T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ+ TECHNOLOGY
Report
- Report Number
- 3013756811-2025-208978
- Event Type
- Injury
- Date Received
- September 4, 2025
- Date of Event
- August 12, 2025
- Report Date
- September 18, 2025
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- UDI-DI
- 00389152319810
- PMA / PMN Number
- K232380
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
IT WAS REPORTED THAT THE CONTROL-IQ ALGORITHM DELIVERED AN AUTO-BOLUS IN RESPONSE TO THE CONTINUOUS GLUCOSE MONITOR (CGM) SENSOR READING; HOWEVER, THE CGM SENSOR READING WAS INACCURATE. REPORTEDLY, THE CGM BLOOD GLUCOSE (BG) READING WAS 200-249 MG/DL, AND THE METER BG READING WAS 167 MG/DL. THIS LEVEL OF INACCURACY DOES NOT PRESENT SIGNIFICANT MEDICAL RISK ACCORDING TO THE PARKES ERROR GRID. AS A RESULT OF THE AUTO-BOLUS, CUSTOMER'S BLOOD GLUCOSE (BG) LEVEL LOWERED TO 45 MG/DL. BG WAS ADDRESSED VIA CONSUMPTION OF GLUCOSE TABLETS. SYSTEM CHECK WITH TANDEM TECHNICAL SUPPORT DID NOT IDENTIFY ANY ADDITIONAL ISSUES WITH THE PUMP OR RELATED SUPPLIES. NO ADDITIONAL PATIENT OR EVENT INFORMATION WAS AVAILABLE.
IT WAS REPORTED THAT THE CONTROL-IQ ALGORITHM DELIVERED AN AUTO-BOLUS IN RESPONSE TO THE CONTINUOUS GLUCOSE MONITOR (CGM) SENSOR READING; HOWEVER, THE CGM SENSOR READING WAS INACCURATE. REPORTEDLY, THE CGM BLOOD GLUCOSE (BG) READING WAS 200-249 MG/DL, AND THE METER BG READING WAS 167 MG/DL. THIS LEVEL OF INACCURACY DOES NOT PRESENT SIGNIFICANT MEDICAL RISK ACCORDING TO THE PARKES ERROR GRID. AS A RESULT OF THE AUTO-BOLUS, CUSTOMER'S BLOOD GLUCOSE (BG) LEVEL LOWERED TO 45 MG/DL. BG WAS ADDRESSED VIA CONSUMPTION OF GLUCOSE TABLETS. REPORTEDLY, THE CUSTOMER TOOK MEDICATIONS THAT WERE KNOWN TO EFFECT CGM VALUES. SYSTEM CHECK WITH TANDEM TECHNICAL SUPPORT DID NOT IDENTIFY ANY ADDITIONAL ISSUES WITH THE PUMP OR RELATED SUPPLIES. NO ADDITIONAL PATIENT OR EVENT INFORMATION WAS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2017732 | 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 | 78 YR | Male | Other |