FDA Adverse Event Malfunction Summary report: N

BATTERY CHARGER MLINK

MDR report key: 4021876 · Received August 19, 2014

Report

Report Number
2032227-2014-09688
Event Type
Malfunction
Date Received
August 19, 2014
Date of Event
May 10, 2014
Report Date
May 10, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
MDS
PMA / PMN Number
P980022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

UNABLE TO CHARGE. PROBLEM ISOLATED TO BOARD.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CHARGER DID NOT WORK AND THERE WAS AN INSERTION SITE ISSUE. THE BLOOD GLUCOSE READING WAS 94 MG/DL. THE ISSUE WAS NOT RESOLVED WITH A NEW BATTERY. THE CUSTOMER WAS USING THE PROPER METHODOLOGY FOR SITE INSERTION. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
497810 BATTERY CHARGER MLINK CGM MDS MEDTRONIC MINIMED MMT-7705NA

Patients

Seq Age Sex Outcome Treatment
1 59 YR