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 |