FDA Adverse Event Injury Summary report: N

TANDEM T-SLIM X2 INSULIN PUMP WITH CONTROL IQ

MDR report key: 12583299 · Received October 5, 2021

Report

Report Number
MW5104410
Event Type
Injury
Date Received
October 5, 2021
Date of Event
October 1, 2021
Report Date
October 1, 2021
Manufacturer
TANDEM DIABETES CARE, INC.
Product Code
QJS
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

TANDEM T-SLIM X2 WITH CONTROL IQ GIVES UNANNOUNCED INSULIN BOLUSES. I AM NOT ALERTED TO THE BOLUS NOR AM AWARE IT IS "ON BOARD". THERE IS NO INDICATION FROM THE PUMP THAT IT HAS JUST ADMINISTERED INSULIN. IN MY CASE I DO NOT NEED THE AUTO-CORRECT BOLUS AND IT DRIVES MY BLOOD SUGAR LOW. SEE ATTACHED SCREENSHOT. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1472263 TANDEM T-SLIM X2 INSULIN PUMP WITH CONTROL IQ INTEROPERABLE AUTOMATED GLYCEMIC CONTROLLER QJS TANDEM DIABETES CARE, INC.

Patients

Seq Age Sex Outcome Treatment
1 55 YR