FDA Adverse Event Malfunction Summary report: N

T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP)

MDR report key: 21694133 · Received March 25, 2025

Report

Report Number
3013756811-2025-59847
Event Type
Malfunction
Date Received
March 25, 2025
Date of Event
March 23, 2025
Report Date
March 25, 2025
Manufacturer
TANDEM DIABETES CARE
Product Code
QFG
PMA / PMN Number
K203234
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

NO PRODUCT WAS RETURNED FOR EVALUATION. SHOULD NEW RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. H3 OTHER TEXT : DEVICE NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A MINIMUM FILL NOTIFICATION OCCURRED AFTER THE USER FILLED THE CARTRIDGE WITH 200 UNITS OF INSULIN DURING THE LOAD SEQUENCE. THE CARTRIDGE WAS RELOADED TO RESOLVE THE ISSUE. THE CUSTOMER'S BLOOD GLUCOSE WAS 212-306 MG/DL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1319611 T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP) ALTERNATE CONTROLLER ENABLED INFUSION PUMP QFG TANDEM DIABETES CARE 1002717 60588314

Patients

Seq Age Sex Outcome Treatment
1 26 YR Female