Reported Reactions

Devices › Syringe, piston

Device brand name · Insulin delivery device

Novopen 4: medical device reports filed with FDA

567 reports name it, 2009–2026. Manufacturer given most often on reports: Novo Nordisk A/S Medical Systems. Product code FMF.

567
device reports naming the brand
0% of all MAUDE reports · about 34 a year
67
reports, 12 months to August 2026
90 in the 12 months before
3.2%
classified as malfunction
88.5% across the product code
0.7%
classified as death, as reported
4 reports · not verified by FDA

FDA's MAUDE database holds 567 reports that name the brand "Novopen 4" (insulin delivery device), received between August 2009 and May 2026; the manufacturer given most often on reports is Novo Nordisk A/S Medical Systems. Spellings of one product vary from report to report.

67 reports arrived in the 12 months to August 2026, down 26% from 90 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (94.4%), malfunction (3.2%) and other (1.4%); across all syringe, piston reports (product code FMF) death is recorded in 0.1% and malfunction in 88.5%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are failure to deliver (26.6%), inaccurate delivery (26.5%) and defective component (15%). The patient problems coded most often are hyperglycemia, hypoglycemia and elevated ketones/ diabetic ketoacidosis. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

0917Sep 2021: 7Oct 2021: 3Nov 2021: 4Dec 2021: 72022Jan 2022: 3Feb 2022: 0Mar 2022: 9Apr 2022: 1May 2022: 2Jun 2022: 4Jul 2022: 5Aug 2022: 3Sep 2022: 5Oct 2022: 4Nov 2022: 2Dec 2022: 62023Jan 2023: 13Feb 2023: 5Mar 2023: 6Apr 2023: 9May 2023: 8Jun 2023: 4Jul 2023: 2Aug 2023: 11Sep 2023: 4Oct 2023: 2Nov 2023: 6Dec 2023: 112024Jan 2024: 7Feb 2024: 5Mar 2024: 2Apr 2024: 6May 2024: 6Jun 2024: 2Jul 2024: 10Aug 2024: 4Sep 2024: 6Oct 2024: 8Nov 2024: 7Dec 2024: 92025Jan 2025: 5Feb 2025: 5Mar 2025: 12Apr 2025: 10May 2025: 5Jun 2025: 8Jul 2025: 5Aug 2025: 10Sep 2025: 3Oct 2025: 10Nov 2025: 12Dec 2025: 172026Jan 2026: 2Feb 2026: 6Mar 2026: 4Apr 2026: 10May 2026: 3Jun 2026: 0Jul 2026: 0Aug 2026: 0

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

0511022009: 620092011: 72012: 1020122013: 222014: 1120142015: 162016: 2020162017: 132018: 3820182019: 422020: 2320202021: 352022: 4420222023: 812024: 7220242025: 1022026: 252026

Event type and report source

Event type, as classified on the report

Death0.7%4
Injury94.4%535
Malfunction3.2%18
Other1.4%8
Not given0.4%2

Who filed the report

Manufacturer report100%567
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 53,081 reports carrying product code FMF. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Failure to deliverthe device did not deliver the dose or item15126.6%3.6%
Inaccurate delivery15026.5%0.9%
Defective component8515%2.2%
Improper or incorrect procedure or method7613.4%0.6%
Mechanical jam7212.7%0.8%
Defective devicethe device was defective6711.8%1.7%
Breakthe device broke529.2%9.2%
Device operates differently than expectedthe device behaved unexpectedly407.1%1%
Device handling problem274.8%0.1%
Infusion or flow problema problem with flow or infusion234.1%0.5%
No flow152.6%0.2%
Leak/splashthe device leaked142.5%18%
Mechanical problema mechanical problem142.5%0.6%
Device difficult to setup or prepare111.9%0.1%
Detachment of device or device componentpart of the device came off101.8%1.2%
Excess flow or over-infusion81.4%0.3%
Labelling, instructions for use or training problem81.4%0.1%
Pressure problem81.4%0%
Failure to fire71.2%0%
Connection problema connection problem61.1%1.1%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Hyperglycemiahigh blood sugar39870.2%
Hypoglycemialow blood sugar11019.4%
Elevated ketones/ diabetic ketoacidosis6511.5%
Coma6010.6%
Loss of consciousnesspassing out122.1%
Administration site reaction81.4%
Dizzinesslight-headedness or unsteadiness71.2%
Injurya physical injury71.2%
Overdosea dose above the recommended amount71.2%
Speech disordera speech problem61.1%
Falla fall50.9%
Fatiguetiredness50.9%
Abnormal blood gases40.7%
Stroke/cva40.7%
Urinary tract infectionbladder or urinary infection40.7%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureNovopen 4Product code FMFAll MAUDE reports
Reports56753,08126,136,888
Share of that pool—1.1%0%
Classified as death, per 1,000 reports719
Classified as injury94.4%9.9%36.2%
Classified as malfunction3.2%88.5%62.3%
Filed by the manufacturer100%93.7%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code FMF

BrandReportsLatest 12 monthsClassified as death
Inpen Mmt-105nnblna Novo Nordisk Blue1,6201880.1%
Inpen Mmt-105elblna Eli Lily Blue1,2921680.1%
Inpen Mmt-105nnpkna Novo Nordisk Pink1,1422190.1%
Rsvr Mmt-326a 10pk Prdgm 1 8ml 13l1,10300.4%
Kit MMT-105NNBLW1 NovoNordisk Blue OUS11,0116550%
BD Luer-Lok1,0013330%
Inpen Mmt-105nngyna Novo Nordisk Gray9721430%
Unspecified Bd Syringe92600.1%
Bd Insulin Syringe With The Bd Ultra-Fine Needle86900%
Bd Ultra-Fine Insulin Syringe84900%
Inpen Mmt-105elpkna Eli Lily Pink8051230%
Inpen Mmt-105elgyna Eli Lily Gray736880%
Bd Luer-Lok Tip Syringe62400%
Bd Luer-Lok Syringe59500%
Rsvr Mmt-332a 10pk Prdgm 3cc 14l54000.7%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Novopen 4 reports

How many FDA reports name Novopen 4?

567 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 67 in the latest 12 months.

What kinds of events are reported?

injury (94.4%), malfunction (3.2%) and other (1.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to deliver (26.6%), inaccurate delivery (26.5%), defective component (15%), improper or incorrect procedure or method (13.4%) and mechanical jam (12.7%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Novopen 4 was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.