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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: FEEL TECH BIO CO., LTD. EASYTOUCH; SYRINGES

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FEEL TECH BIO CO., LTD. EASYTOUCH; SYRINGES Back to Search Results
Catalog Number 831365
Device Problems Product Quality Problem (1506); Dull, Blunt (2407); Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/04/2023
Event Type  malfunction  
Event Description
End user reports that the syringes 831365 lot 59363c are almost too dull to penetrate the novalog insulin vial prior to use.
 
Manufacturer Narrative
Initial trend analysis for lot 59363c was conducted, no malfunctions were found.This is the only complaint for lot 59363c.Further investigation will be conducted to determine the root cause of complaint.
 
Manufacturer Narrative
Cmo inspected retained lot 59363c for needle sharpness, no abnormalities were found during testing.
 
Event Description
End user reports that the syringes 831365 lot 59363c are almost too dull to penetrate the novalog insulin vial prior to use.
 
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Brand Name
EASYTOUCH
Type of Device
SYRINGES
Manufacturer (Section D)
FEEL TECH BIO CO., LTD.
1079-20, charyeongggogae-ro
gwangdeok-myeon, chungcheongnamdo 31223
KS  31223
Manufacturer (Section G)
FEEL TECH BIO CO., LTD.
1079-20, charyeongggogae-ro
gwangdeok-myeon, chungcheongnamdo 31223
KS   31223
Manufacturer Contact
troy smith
8695 seward road
fairfield, OH 45011
MDR Report Key17471905
MDR Text Key320780747
Report Number3005798905-2023-03131
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 08/07/2023
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 Number831365
Device Lot Number59363C
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/04/2023
Initial Date FDA Received08/07/2023
Supplement Dates Manufacturer Received08/04/2023
Supplement Dates FDA Received09/27/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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