FDA Adverse Event Malfunction Summary report: N

UNOLOK

MDR report key: 5426938 · Received February 10, 2016

Report

Report Number
8040227-2015-00005
Event Type
Malfunction
Date Received
February 10, 2016
Date of Event
September 1, 2015
Report Date
May 4, 2020
Manufacturer
HINDUSTAN SYTINGES & MEDICAL DEVICES LTD. (HMD)
Product Code
FMI
PMA / PMN Number
K945225
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

FRAGMENTATION TESTING OF THE UNOLOK BLUNT FILL NEEDLE PER ISO (B)(4) WAS CONDUCTED BY THE FACTORY IN AN ATTEMPT TO RECREATE THE CORING FAILURE MODE OF THE SUSPECT BATCH WITH RETAIN SAMPLES FROM BATCH# 17531D, AND COMPETITOR BD SAMPLES (BATCH# 4242782). THE BD PRODUCT IS ALSO USED BY THE COMPLAINANT AND IS CONSIDERED THE SUBSTANTIAL EQUIVALENT. 25 SAMPLES OF EACH NEEDLE BRAND WERE TESTED. TEST RESULTS INDICATED THERE WAS NO CORING (FRAGMENTATION) OF THE RUBBER CLOSURE BY EITHER BRAND WHEN THE BLUNT FILL NEEDLE ARE TESTED PER ISO (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED BY THE CUSTOMER THAT THREE (3) DIFFERENT USERS EXPERIENCED CORING WHEN USING THE UNOLOK (BLUNT FILL) NEEDLE. THE CUSTOMER HAD RECENTLY SWITCHED FROM ANOTHER BRAND AND DID NOT EXPERIENCE CORING WITH THE OTHER BRAND. THE CUSTOMER STATES THEY DID HOT CHANGE THEIR PROTOCOL WHEN IMPLEMENTING THE NEEDLE CHANGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
87025 UNOLOK BLUNT FILL NEEDLE FMI HINDUSTAN SYTINGES & MEDICAL DEVICES LTD. (HMD) 17531D

Patients

Seq Age Sex Outcome Treatment
1 Unknown