| Brand Name | Monoject |
| Common Device Name | Needle, Hypodermic, Single Lumen |
| Manufacturer (Section D) |
| Cardinal Health, Inc. |
| 3651 birchwood drive |
| waukegan IL 60085 |
|
| Manufacturer (Section G) |
| Cardinal Health |
| 2010 east international speedw |
|
| deland FL 32724 |
|
| Manufacturer Contact |
|
jill
saraiva
|
| 3651 birchwood drive |
| waukegan, IL 60085
|
|
+1(508)316-3640
|
|
| MDR Report Key | 50567869 |
| Report Number | 1423537-2026-00275 |
| Device Sequence Number | 18620356 |
| Product Code |
FMI
|
| UDI-Device Identifier | 10884521007444 |
| UDI-Public | (01)10884521007444(10)25E301 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K854547 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/03/2026 |
| 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? |
Yes
|
| Device Model Number | 1188827112 |
| Device Catalogue Number | 1188827112 |
| Device Lot Number | 25E301 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/19/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/05/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 09/02/2026 |
| Supplement Report FDA Received Date | 09/03/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|