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 |