MAUDE Adverse Event Report: UNOMEDICAL S.A. de C.V. Av Quick Set; Set, Administration, Intravascular

Model Number	MMT-396A
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Hyperglycemia (1905); Pain (1994); Skin Infection (4544)
Date of Event	08/28/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that the patient experienced skin infection and pain at the site of insertion due to hyperglycemia (260 mg/dl) event on (b)(6) 2026 and was treated with correction bolus via pump.
Additional Manufacturer Narrative
(b)(6) based on the available information, this event is deemed to be a serious injury.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.Fda registration number reporting site: 8021545 manufacturing site: 3003442380.

• Brand Name: Quick Set
• Common Device Name: Set, Administration, Intravascular
• Manufacturer (Section D): UNOMEDICAL S.A. de C.V. Av; industrial falcon lote 7; parque ind. del norte; reynosa 88736 ; MX 88736
• Manufacturer (Section G): UNOMEDICAL S.A. de C.V. Av; industrial falcon lote 7; parque ind. del norte; reynosa 88736 ; MX 88736
• Manufacturer Contact: armando cuello ; aaholmvej 1 - 3; osted; lejre 4320 ; DA 4320 ; +1(603)247-0255
• MDR Report Key: 50928573
• Report Number: 3003442380-2026-010962
• Device Sequence Number: 10722246
• Product Code: FPA
• UDI-Device Identifier: 05705244018082
• UDI-Public: 05705244018082
• Combination Product (Y/N): N
• Initial Reporter Country: SA
• PMA/510(K) Number: K160648
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Consumer
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 08/30/2026

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?: No
• Operator of Device: Lay User/Patient
• Device Model Number: MMT-396A
• Device Lot Number: 6018690
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/30/2026
• Initial Report FDA Received Date: 09/29/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 08/26/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown