FDA Adverse Event
Injury
Summary report: N
T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY
MDR report key: 22976052
·
Received September 5, 2025
Report
- Report Number
- 3013756811-2025-209205
- Event Type
- Injury
- Date Received
- September 5, 2025
- Date of Event
- August 11, 2025
- Report Date
- September 5, 2025
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- UDI-DI
- 00389152319810
- PMA / PMN Number
- K203234
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
A MALFUNCTION WAS REPORTED ON THE PUMP. THE CUSTOMER WENT TO THE HOSPITAL AND WAS ADMITTED TO THE INTENSIVE CARE UNIT WITH A BLOOD GLUCOSE LEVEL OF 800-900 MG/DL AND KETONES. THE CUSTOMER WAS TREATED WITH INTRAVENOUS FLUIDS OF SALINE AND INSULIN. TREATMENT RESOLVED THE ISSUE AND THERE WAS NO PERMANENT DAMAGE. THE CUSTOMER WAS DISCHARGED FROM THE ICU ON (B)(6) 2025.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 320985 | 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 | 44 YR | Female | Hospitalization| R |