FDA Adverse Event
Malfunction
Summary report: N
T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP)
MDR report key: 19959897
·
Received August 12, 2024
Report
- Report Number
- 3013756811-2024-140633
- Event Type
- Malfunction
- Date Received
- August 12, 2024
- Date of Event
- July 20, 2024
- Report Date
- August 28, 2024
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- UDI-DI
- 00389152000091
- PMA / PMN Number
- K203234
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE HAS BEEN RECEIVED FOR EVALUATION; HOWEVER, DEVICE EVALUATION IS NOT YET COMPLETE. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE EVALUATION. HTTPS://EMDR.FDA.GOV/EMDR/FORMREDACTION/B5.JSF# PER THE TANDEM USER GUIDE: ACCESSORIES FOR CHARGING FROM WALL OUTLETS, AS WELL AS FROM A COMPUTER USB PORT, ARE INCLUDED WITH THE PUMP. USE ONLY THE ACCESSORIES PROVIDED TO CHARGE YOUR PUMP.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PUMP WAS HOT TO TOUCH WHILE CHARGING. REPORTEDLY, THE CUSTOMER WAS USING NON-TANDEM CHARGING SUPPLIES TO CHARGE THE PUMP. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. THE CUSTOMER CONTINUED TO USE THE PUMP FOR INSULIN THERAPY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2028701 | T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP) | ALTERNATE CONTROLLER ENABLED INFUSION PUMP | QFG | TANDEM DIABETES CARE | 1002717 | 00389152000091 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female |