FDA Adverse Event
Injury
Summary report: N
TANDEM MOBI INSULIN PUMP WITH CONTROL-IQ+ TECHNOLOGY
MDR report key: 23248108
·
Received October 8, 2025
Report
- Report Number
- 3013756811-2025-232728
- Event Type
- Injury
- Date Received
- October 8, 2025
- Date of Event
- September 16, 2025
- Report Date
- October 8, 2025
- Manufacturer
- TANDEM DIABETES CARE
- Product Code
- QFG
- PMA / PMN Number
- K240309
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE CUSTOMER WENT TO THE EMERGENCY ROOM AND WAS SUBSEQUENTLY HOSPITALIZED WITH A BLOOD GLUCOSE (BG) LEVEL OF "250-350" MG/DL WITH HIGH KETONES; CAUSE WAS UNKNOWN. REPORTEDLY, THE CUSTOMER ALSO HAD PNEUMONIA WHICH WAS STATED AS ONE OF THE REASONS THEY WERE HOSPITALIZED. THEY WERE TREATED WITH INTRAVENOUS FLUIDS OF SALINE AND INSULIN TO ADDRESS THE ELEVATED BG. CUSTOMER WAS DISCHARGED ON (B)(6)2025 WITH THE ISSUE RESOLVED AND NO PERMANENT DAMAGE. A SYSTEM CHECK IDENTIFIED THE PUMP TO BE WORKING AS INTENDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2566786 | TANDEM MOBI INSULIN PUMP WITH CONTROL-IQ+ TECHNOLOGY | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP | QFG | TANDEM DIABETES CARE | 1004000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female | Required Intervention| H |