FDA Adverse Event
Malfunction
Summary report: N
T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY
MDR report key: 22394060
·
Received July 3, 2025
Report
- Report Number
- 3013756811-2025-157348
- Event Type
- Malfunction
- Date Received
- July 3, 2025
- Date of Event
- June 28, 2025
- Report Date
- July 3, 2025
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- UDI-DI
- 00389152319810
- PMA / PMN Number
- K203234
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NV, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
INITIAL MDR WAS SUBMITTED IN ERROR. ALLEGED ISSUE DID NOT CAUSE OR CONTRIBUTE TO SERIOUS INJURY AND DOES NOT HAVE THE POTENTIAL TO CAUSE OR CONTRIBUTE TO SERIOUS INJURY. THIS EVENT DOES NOT MEET MDR REQUIREMENTS AS DEFINED BY 21 CFR 803. REMOVE DEVICE CODE A070504
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. THERE WAS NO REPORTED IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE. REPORTEDLY, THE CUSTOMER DECLINED TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1176945 | T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP | QFG | TANDEM DIABETES CARE | 1000354 | 00389152319810 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24 YR | Female |