BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MINI MED

    MDR report key: 308057 · Received December 11, 2000

    Report

    Report Number
    308057
    Event Type
    Injury
    Date Received
    December 11, 2000
    Date of Event
    December 1, 2000
    Report Date
    December 11, 2000
    Manufacturer
    MINI MED INC
    Product Code
    LZG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DIABETIC FEMALE WITH A MALFUNCTIONING INSULIN PUMP IN PLACE. MALFUNCTIONING PUMP SURGICALLY REMOVED AND REPLACED WITH ANOTHER INSULIN PUMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINI MED IMPLANTABLE INSULIN PUMP AND CATHETER LZG MINI MED INC 2001 *

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Required Intervention