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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: UNOMEDICAL A/S INSET GUARD; UNO EWIS BLUE 60/6 HCAP 10PK INT

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UNOMEDICAL A/S INSET GUARD; UNO EWIS BLUE 60/6 HCAP 10PK INT Back to Search Results
Model Number MMT-431A
Medical Device Problem Code Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Code Hyperglycemia (1905)
Date of Event 02/24/2026
Type of Reportable Event Serious Injury
Event or Problem Description
Reference number (b)(4).Event occurred in the united kingdom.It was reported that the patient faced hyperglycemia due to insulin flow blocked on (b)(6) 2026.The blood glucose level was high and the patient was treated with pump and multiple daily injection.No further information available.
 
Additional Manufacturer Narrative
E1: patient city - (b)(6).Patient country - united kingdom.
 
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Brand Name
INSET GUARD
Common Device Name
UNO EWIS BLUE 60/6 HCAP 10PK INT
Manufacturer (Section D)
UNOMEDICAL A/S
aaholmvej 1 - 3
osted
lejre, 4320
DA  4320
Manufacturer Contact
aaholmvej 1 - 3
osted
lejre, 4320
MDR Report Key24740276
Report Number8021545-2026-02649
Device Sequence Number8859275
Product Code FPA
UDI-Device Identifier05705244022683
UDI-Public05705244022683
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K210544
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 03/01/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Lay User/Patient
Device Model NumberMMT-431A
Device Lot Number6003602
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/01/2026
Initial Report FDA Received Date03/31/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/01/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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