FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE

MDR report key: 3930503 · Received July 12, 2014

Report

Report Number
2032227-2014-03626
Event Type
Malfunction
Date Received
July 12, 2014
Date of Event
June 30, 2014
Report Date
June 30, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
PMA / PMN Number
120010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CUSTOMER'S SERTER WAS NOT WORKING CORRECTLY, THE SENSOR NEEDLE HOUSING GOT STUCK IN THE SERTER AND CUSTOMER WAS ABLE TO REMOVE IT. NOTHING FURTHER WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
408881 SENSOR ENLITE OZO OZO MEDTRONIC MINIMED MMT-7008B

Patients

Seq Age Sex Outcome Treatment
1