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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MHC MEDICAL PRODUCTS, LLC EASYTOUCH; SYRINGE

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MHC MEDICAL PRODUCTS, LLC EASYTOUCH; SYRINGE Back to Search Results
Catalog Number 829155
Device Problems Product Quality Problem (1506); Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/29/2022
Event Type  malfunction  
Manufacturer Narrative
Retained lot number 56712a was inspected for the suction, plunger and needle stiffness and no malfunction was found during testing.
 
Event Description
End user reports that the insulin syringe cannula is bending when inserting into the skin.The end user also reported that the syringe plunger is easy to remove, more often so than in the past.
 
Manufacturer Narrative
Retained lot number 56712a was inspected for the suction, plunger and needle stiffness and no malfunction was found during testing.Cmo tested affected device on 2-22-2023, no malfunction found during returned product testing.
 
Event Description
End user reports that the insulin syringe cannula is bending when inserting into the skin.The end user also reported that the syringe plunger is easy to remove, more often so than in the past.
 
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Brand Name
EASYTOUCH
Type of Device
SYRINGE
Manufacturer (Section D)
MHC MEDICAL PRODUCTS, LLC
8695 seward road
fairfield OH 45011
Manufacturer (Section G)
MHC MEDICAL PRODUCTS, LLC
8695 seward road
fairfield OH 45011
Manufacturer Contact
troy smith
8695 seward road
fairfield, OH 45011
MDR Report Key16185827
MDR Text Key308349537
Report Number3005798905-2023-03092
Device Sequence Number1
Product Code FMF
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K102178
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Non-Healthcare Professional
Remedial Action Replace
Type of Report Initial,Followup
Report Date 01/17/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number829155
Device Lot Number56712A
Was Device Available for Evaluation? Device Returned to Manufacturer
Initial Date Manufacturer Received 12/29/2022
Initial Date FDA Received01/17/2023
Supplement Dates Manufacturer Received12/29/2022
Supplement Dates FDA Received02/23/2023
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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