BEUDAMED
    FDA Adverse Event Summary report: N

    ANIMAS INSULIN INFUSION PUMP

    MDR report key: 3972875 · Received August 1, 2014

    Report

    Report Number
    2531779-2014-22063
    Date Received
    August 1, 2014
    Report Date
    July 23, 2014
    Manufacturer
    ANIMAS CORPORATION
    Product Code
    LZG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    SUBMITTED: 08/01/2014, DEVICE EVALUATION: ON INVESTIGATION, THE DISPLAY WAS NOTED TO BE DIM, FADED AND DISCOLORED.

    Description of Event or Problem · 1

    THERE IS NO ADVERSE EVENT ASSOCIATED WITH THIS COMPLAINT. THIS REPORT IS MADE BASED ON RESULTS OF INVESTIGATION COMPLETED ON (B)(4) 2014: A DIM, FADED, DISCOLORED DISPLAY SCREEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    450643 ANIMAS INSULIN INFUSION PUMP INSULIN INFUSION PUMP LZG ANIMAS CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1