FDA Adverse Event Malfunction Summary report: N

530G INSULIN PUMP

MDR report key: 4103589 · Received September 19, 2014

Report

Report Number
2032227-2014-26433
Event Type
Malfunction
Date Received
September 19, 2014
Date of Event
August 22, 2014
Report Date
August 22, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
PMA / PMN Number
120010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

(B)(4). 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 CUSTOMER HAD DIFFICULTY HEARING THE INSULIN PUMP'S ALARMS. SHE STATED THAT SHE COULD NOT HEAR THE LOW THRESHOLD SUSPEND ALARM AT NIGHT AND REQUESTED A COMPLAINT BE FILED TO DOCUMENT THE ISSUE, SINCE SHE DID NOT BELIEVE SHE WAS THE ONLY ONE WITH THIS PROBLEM. THE BLOOD GLUCOSE READING WAS UNAVAILABLE. NOTHING FURTHER REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582278 530G INSULIN PUMP OZO OZO MEDTRONIC MINIMED MMT-751NAP

Patients

Seq Age Sex Outcome Treatment
1 48 YR