FDA Adverse Event Injury Summary report: N

T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ+ TECHNOLOGY

MDR report key: 22968857 · Received September 4, 2025

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

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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