BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI-JECT

    MDR report key: 54210 · Received December 3, 1996

    Report

    Report Number
    2182861-1996-00013
    Event Type
    Other
    Date Received
    December 3, 1996
    Date of Event
    November 17, 1996
    Report Date
    November 20, 1996
    Manufacturer
    MEDI-JECT CORP.
    Product Code
    KZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    USER STATES HAVING A BLOOD GLUCOSE LEVEL OF 600. HE WAS HOSPITALIZED 11/17/96 AND RELEASED ON 11/19/96.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-JECT C2 DME -NEEDLE-FREE DRUG DELIVERY DEVICE KZE MEDI-JECT CORP. 100430-001 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Hospitalization