FDA Adverse Event Malfunction Summary report: N

AUTOSOFT XC

MDR report key: 19476300 · Received June 6, 2024

Report

Report Number
3003442380-2024-06367
Event Type
Malfunction
Date Received
June 6, 2024
Date of Event
April 22, 2024
Report Date
June 6, 2024
Manufacturer
UNOMEDICAL A/S
Product Code
FPA
UDI-DI
05705244026032
PMA / PMN Number
K032854
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

INITIAL AND FINAL MDR 1880828 - DEVICE 2 OF 3

Description of Event or Problem · 0

UNOMEDICAL REFERENCE NUMBER (B)(4). EVENT OCCURRED IN THE UNITED STATES. THE PATIENT REPORTED ISSUES WITH 3 INFUSION SETS, ALL OF THE SAME TYPE. THE CANNULA OF THE INFUSION SET WAS BENT. THE EVENT DATES WERE RECORDED AS 22-APR-20224 FOR 2 EVENTS AND 29-APR-2024. FOR ANOTHER EVENT. THE PATIENT NOTICED SYMPTOMS WITHIN 3 HOURS OF INSERTION, AND THE SITE OF INSERTION WAS THE ABDOMEN. THE PATIENT REGULARLY ROTATES THE SITE LOCATION, AND THE SITE AREA WAS NOT IMPACTED IN ANY WAY. THE PATIENT CONFIRMED THAT THE INTRODUCER NEEDLE WAS AHEAD OF THE CANNULA PRIOR TO INSERTION. THE PATIENT'S BLOOD GLUCOSE (BG) WAS HIGH AND TOOK A CORRECTION INJECTION VIA MDI TO ADDRESS THE HIGH BG. THE PATIENT RESOLVED THE ISSUE BY REPLACING THE INFUSION SET AND SUCCESSFULLY RESUMED INSULIN DELIVERIES. UNOMEDICAL DO NOT SEE BENT/KINKING AS BEING RELATED TO HUMAN FACTORS, BUT RATHER AS A TRAINING ISSUE INCLUDING CORRECT CHOICES OF INSERTION SITES AND INFUSION SETS AND CANNULA LENGTH. FURTHERMORE, THE SOFT CANNULA IS A FLEXIBLE MATERIAL THAT DURING USE AND UPON REMOVAL CAN BEND SLIGHTLY. NO FURTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2055511 AUTOSOFT XC INSET I 2-PACK 60/9 GREY TCAP FPA UNOMEDICAL A/S 1010899 UNKNOWN 05705244026032

Patients

Seq Age Sex Outcome Treatment
1 20 YR Male