FDA Adverse Event Malfunction Summary report: N

T:SLIM X2 INSULIN PUMP

MDR report key: 15406969 · Received September 12, 2022

Report

Report Number
3013756811-2022-96299
Event Type
Malfunction
Date Received
September 12, 2022
Date of Event
August 16, 2022
Report Date
August 16, 2022
Manufacturer
TANDEM DIABETES CARE
Product Code
OYC
PMA / PMN Number
P140015
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

NO PRODUCT WAS RETURNED FOR EVALUATION. SHOULD NEW RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PUMP INDICATED A DATA LOG CORRUPTION. CUSTOMER'S BLOOD GLUCOSE LEVEL WAS 183-184 MG/DL. REPORTEDLY, CUSTOMER CONTINUED USING PUMP FOR INSULIN THERAPY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1952154 T:SLIM X2 INSULIN PUMP PUMP, INFUSION, INSULIN, TO BE USED WITH INVASIVE GLUCOSE SENSOR OYC TANDEM DIABETES CARE 1002717

Patients

Seq Age Sex Outcome Treatment
1 Unknown