FDA Adverse Event Malfunction Summary report: N

ACCU-CHEK ® SPIRIT COMBO

MDR report key: 3971166 · Received July 31, 2014

Report

Report Number
1823260-2014-05756
Event Type
Malfunction
Date Received
July 31, 2014
Date of Event
July 14, 2014
Report Date
October 27, 2014
Manufacturer
ROCHE DIAGNOSTICS
Product Code
LZG
PMA / PMN Number
NA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THE EVENT OCCURRED IN (B)(6).

Description of Event or Problem · 1

REPORTER STATED ON TWO OCCASIONS THE INFUSION DEVICE DISPLAYED AN E4 OCCLUSION ERROR BUT DID NOT PROVIDE AN ACOUSTIC OR VIBRATION ALERT. DURING THE FIRST EVENT, THE CUSTOMER EXPERIENCED HYPERGLYCEMIA OF UP TO 508 MG/DL DESPITE DELIVERING INSULIN VIA THE INFUSION DEVICE. THE CUSTOMER'S MOTHER CHECKED THE INFUSION DEVICE AND NOTICED THE E4 ERROR ON THE DISPLAY. NO ADVERSE EVENT WAS REPORTED. THE ALLEGED PRODUCT WAS REQUESTED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
447933 ACCU-CHEK ® SPIRIT COMBO INSULIN INFUSION PUMP LZG ROCHE DIAGNOSTICS NA NA

Patients

Seq Age Sex Outcome Treatment
1 018 MO