BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC INSULIN PUMP

    MDR report key: 3221766 · Received July 9, 2013

    Report

    Report Number
    MW5030832
    Event Type
    Injury
    Date Received
    July 9, 2013
    Report Date
    July 9, 2013
    Manufacturer
    MEDTRONIC
    Product Code
    LZG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CALLER HAS BEEN USING INSULIN PUMPS FOR ABOUT 5 YRS. STOPPED USING THEM ON (B)(6) 2013 DUE TO CONTINUOUS PAIN FOR 4 WEEKS. RECENTLY GOT A LETTER THAT THESE PUMPS HAVE BEEN RECALLED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    312408 MEDTRONIC INSULIN PUMP MEDTRONIC INSULIN PUMP RESERVOIR LZG MEDTRONIC H8521052
    312409 MEDTRONIC INSULIN PUMP MEDTRONIC INSULIN PUMP RESERVOIR LZG MEDTRONIC H8603292

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention