BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ONE TOUCH PING GLUCOSE MANAGEMENT SYSTEM

    MDR report key: 1972926 · Received January 19, 2011

    Report

    Report Number
    2531779-2011-00338
    Event Type
    Malfunction
    Date Received
    January 19, 2011
    Report Date
    December 22, 2010
    Manufacturer
    ANIMAS CORP.
    Product Code
    LZG
    PMA / PMN Number
    K080639
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE PUMP WAS RETURNED TO ANIMAS FOR EVAL. THE RESULTS OF THE INVESTIGATION WERE AS NOTED: THE KEYPAD APPEARED INTACT WITH NO LIFTING OR PEELING OBSERVED, THE DOWN KEYPAD BUTTON DID NOT RESPOND TO USER INPUTS DURING TESTING, THE DOWN KEYPAD BUTTON ALSO DID NOT SPRINGBACK WHEN PRESSED, IT WAS OBSERVED THAT THE DOWN KEY CONTACT WAS INVERTED, AND THERE WAS EVIDENCE OF ADHESIVE/CONTAMINATION FOUND UNDER ALL KEY CONTACTS.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE KEYPAD BUTTON PRESSES DID NOT ACTIVATE DESIRED PUMP FUNCTIONS. THE OK, UP AND DOWN ARROW KEYPAD BUTTONS INTERMITTENTLY NOT RESPONDING WHEN PRESSED. THE REPORTER CLAIMED THAT THE BUTTONS DO NOT CLICK BACK AND SPRING AS USUAL; HOWEVER, KEYPAD INTACT. 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