BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ONE TOUCH PING GLUCOSE MANAGEMENT SYSTEM

    MDR report key: 2091262 · Received April 20, 2011

    Report

    Report Number
    2531779-2011-02730
    Event Type
    Malfunction
    Date Received
    April 20, 2011
    Report Date
    March 27, 2011
    Manufacturer
    ANIMAS CORP.
    Product Code
    LZG
    PMA / PMN Number
    K080639
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    THE PUMP WAS RETURNED TO ANIMAS FOR EVALUATION. THE KEYPAD WAS PEELED AT THE OK BUTTON. ALL KEYPAD BUTTON PRESSES DID NOT ACTIVATE DESIRED PUMP FUNCTIONS DURING TESTING. THE DOWN ARROW AND OK KEY CONTACTS WERE INVERTED. THERE WAS EVIDENCE OF KEYPAD ADHESIVE FOUND UNDER ALL KEY CONTACTS.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE KEYPAD IS UNRESPONSIVE. THE PATIENT STATED, IT STARTED (B)(6) AGO. SHE REPORTED THAT TONIGHT IS WHEN SHE NOTICED THAT THE KEYPAD IS PEELING AND THAT THERE IS A TEAR AT THE UP AND DOWN ARROWS DUE TO PRESSING HARD.

    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 NA

    Patients

    Seq Age Sex Outcome Treatment
    1