FDA Adverse Event
Injury
Summary report: N
PARADIGM REAL-TIME REVEL INSULIN INFUSION PUMP
MDR report key: 2943658
·
Received February 5, 2013
Report
- Report Number
- 2032227-2013-00341
- Event Type
- Injury
- Date Received
- February 5, 2013
- Date of Event
- January 10, 2013
- Report Date
- March 18, 2024
- Manufacturer
- MEDTRONIC MINIMED
- Product Code
- OYC
- PMA / PMN Number
- P980022
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- 003
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 49533 | PARADIGM REAL-TIME REVEL INSULIN INFUSION PUMP | PUMP, INFUSION, INSULIN, TO BE USED WITH INVASIVE GLUCOSE SENSOR | OYC | MEDTRONIC MINIMED | MMT-723LNAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 12 YR | Female | Hospitalization | UNOMEDICAL INSULIN INFUSION SET |