FDA Adverse Event
Injury
Summary report: N
T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY
MDR report key: 22967149
·
Received September 4, 2025
Report
- Report Number
- 3013756811-2025-208686
- Event Type
- Injury
- Date Received
- September 4, 2025
- Date of Event
- September 3, 2025
- Report Date
- January 9, 2026
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- UDI-DI
- 00389152000077
- PMA / PMN Number
- K203234
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
A HIGH BLOOD GLUCOSE LEVEL WAS REPORTED WHEN THE VALUE DISPLAYED "HIGH"; ALTHOUGH SPECIFIC VALUE WAS NOT PROVIDED. THE CUSTOMER ADMINISTERED A CORRECTION BOLUS VIA THE PUMP AND INSPECTED VARIOUS COMPONENTS AS INSTRUCTED BY TECHNICAL SUPPORT, WHO FURTHER EDUCATED THE CUSTOMER ON THE PROPER TIMELINE FOR CARTRIDGE USE. THE CUSTOMER AGREED TO REPLACE SUPPLIES AS NECESSARY AND RESUME INSULIN, WITH TECHNICAL SUPPORT SET TO PROVIDE REPLACEMENT SUPPLIES AS NEEDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2017631 | T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP | QFG | TANDEM DIABETES CARE | 1002717 | 00389152000077 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Female | Other | HUMALOG - INSULIN.| UNOMEDICAL - INFUSION SET. |