BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANIMAS INSULIN INFUSION PUMP

    MDR report key: 1070922 · Received July 7, 2008

    Report

    Report Number
    2531779-2008-00372
    Event Type
    Injury
    Date Received
    July 7, 2008
    Date of Event
    June 2, 2008
    Report Date
    June 3, 2008
    Manufacturer
    ANIMAS CORP
    Product Code
    LZG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE PUMP HAS NOT BEEN RETURNED TO ANIMAS FOR EVAL. ANIMAS HAS CONDUCTED A REVIEW OF THE DEVICE HISTORY RECORD FOR THIS PUMP AND IT WAS OPERATING WITHIN SPECS AT THE TIME OF RELEASE. THE PT REPORTED THAT HE HAD SUSPENDED PUMP INSULIN DELIVERY IN PREPARATION FOR A FASTING BLOOD GLUCOSE TEST. THE PT STATED THAT HE WAS UNAWARE THAT INSULIN DELIVERY SHOULD NOT BE SUSPENDED FOR THIS TYPE OF TEST. THE PT HAS CONTINUED TO USE THE PUMP WITH NO REPORTED SUBSEQUENT EVENTS. IF THE DEVICE IS RETURNED, AN EVAL SHALL BE COMPLETED AND A SUPPLEMENTAL REPORT WILL BE FILED.

    Description of Event or Problem · 1

    THE PT WAS HOSPITALIZED FOR ELEVATED BLOOD GLUCOSE LEVELS AND DKA. THE PT REPORTED THAT HE HAD SUSPENDED PUMP INSULIN DELIVERY AS HE WAS UNDERGOING A FASTING BLOOD GLUCOSE TEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANIMAS INSULIN INFUSION PUMP INSULIN INFUSION PUMP LZG ANIMAS CORP ANIMAS 2020

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization