FDA Adverse Event Injury Summary report: N

NOVOFINE PLS MIS 32GX4MM

MDR report key: 9967602 · Received April 15, 2020

Report

Report Number
MW5094164
Event Type
Injury
Date Received
April 15, 2020
Date of Event
April 14, 2020
Report Date
April 14, 2020
Manufacturer
NOVO NORDISK INC.
Product Code
FMI
UDI-DI
00169185550
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
KS, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

PT RECEIVED A BOX OF PEN NEEDLES WITH THE DIRECTIONS TO USE WITH NORDITROPIN INSTEAD OF STATING TO USE WITH NUTROPIN AS IT SHOULD HAVE. NO EVIDENCE TO SHOW THAT THIS CAUSED ANY INTERRUPTION IN THERAPY OR PROBLEMS. DATES OF USE: (B)(6) 2019 TO PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
429668 NOVOFINE PLS MIS 32GX4MM NEEDLE, HYPODERMIC, SINGLE LUMEN FMI NOVO NORDISK INC. 00169185550

Patients

Seq Age Sex Outcome Treatment
1 15 YR