FDA Adverse Event Malfunction Summary report: N

TRANSMITTER MMT-7841ZN GST5G US

MDR report key: 23324120 · Received October 17, 2025

Report

Report Number
2032227-2025-286211
Event Type
Malfunction
Date Received
October 17, 2025
Date of Event
July 21, 2024
Report Date
October 28, 2025
Manufacturer
MEDTRONIC MINIMED
Product Code
PQF
PMA / PMN Number
P160017
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED SHOWS THAT THERE IS NO INFORMATION TO REASONABLY SUGGEST THAT THE DEVICE IN THIS REPORT MAY HAVE CAUSED OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY OR THAT THE DEVICE IN THIS REPORT HAS MALFUNCTIONED. THEREFORE, THIS EVENT DID NOT AND DOES NOT MEET THE REPORTING REQUIREMENTS STIPULATED IN 21 CFR 803. ADDITIONAL INFORMATION HAS BEEN RECEIVED WHICH WAS NOT INCLUDED IN THE INITIAL REPORT. THE UPDATED INFORMATION HAS BEEN PROVIDED IN BELOW SECTIONS WITH THIS FOLLOW-UP REPORT. 1. SECTION B5 - UPDATED SUMMARY MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

CURRENTLY IT IS UNKNOWN WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE THEREFORE CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR KNOWLEDGE. THIS IS 1 OF 2 MEDWATCH REPORTS REGARDING THIS EVENT. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

UPDATED SUMMARY:- THE EVENT IS NOT REPORTABLE FOR SENSOR, AFTER MATERIAL NUMBER HAS BEEN UPDATED AS SENSOR. TRANSMITTER REGULATORY REPORT WAS ORIGINALLY SUBMITTED ON TIME UNDER REPORT 2032227-2024-220842 (SVN (B)(6)).

Description of Event or Problem · 0

IT WAS REPORTED TO MEDTRONIC MINIMED THAT THE CUSTOMER EXPERIENCED LOST SENSOR ALARM, LOSS OF CONNECTION BETWEEN PUMP AND MOBILE DEVICE. THE CUSTOMER REPORTED NO ADVERSE EVENT. THE EVENT INVOLVED PRODUCT(S) GUARDIAN, UNK_NGP, UNK_NGP, UNK_NGP. CUSTOMER DECLINED THE TROUBLESHOOTING. CUSTOMER REPORTED A LOSS OF COMMUNICATION BETWEEN THE TRANSMITTER AND THE PUMP. UNABLE TO COMPLETE TROUBLESHOOTING OR PROVIDE INSTRUCTIONS, INSUFFICIENT INFORMATION TO ESCALATE. NO HARM REQUIRING MEDICAL INTERVENTION WAS REPORTED. NO PRODUCT RETURN IS REQUIRED FOR GUARDIAN. NO PRODUCT RETURN IS REQUIRED FOR UNK_NGP. NO PRODUCT RETURN IS REQUIRED FOR UNK_NGP. NO PRODUCT RETURN IS REQUIRED FOR UNK_NGP. UPDATED SUMMARY: IT WAS REPORTED TO MEDTRONIC MINIMED THAT THE CUSTOMER EXPERIENCED LOST SENSOR ALARM, LOSS OF CONNECTION BETWEEN PUMP AND MOBILE DEVICE. THE CUSTOMER REPORTED NO ADVERSE EVENT. THE EVENT INVOLVED PRODUCT(S) MMT-7040A, MMT-6101, MMT-7841ZN, MMT-1884. CUSTOMER DECLINED THE TROUBLESHOOTING. CUSTOMER REPORTED A LOSS OF COMMUNICATION BETWEEN THE TRANSMITTER AND THE PUMP. UNABLE TO COMPLETE TROUBLESHOOTING OR PROVIDE INSTRUCTIONS, INSUFFICIENT INFORMATION TO ESCALATE. NO HARM REQUIRING MEDICAL INTERVENTION WAS REPORTED. NO PRODUCT RETURN IS REQUIRED FOR MMT-7040A, MMT-7841ZN, MMT-1884. PRODUCT RETURN IS NOT APPLICABLE FOR NON-PHYSICAL DEVICE MMT-6101.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2765575 TRANSMITTER MMT-7841ZN GST5G US SENSOR, GLUCOSE, INVASIVE , NON-ADJUNCTIVE PQF MEDTRONIC MINIMED MMT-7841ZN

Patients

Seq Age Sex Outcome Treatment
1 83 YR Female