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U.S. Department of Health and Human Services

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

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MHC MEDICAL PRODUCTS, LLC EASYTOUCH; INSULIN SYRINGE Back to Search Results
Catalog Number 831565
Device Problem Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/16/2020
Event Type  malfunction  
Manufacturer Narrative
Trend analysis was conducted to determine whether or not there were historical complaints or recent trends that show issues where packaging dye was rubbing off.There were no identifiable trends when investigated for lots 51206 or 51146.Retained lot testing was next conducted to try and trace the issue, however, none of the retained lots experience issues where the dye would rub off.And experiment was carried out to determine what might cause the packaging to fade or rub off.The end-user reported they stored their syringes in the kitchen.Packaging was tested in an environment of higher temperature, oil, and water to see if packaging would discolor or rub off.The high temperature, oil, and water did not cause any fading, however, alcohol did cause the packaging to fade.The storage location of the device is believed to be the cause the dye rubbing/fading off.
 
Event Description
End-user reported that their dye is rubbing off of the product packaging for their insulin syringes.
 
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Brand Name
EASYTOUCH
Type of Device
INSULIN 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 Key11597389
MDR Text Key246472631
Report Number3005798905-2021-02994
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 Other Health Care Professional
Remedial Action Replace
Type of Report Initial
Report Date 03/30/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/31/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue Number831565
Device Lot Number51206, 51146
Is the Reporter a Health Professional? Yes
Date Manufacturer Received09/16/2020
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
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