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 |