FDA Adverse Event Malfunction Summary report: N

ACCU-CHECK SPIRIT

MDR report key: 1950930 · Received May 26, 2010

Report

Report Number
2183996-2010-01095
Event Type
Malfunction
Date Received
May 26, 2010
Date of Event
April 22, 2010
Report Date
April 28, 2010
Manufacturer
ROCHE INSULIN DELIVERY SYSTEMS INC.
Product Code
LZG
PMA / PMN Number
K060876
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

NO PRODUCT WILL BE RETURNED FOR EVAL.

Description of Event or Problem · 1

ON (B)(6) 2010, THE PT REPORTED THE INFUSION DEVICE GOES INTO STOP MODE WITHOUT WARNING. HE STATED THAT LAST NIGHT HE ATE DINNER AND HIS BLOOD GLUCOSE WAS ELEVATED DUE TO WHAT HE HAD EATEN (VALUE NOT PROVIDED). HIS NORMAL BLOOD GLUCOSE RANGE IS 130-140 MG/DL. HE STATED THAT BEFORE LEAVING FOR WORK HE CHECKED THE INFUSION DEVICE AND THE HOURLY BASAL RATE WAS DISPLAYED ON THE SCREEN. WHEN HE ARRIVED AT WORK, THE INFUSION DEVICE WAS IN THE STOP MODE. HE STATED, HE HAD NOT PRESSED ANY BUTTONS AND THE AUTOMATIC OFF WAS NOT PROGRAMMED. HE STATED THAT HE HAD RECEIVED AN E4 (OCCLUSION) ERROR EARLIER AND HE HAD PLACED THE INFUSION DEVICE BACK IN THE RUN MODE AFTER CLEARING THE ERROR. HE DECLINED TO HAVE THE INFUSION DEVICE REPLACED STATING HE MAY HAVE CAUSED THE ISSUE TO OCCUR. NO PHYSIOLOGICAL EFFECTS RELATED TO THE INFUSION DEVICE GOING INTO THE STOP MODE WERE REPORTED. THE PT DID NOT REQUIRE MEDICAL ASSISTANCE FROM A HEALTHCARE PROFESSIONAL OR SECOND PARTY TO ADDRESS THE ISSUE. NO PRODUCT WAS REQUESTED TO BE RETURNED FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCU-CHECK SPIRIT INSULIN INFUSION PUMP LZG ROCHE INSULIN DELIVERY SYSTEMS INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 49 YR INSULIN| INSULIN INFUSION SET