BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC MINIMED

    MDR report key: 1040908 · Received May 13, 2008

    Report

    Report Number
    MW5006825
    Event Type
    Other
    Date Received
    May 13, 2008
    Date of Event
    May 10, 2008
    Report Date
    May 13, 2008
    Manufacturer
    MEDTRONIC
    Product Code
    LZG
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT REPORTS THAT THE CATHETER KINKS AND HER PUMP WILL NOT DELIVER ANY MEDICATION WHEN THIS HAPPENS. THE PUMP WILL NOT ALARM UNLESS THERE IS LESS THAN 10U OF INSULIN IS MISSED. THIS CAUSES A PROBLEM BECAUSE HER INSURANCE COMPANY DOES NOT ALLOW MORE THAN 4 BG STICKS PER DOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC MINIMED NONE LZG MEDTRONIC 508

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR