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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: UNOMEDICAL A/S Inset Guard; Set, Administration, Intravascular

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UNOMEDICAL A/S Inset Guard; Set, Administration, Intravascular Back to Search Results
Model Number MMT-243A
Medical Device Problem Codes Loss of or Failure to Bond (1068); Premature Separation (4045)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/29/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that patient experienced an event on (b)(6) 2026 in which infusion set was falling off due to sweat.
 
Additional Manufacturer Narrative
E1: name: medtronic minimed country: united states of america address ¿ line 1: 18000 devonshire street city: northridge state: ca zip code: 91325-1219 based on the available information, this event is deemed to be reportable malfunction.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: 8021545.
 
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Brand Name
Inset Guard
Common Device Name
Set, Administration, Intravascular
Manufacturer (Section D)
UNOMEDICAL A/S
aaholmvej 1 - 3
osted
lejre 4320
DA  4320
Manufacturer (Section G)
UNOMEDICAL A/S
aaholmvej 1 - 3
osted
lejre 4320
DA   4320
Manufacturer Contact
armando cuello
aaholmvej 1 - 3
osted
lejre 4320
DA   4320
+1(603)247-0255
MDR Report Key50949947
Report Number8021545-2026-0061717
Device Sequence Number21439897
Product Code FPA
UDI-Device Identifier05705244018907
UDI-Public05705244018907
Combination Product (Y/N)N
Initial Reporter CountryEG
PMA/510(K) Number
K173879
Number of Events Summarized1
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) 09/01/2026
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
Operator of Device Lay User/Patient
Device Model NumberMMT-243A
Device Lot Number6016011
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 09/01/2026
Initial Report FDA Received Date09/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/01/2025
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 Number1
Patient SexUnknown
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