FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE

MDR report key: 3945217 · Received July 18, 2014

Report

Report Number
2032227-2014-04602
Event Type
Malfunction
Date Received
July 18, 2014
Date of Event
June 18, 2014
Report Date
June 18, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
PMA / PMN Number
120010
Product Problem
Yes
Report Source
Manufacturer report
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 PATIENT WAS NOT HAPPY WITH THE SENSORS BECAUSE SHE KEEPS GETTING ALARMS, AND THEY BOTHER HER. THE TYPES OF ALARMS WERE NOT MENTIONED, AND TROUBLESHOOTING WAS DECLINED AS THE PATIENT NO LONGER WANTED TO WEAR THE PRODUCT. EMAILED THE PATIENT'S COMPANY REPRESENTATIVE AND TERRITORY MANAGER. NOTHING FURTHER WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
422228 SENSOR ENLITE OZO OZO MEDTRONIC MINIMED MMT-7008A

Patients

Seq Age Sex Outcome Treatment
1 23 YR