FDA Adverse Event Malfunction Summary report: N

CARELINK CONNECT APP ANDROID

MDR report key: 18092430 · Received November 8, 2023

Report

Report Number
2032227-2023-299736
Event Type
Malfunction
Date Received
November 8, 2023
Date of Event
October 20, 2023
Report Date
September 10, 2024
Manufacturer
MEDTRONIC MINIMED
Product Code
PKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KZ
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

AN ATTEMPT TO REPRODUCE THE REPORTED EVENT USING THE CP APP WITH 3.2.0 INSTALLED ON SAMSUNG GALAXY S10 E(V12.0), APP VERSION 3.2 WITH MMT-1885A PUMP (SOFTWARE VERSION 6.7W) WAS CONDUCTED AND THE ISSUE WAS REPRODUCED. WE HAVE OBSERVED THAT THE BASAL RATE IS 0.000 U/HR ON THE PATIENT GRAPH SCREEN. THE SOFTWARE FAILED TO MEET THE SPECIFIED REQUIREMENTS AND PERFORMANCE EXPECTATIONS, (SRS DOC: 3205046): 3212639,3258183 AGILE DOCS: 10948256DOC. WE INVESTIGATED ISSUE AND FOUND THAT THE ROOT CAUSE STEMS FROM THE CODE RESPONSIBLE FOR CONCEALING THE BASAL RATE DURING AUTO MODE IS NOT FUNCTIONING FOLLOWING THE TRANSITION TO UDM. WHILE THE SAME DEFAULT VALUES (0.000 RATE AND BASAL PATTERN 1) ARE TRANSMITTED TO CL AND CP IN AUTO MODE. THIS ISSUE DOESN'T APPEAR IN PRIOR EDITIONS OF CP, DESPITE THE FACT THAT THE CODE HAS NOT BEEN ALTERED. THE ESF NUMBER THAT CORRESPONDS TO THE REPORTED ISSUE IS 4972556. CURRENTLY THERE IS NO WORK AROUND FOR BASAL RATE ISSUE. THE ISSUE WILL BE RESOLVED IN THE UPCOMING CARELINK RELEASE/S. AFC: SOFTWARE ANOMALY - FA21AF . MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

CURRENTLY IT IS UNKNOWN WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE THEREFORE CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR KNOWLEDGE. SELECT PATIENT INFORMATION CANNOT BE PROVIDED DUE TO REGIONAL PRIVACY REGULATIONS. MEDTRONIC, INC. (MEDTRONIC) IS SUBMITTING THIS REPORT TO COMPLY WITH 21 C.F.R. PART 803, THE MEDICAL DEVICE REPORTING REGULATION. THIS REPORT IS BASED UPON INFORMATION OBTAINED BY MEDTRONIC, WHICH THE COMPANY MAY NOT HAVE BEEN ABLE TO FULLY INVESTIGATE OR VERIFY PRIOR TO THE DATE THE REPORT WAS REQUIRED BY THE FDA. MEDTRONIC HAS MADE REASONABLE EFFORTS TO OBTAIN MORE COMPLETE INFORMATION IN THE TIME ALLOTTED AND HAS PROVIDED AS MUCH INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. IN PARTICULAR, THIS REPORT DOES NOT CONSTITUTE AN ADMISSION BY ANYONE THAT THE PRODUCT DESCRIBED IN THIS REPORT HAS ANY "DEFECTS" OR HAS "MALFUNCTIONED". THESE WORDS ARE INCLUDED IN THE FDA 3500A FORM AND ARE FIXED ITEMS FOR SELECTION CREATED BY THE FDA, TO CATEGORIZE THE TYPE OF EVENT SOLELY FOR THE PURPOSE OF REPORTING PURSUANT TO PART 803. MEDTRONIC OBJECTS TO THE USE OF THESE WORDS AND OTHERS LIKE IT BECAUSE OF THE LACK OF DEFINITION AND THE CONNOTATIONS IMPLIED BY THESE TERMS. THIS STATEMENT SHOULD BE INCLUDED WITH ANY INFORMATION OR REPORT DISCLOSED TO THE PUBLIC UNDER THE FREEDOM OF INFORMATION ACT.

Description of Event or Problem · 0

INFORMATION RECEIVED BY MEDTRONIC INDICATED THAT THE CUSTOMER REPORTED CARELINK APP ISSUES TROUBLESHOOTING WAS PERFORMED AND CARELINK CONNECT DOES NOT SHOW CHART. NO HARM REQUIRING MEDICAL INTERVENTION WAS REPORTED. IT WAS UNKNOWN IF THE CUSTOMER WILL CONTINUE THE USE OF THE DEVICE. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1538202 CARELINK CONNECT APP ANDROID INSULIN PUMP SECONDARY DISPLAY PKU MEDTRONIC MINIMED MMT-6111

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown