FDA Adverse Event
Injury
Summary report: N
PEN NDL 30G 5/16 IN (8MM) SC
MDR report key: 8560644
·
Received April 26, 2019
Report
- Report Number
- MW5086242
- Event Type
- Injury
- Date Received
- April 26, 2019
- Date of Event
- April 22, 2019
- Report Date
- April 22, 2019
- Manufacturer
- ALLISON MEDICAL, INC.
- Product Code
- FMI
- UDI-DI
- 86227011155
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
PT RECEIVED A NEW BRAND OF NEEDLES. NOW INJECTING NUTROPIN IS PAINFUL AND RESULTS IN A "BUBBLE" BELOW THE SKIN. INJECTION TECHNIQUE IS APPROPRIATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 351500 | PEN NDL 30G 5/16 IN (8MM) SC | NEEDLE, HYPODERMIC | FMI | ALLISON MEDICAL, INC. | 86227011155 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 14 YR |