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