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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MERCK SHARP & DOHME CORP. WILSON DULERA INHALER (DEVICE); NASAL SPRAY, ENT DELIVERY (KCO)

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MERCK SHARP & DOHME CORP. WILSON DULERA INHALER (DEVICE); NASAL SPRAY, ENT DELIVERY (KCO) Back to Search Results
Lot Number W022923
Device Problems Mechanical Jam (2983); Activation Failure (3270)
Patient Problem Asthma (1726)
Event Type  malfunction  
Event Description
Nothing comes out when pressing on the pump.Counter stuck on 120.[device malfunction].Nothing comes out when pressing on the pump.Counter stuck on 120.[poor quality device used].Patient missed her dose [product dose omission issue].Case narrative: this spontaneous report was received via dpoc from a pharmacist referring to a 53-year-old female patient.The patient's medical history, concurrent conditions, concomitant medications, and drug reactions/allergies were not reported.On (b)(6) 2022, the patient started therapy with mometasone furoate (+) formoterol fumarate (zenhale) strength 200 micrograms (mcg) (dose, frequency, and route not reported; lot # w022923, and expiration date reported as 06-sep-2023 for asthma.On (b)(6) 2022, while using the inhaler, it was reported that nothing came out when pressing on the pump and the counter stuck on 120 (device malfunction; poor quality device used) and the patient missed her dose (product dose omission issue).The format was 120 doses on the inhaler.The unit did not ever spray from the first use.The dust cap was removed and primed before spraying and there was not anything blocking the mouthpiece.The unit did not spray from when it was first received, and the counter was not counting down with each dose.It had not been more than 5 days since the unit was last used.The counter was currently showing 120 doses.The inhaler was available for return.Additional information is not expected.
 
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Brand Name
DULERA INHALER (DEVICE)
Type of Device
NASAL SPRAY, ENT DELIVERY (KCO)
Manufacturer (Section D)
MERCK SHARP & DOHME CORP. WILSON
4633 merck road
wilson NC 27893
Manufacturer (Section G)
ORGANON & CO.
30 hudson street
jersey city NJ 07302
Manufacturer Contact
30 hudson street
jersey city, NJ 07302
MDR Report Key16059802
MDR Text Key308241663
Report Number1036761-2022-00009
Device Sequence Number1
Product Code KCO
Combination Product (y/n)Y
Reporter Country CodeCA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Pharmacist
Type of Report Initial
Report Date 12/28/2022
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? Yes
Device Operator Lay User/Patient
Device Expiration Date09/06/2023
Device Lot NumberW022923
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received12/28/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Age53 YR
Patient SexFemale
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