FDA Adverse Event Injury Summary report: N

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

MDR report key: 21821649 · Received April 10, 2025

Report

Report Number
3013756811-2025-69975
Event Type
Injury
Date Received
April 10, 2025
Date of Event
April 7, 2025
Report Date
May 5, 2025
Manufacturer
TANDEM DIABETES CARE
Product Code
QFG
PMA / PMN Number
K203234
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

B2 OUTCOMES: HOSPITALIZATION: YES; REQUIRED INTERVENTION: YES; B5: REMOVE HEALTH EFFECT IMPACT CODE: 4613.

Additional Manufacturer Narrative · 0

PER TANDEM USER GUIDE: CHANGE YOUR CARTRIDGE EVERY 48¿72 HOURS AS RECOMMENDED BY YOUR HEALTHCARE PROVIDER. NO PRODUCT WAS RETURNED FOR EVALUATION. SHOULD NEW RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PUMP TIME WAS INCORRECT, CAUSE WAS UNKNOWN. DURING TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT, THE CUSTOMER CORRECTED THE TIME AND RESUMED INSULIN THERAPY. IT WAS ALSO REPORTED THE CUSTOMER WENT TO THE HOSPITAL WITH A BLOOD GLUCOSE (BG) LEVEL WAS 300-560 MG/DL. BG LEVEL WAS ADDRESSED WITH INTRAVENOUS FLUIDS OF SALINE AND INSULIN. REPORTEDLY, THE CARTRIDGE AND INFUSION SET HAD BEEN IN USE FOR MORE THAN 48 HOURS WITH HUMALOG INSULIN. TANDEM TECHNICAL SUPPORT EDUCATED THE CUSTOMER ON INSULIN LABELING. CUSTOMER WAS RELEASED FROM THE HOSPITAL WITH ISSUE RESOLVED AND NO PERMANENT DAMAGE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PUMP TIME WAS INCORRECT, CAUSE WAS UNKNOWN. DURING TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT, THE CUSTOMER CORRECTED THE TIME AND RESUMED INSULIN THERAPY. THE CUSTOMER'S BLOOD GLUCOSE (BG) LEVEL WAS G MG/DL. BG LEVEL WAS ADDRESSED WITH A CORRECTION BOLUS VIA THE PUMP. REPORTEDLY, THE CARTRIDGE AND INFUSION SET HAD BEEN IN USE FOR MORE THAN 48 HOURS WITH HUMALOG INSULIN. TANDEM TECHNICAL SUPPORT EDUCATED THE CUSTOMER ON INSULIN LABELING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2425602 T:SLIM X2 INSULIN PUMP WITH INTEROPERABLE TECHNOLOGY (WITH T:CONNECT MOBILE APP) ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG TANDEM DIABETES CARE 1002717

Patients

Seq Age Sex Outcome Treatment
1 82 YR Female