BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ONE TOUCH PING GLUCOSE MANAGEMENT SYSTEM

    MDR report key: 1893857 · Received November 1, 2010

    Report

    Report Number
    2531779-2010-02060
    Event Type
    Malfunction
    Date Received
    November 1, 2010
    Report Date
    October 2, 2010
    Manufacturer
    ANIMAS CORP.
    Product Code
    LZG
    PMA / PMN Number
    K080639
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE PUMP WAS RETURNED TO ANIMAS FOR EVAL. THE RESULTS OF THE INVESTIGATION WERE AS NOTED: THE PUMP WAS UNRESPONSIVE TO THE UP AND DOWN ARROW BUTTONS AND THERE WAS EVIDENCE OF ADHESIVE/CONTAMINATION UNDER THE BUTTON CONTACTS. THE KEYPAD BUTTON STICKING ISSUE WAS NOT OBSERVED DURING INVESTIGATION.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PUMP WAS INTERMITTENTLY RESPONDING TO THE UP AND DOWN ARROW BUTTONS. THE PUMP REPORTEDLY HAS NOT BEEN EXPOSED TO WATER AND THE KEYPAD IS INTACT. THERE WAS NO ADVERSE EVENT ASSOCIATED WITH THIS COMPLAINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ONE TOUCH PING GLUCOSE MANAGEMENT SYSTEM INSULIN INFUSION PUMP LZG ANIMAS CORP. ONE TOUCH PING NA

    Patients

    Seq Age Sex Outcome Treatment
    1