BEUDAMED
    FDA Adverse Event Death Summary report: N

    MINIMED, NOVOLOG INSULIN

    MDR report key: 1220916 · Received November 4, 2008

    Report

    Report Number
    MW5008877
    Event Type
    Death
    Date Received
    November 4, 2008
    Date of Event
    January 28, 2008
    Report Date
    November 4, 2008
    Manufacturer
    MEDTRONIC
    Product Code
    LZG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OVERDOSE OF NOVOLOG INSULIN WHILE USING MINIMED INSULIN PUMP. ROUTE: SQ. DIAGNOSIS OR REASON FOR USE: DIABETES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINIMED, NOVOLOG INSULIN INSULIN PUMP 508, 100 UNITS/ML LZG MEDTRONIC 508

    Patients

    Seq Age Sex Outcome Treatment
    1 Death