FDA Adverse Event
Summary report: N
INSULIN REPOSITORY
MDR report key: 187621
·
Received September 17, 1998
Report
- Report Number
- MW1014581
- Date Received
- September 17, 1998
- Date of Event
- September 2, 1998
- Report Date
- September 17, 1998
- Manufacturer
- DISETRONIC MEDICAL SYSTEMS
- Product Code
- LZG
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
REPORTER PLACED ORDER ON 09/2/98. THE MFR ADVISED REPORTER THAT THE DEVICE WAS ON BACK ORDER. CARTRIDGE WILL NOT BE AVAILABLE TO USERS FOR AT LEAST ONE MONTH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INSULIN REPOSITORY | INSULIN PUMP CARTRIDGE | LZG | DISETRONIC MEDICAL SYSTEMS | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR |