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