BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINIMED INFUSION PUMP

    MDR report key: 153536 · Received February 27, 1998

    Report

    Report Number
    2025512-1998-00018
    Event Type
    Malfunction
    Date Received
    February 27, 1998
    Date of Event
    January 10, 1998
    Report Date
    January 11, 1998
    Manufacturer
    MINIMED INC.
    Product Code
    LZG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PT HOSPITALIZED DKA. MOTHER ATTRIBUTED DKA TO BAD EATING HABITS. PT WAS HAVING DIFFICULTY MAINTAINING BLOOD GLUCOSES FOR A WEEK PRIOR TO HOSPITALIZATION BUT WAS NOT MENTIONED TO MOTHER UNTIL INCIDENT. BLOOD GLUCOSES HAVE BEEN STABILIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINIMED INFUSION PUMP INFUSION PUMP LZG MINIMED INC. MMT-507UC *

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Hospitalization