FDA Adverse Event Injury Summary report: N

CURAPLEX EPI-SAFE SYRINGE

MDR report key: 8208617 · Received December 31, 2018

Report

Report Number
MW5082738
Event Type
Injury
Date Received
December 31, 2018
Report Date
December 27, 2018
Manufacturer
SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC
Product Code
FMF
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE "EPI-SAFE KIT" IS A COMBINATION PRODUCT (DRUG+DEVICE) MANUFACTURED BY CURAPLEX (SARNOVA). THE PRODUCT APPEARS TO NOT BE REGISTERED AND USES A SYRINGE THAT IS NOT FDA APPROVED FOR DOSING CHILDREN, AND OFF-LABEL FOR DRUG INDUCED IN THE KIT (EPINEPHRINE). THE PRODUCT WAS RECALLED, HOWEVER THE MFR IS INSTRUCTING END-USERS TO "REFURBISH" THE KIT THEMSELVES AND TO "NOT RETURN" THE KITS OR DEVICES TO THE MFR. MOREOVER, THE MFR HAS MADE IT UNCLEAR AND COMPLICATED FOR PEOPLE TO RETURN THE PRODUCT (KIT), (B)(6). THIS MISCOMMUNICATION, AS WELL AS A LACK OF CLARITY REGARDING THE DANGER OF THIS PRODUCT (CAN BE GIVEN WRONG ROUTE AND IS THE WRONG DOSE FOR CHILDREN "OFF-LABEL"), HAS LED TO END-USERS HOLDING ON TO THESE KITS AND SAYING THERE IS NOTHING WRONG WITH THEM, THAT THE FDA IS IN ERROR AND THAT THEY SHOULD BE USED ON CHILDREN, EVEN MANDATING TO USE ON CHILDREN. (B)(6). THE MFR SHOULD MAKE THE EFFORT TO TAKE BACK THESE DANGEROUS MEDICAL DEVICES AND FAULTY KITS, TO MAKE SURE NO CHILDREN ARE HARMED BY THEIR OFF-LABEL USE. DOSE OR AMOUNT: 0.15 MG, FREQUENCY: PRN, ROUTE: INTRAVENOUS. DIAGNOSIS OR REASON FOR USE: ANAPHYLAXIS. IS THE PRODUCT COMPOUNDED? NO; IS THE PRODUCT OVER-THE-COUNTER? NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1044841 CURAPLEX EPI-SAFE SYRINGE SYRINGE PISTON FMF SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC 8600-01100
1044870 CURAPLEX EPI-SAFE SYRINGE SYRINGE PISTON FMF SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC 8600-01101
1044871 CURAPLEX EPI-SAFE SYRINGE SYRINGE PISTON FMF SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC 8600-01102
1044872 CURAPLEX EPI-SAFE SYRINGE SYRINGE PISTON FMF SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC 8600-01120
1044873 CURAPLEX EPI-SAFE SYRINGE SYRINGE PISTON FMF SARNOVA INC. / BOUND TREE MEDICAL, LLC / BEMS HOLDINGS, LLC 8600-01100

Patients

Seq Age Sex Outcome Treatment
1 4 YR Life Threatening