FDA Adverse Event Malfunction Summary report: N

AUTOSOFT XC

MDR report key: 19480441 · Received June 6, 2024

Report

Report Number
3003442380-2024-06614
Event Type
Malfunction
Date Received
June 6, 2024
Date of Event
April 29, 2024
Report Date
October 25, 2025
Manufacturer
UNOMEDICAL A/S
Product Code
FPA
UDI-DI
05705244016620
PMA / PMN Number
K032854
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CORRECTION: THIS MDR IS BEING SUBMITTED TO CORRECT THE SUBMITTED EXPIRATION DATE UNDER D4 AND MANUFACTURING DATE UNDER H4. ADDITIONAL INFORMATION - THIS MDR IS BEING SUBMITTED TO INCLUDE THE BELOW: H6: INVESTIGATION RESULTS UNDER TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS. H11: INVESTIGATION SUMMARY. REVISION 21 OF RECORD (B)(4) DOES NOT REQUIRE A TYPE 2 REPORTABLE COMPLAINT TO INITIATE A CHILD INVESTIGATION. THIS CHILD INVESTIGATION WAS CREATED AND SUBSEQUENTLY CLOSED TO DOCUMENT THE DHR REVIEW, WHICH WAS NECESSARY TO ADVANCE THE PARENT RECORD TO THE REVIEW AND SUMMARY. COMPLAINT INVESTIGATION RESULTS: A COMPLAINT INVESTIGATION HAS BEEN INITIATED UNDER COMPLAINT INVESTIGATION CHILD RECORD (B)(4). THE BATCH 6002757 IN QUESTION WAS MANUFACTURED AT THE REYNOSA SITE. DEVICE HISTORY RECORD (DHR) REVIEW: THE LOT 6002757 WAS MANUFACTURED ACCORDING TO THE WORK INSTRUCTION (WI) VERSION 106 AND MANUFACTURED IN THE LINE 3 ON 16/AUG/2023, WITH A TOTAL OF (B)(4) UNITS. THE REVIEW OF THE DHR REVEALED THAT DURING OUTGOING TEST 4 (G), ONE SAMPLE WAS FOUND TO HAVE CONTAMINATION. CONSEQUENTLY, AN EXTENDED FOR CONTAMINATION WAS RAISED. ACCORDING TO THE SAMPLING RESULTS, THE LOT WAS ACCEPTED. THEREFORE, THE REVIEW OF THE DHR CONFIRMS THAT ALL REQUIRED TESTS RELATED TO THE PROCESS WERE COMPLETED AND MET THE APPLICABLE REQUIREMENTS. NO DEVIATIONS WERE IDENTIFIED, AND NO MAINTENANCE EVENTS WERE RECORDED RELATED TO COMPLAINT CODE. CONCLUSION SUMMARY OF COMPLAINT INVESTIGATION: AS A RESULT OF THE FOLLOWING: NO NON-CONFORMANCE (NC) RAISED DURING PRODUCTION RELATED TO COMPLAINT MALFUNCTION CODE, THEREFORE, NO FURTHER ACTIONS ARE REQUIRED. THIS COMPLAINT WILL NOT REQUIRE FURTHER ROOT CAUSE INVESTIGATION NOR CORRECTIVE AND PREVENTIVE ACTION (CAPA) PLAN. THEREFORE, THIS ISSUE WILL BE MONITORED THROUGH THE POST MARKET SURVEILLANCE ACTIVITIES.

Additional Manufacturer Narrative · 0

MDR RETRACTION: THE INITIAL MDR WITH MANUFACTURING REPORT NUMBER (3003442380-2024-06614), WAS SUBMITTED ON 07-JUN-2024. BASED ON THE DESCRIPTION, IT WAS FOUND THAT THE INFUSION SET TUBING WAS LEAKING AT THE SITE. SO THEREFORE, THE MALFUNCTION CODE HAS BEEN CHANGED TO LEAKAGE FROM INFUSION SITE (SPECIFIC CAUSE NOT IDENTIFIED) NOT CONFIRMED TO BE INFUSION SET RELATED (EX. TISSUE NO LONGER ABSORBING). SO, THE CASE IS THEREBY DOWNGRADED TO NON-REPORTABLE. THUS, THIS MDR IS BEING SUBMITTED TO RETRACT THE INITIAL MDR.

Description of Event or Problem · 0

TO DATE NO ADDITIONAL PATIENT OR EVENT DETAILS HAVE BEEN RECEIVED.

Description of Event or Problem · 0

UNOMEDICAL REFERENCE NUMBER (B)(4). EVENT OCCURRED IN THE UNITED STATES. IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN OCCLUSION EVENT, AND TROUBLESHOOTING INDICATED AN ISSUE WITH THE INFUSION SITE. THE PATIENT RESOLVED THE ISSUE BY CHANGING THE SOFT CANNULA INFUSION SET AND RESUMING INSULIN. THE PATIENT NOTICED SYMPTOMS WITHIN 3 HOURS OF INSERTION, AND THE SITE WAS INSERTED ON THE LEFT/RIGHT HIP. THE PATIENT REGULARLY ROTATES SITE LOCATIONS, 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. NO FURTHER INFORMATION AVAILABLE.

Description of Event or Problem · 0

TO DATE NO ADDITIONAL PATIENT OR EVENT DETAILS HAVE BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
354160 AUTOSOFT XC UNO INSET I 60/6 GREY TCAP 10PK INT FPA UNOMEDICAL A/S 1001680 6002757 05705244016620

Patients

Seq Age Sex Outcome Treatment
1 35 YR Male