FDA Adverse Event
Malfunction
Summary report: N
TANDEM X2 SLIM CONTROL IQ
MDR report key: 11093608
·
Received December 29, 2020
Report
- Report Number
- MW5098561
- Event Type
- Malfunction
- Date Received
- December 29, 2020
- Date of Event
- December 15, 2020
- Report Date
- December 25, 2020
- Manufacturer
- TANDEM DIABETES CARE, INC.
- Product Code
- QJI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I AM TYPE 1 DIABETIC WEAR TANDEM X2 SLIM CONTROL IQ PUMP, ON MY FLIGHT FORM (B)(6) TO (B)(6) PUMP STOPPED INSULIN DELIVERIES AND FLASHED ALTITUDE ERROR. ON THEIR WEBSITE THERE IS NO WARNING OR WHAT TO DO IF YOU FLY. CALLED UP TANDEM AND CAME TO KNOW BECAUSE OF PRESSURE THIS HAPPENED AND THE 6 SMALL HOLES IN THE BACK GOT BLOCKED. THEY SHOULD HAVE THIS WARNING IN RED AND HOW TO PREVENT IT FROM HAPPENING. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1549912 | TANDEM X2 SLIM CONTROL IQ | INTEROPERABLE AUTOMATED GLYCEMIC CONTROLLER | QJI | TANDEM DIABETES CARE, INC. | X2 SLIM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Other |