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 |