FDA Adverse Event Injury Summary report: N

NOVOFINE-32 DISP NEEDLES

MDR report key: 8518737 · Received April 15, 2019

Report

Report Number
MW5085886
Event Type
Injury
Date Received
April 15, 2019
Date of Event
February 26, 2019
Report Date
February 26, 2019
Manufacturer
NOVO NORDISK INC.
Product Code
FMI
UDI-DI
00169185189
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

PT'S MOTHER REPORTED PEN NDL 32G 15/64 IN (6MM) CAUSING INJECTION PAIN. DISCUSSED OPTIONS AND MOM WILL CONTACT DR FOR 4MM PEN NEEDLE RX SINCE WILL NEED RX DUE TO POSSIBLE COMPATIBILITY ISSUES AND SEND TO PHARMACY. CONTINUING MED UNTIL NEW NEEDLE RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306723 NOVOFINE-32 DISP NEEDLES NEEDLE, HYPODERMIC, SINGLE LUMEN FMI NOVO NORDISK INC. 00169185189

Patients

Seq Age Sex Outcome Treatment
1 16 YR