FDA Adverse Event Malfunction Summary report: N

ONE TOUCH PING GLUCOSE MANAGEMENT SYSTEM

MDR report key: 1931493 · Received December 8, 2010

Report

Report Number
2531779-2010-02778
Event Type
Malfunction
Date Received
December 8, 2010
Report Date
November 11, 2010
Manufacturer
ANIMAS CORP.
Product Code
LZG
PMA / PMN Number
K080639
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PUMP WAS RETURNED TO ANIMAS FOR EVALUATION. THE RESULTS OF THE INVESTIGATION WERE AS NOTED: NO VISIBLE DAMAGE TO KEYPAD OBSERVED; ALL KEYS RESPOND TO USER INPUT. ALL BUTTONS SPRING BACK TO ITS ORIGINAL STATE AFTER PRESSED. KEYPAD REMOVED FOR FURTHER DIAGNOSIS. THERE WAS CONTAMINATION UNDER THE "CONTRAST/UP/DOWN" BUTTONS.

Description of Event or Problem · 1

THE LAY-USER/PT ALLEGED THAT THE BUTTONS ON THE KEYPAD DO NOT RESPOND. THERE WAS PRODUCT MISUSE. THE KEYPAD DID NOT APPEAR TO BE PEELED OR TORN. FURTHER MORE, 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

Patients

Seq Age Sex Outcome Treatment
1