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 |