FDA Adverse Event Death Summary report: N

PARADIGM REAL-TIME INSULIN INFUSION PUMP MMT-722NAS

MDR report key: 10313438 · Received July 23, 2020

Report

Report Number
2032227-2020-151436
Event Type
Death
Date Received
July 23, 2020
Date of Event
July 16, 2020
Report Date
July 23, 2020
Manufacturer
MEDTRONIC MINIMED
Product Code
OYC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CURRENTLY IT IS UNKNOWN WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE THEREFORE CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR KNOWLEDGE.

Description of Event or Problem · 1

MEDTRONIC LEGAL RECEIVED INFORMATION REGARDING THE CUSTOMER¿S PASSING FROM THE SOCIAL MEDIA ACCOUNT OF THE ATTORNEY OF THE FAMILY. THE INFORMATION RECEIVED ON JULY 16, 2020 STATED THE FOLLOWING - REPORTER ALLEGES: THE CUSTOMER HAD PASSED AWAY A WHILE BACK AND THE ATTORNEY HAD FILED A COMPLAINT AGAINST MEDTRONIC SINCE THE CUSTOMER WAS USING A MEDTRONIC 722 INSULIN PUMP. THERE WAS ALSO A LINK TO A VIDEO THAT ALLEGED POSSIBLE VENT BLOCKAGE. NO FURTHER INFORMATION WAS PROVIDED AND THE CUSTOMER WAS NOT IDENTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
779329 PARADIGM REAL-TIME INSULIN INFUSION PUMP MMT-722NAS PUMP, INFUSION, INSULIN, TO BE USED WITH INVASIVE GLUCOSE SENSOR OYC MEDTRONIC MINIMED MMT-722NAS

Patients

Seq Age Sex Outcome Treatment
1 Death| O FRN-UNK-RSVR, UNOMED SET