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 |