FDA Adverse Event
Malfunction
Summary report: N
SENSOR ENLITE
MDR report key: 4022145
·
Received August 19, 2014
Report
- Report Number
- 2032227-2014-09103
- Event Type
- Malfunction
- Date Received
- August 19, 2014
- Date of Event
- July 16, 2014
- Report Date
- July 18, 2014
- Manufacturer
- MEDTRONIC MINIMED
- Product Code
- OZO
- PMA / PMN Number
- 120010
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
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 SENSORS WERE NOT LASTING MORE THAN FIVE DAYS. THE CALLER WANTED TO KNOW IF THIS WAS A NORMAL AND WAS ADVISED THAT IT WAS NOT. THE CUSTOMER DECLINED TO PROVIDE THEIR BLOOD GLUCOSE LEVEL. NOTHING FURTHER WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 497038 | SENSOR ENLITE | OZO | OZO | MEDTRONIC MINIMED | MMT-7008A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR |