THOUGHT SHE ACCIDENTALLY REC'D 80 UNITS OF INSULIN WHEN SHE NORMALLY TAKES HALF THAT AMOUNT. SHE WAS ADMITTED FOR OBSERVATION AND OVER THE 24 HOUR HOURS THAT SHE WAS OBSERVED SHE HAD. NO SIGNIFICANT HYPOGLYCEMIA DEVELOPED. HE CONCLUDED THAT THERE WAS NO UNDUE HARM CAUSED TO THE WOMAN BY THE EVENT. THE WOMAN HAS NOT RETURNED THE DEVICE TO FOR EXAMINATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVOPEN 1.5 INSULIN DELIVERY DEVICE KZE NOVO NORDISK A/S NA NI

Patients

Seq Age Sex Outcome Treatment
1 71 YR Hospitalization CONCOMITANT DRUGS STRENGTH FROM TO BUMEX