FDA Adverse Event
Malfunction
Summary report: N
V-GO DISPOSABLE INSULIN DELIVERY DEVICE
MDR report key: 19981309
·
Received August 14, 2024
Report
- Report Number
- 1226572-2024-00044
- Event Type
- Malfunction
- Date Received
- August 14, 2024
- Date of Event
- July 1, 2024
- Report Date
- July 25, 2024
- Manufacturer
- MANNKIND CORPORATION - V-GO
- Product Code
- LZG
- PMA / PMN Number
- K103825
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE PATIENT REPORTED THAT SOMETIME THE START BUTTON ON THE V-GO 20 PATCH POPS OUT DURING THE DAY. SHE HAS BEEN USING THE V-GO DEVICE FOR OVER FEW MONTHS AND HAD THIS PROBLEM A FEW TIMES ALREADY. NO SPECIFIC EVENT DATES WERE REPORTED. IT WAS REPORTED THAT A DEVICE SAMPLE IS AVAILABLE FOR RETURN TO THE MANUFACTURER FOR EVALUATION. HOWEVER, TO DATE, HAS NOT BEEN RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 219751 | V-GO DISPOSABLE INSULIN DELIVERY DEVICE | V-GO | LZG | MANNKIND CORPORATION - V-GO | V-GO 20 | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |