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 |