FDA Adverse Event Injury Summary report: N

CARELINK PERSONAL

MDR report key: 4123621 · Received September 26, 2014

Report

Report Number
2032227-2014-29689
Event Type
Injury
Date Received
September 26, 2014
Date of Event
August 28, 2014
Report Date
August 28, 2014
Manufacturer
MEDTRONIC MINIMED
Product Code
OYC
PMA / PMN Number
P980022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL
Reporter Occupation
PATIENT

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

CUSTOMER REPORTED SHE EXPERIENCED LOW BLOOD GLUCOSE OF 48 MG/DL. CUSTOMER STATED HER BLOOD GLUCOSE WENT LO DUE TO WORKING OUT; SHE ATE TO TREAT. CUSTOMER STATED THAT SHE COULD NOT LOG INTO HER CARELINK ACCOUNT AND SHE IS NOT ABLE TO UPLOAD DATA TO HER COMPUTER BECAUSE THE USB DOES NOT FIT. CUSTOMER WILL BUY A CONNECTOR. NOTHING FURTHER REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
600299 CARELINK PERSONAL MRZ OYC MEDTRONIC MINIMED MMT-7333

Patients

Seq Age Sex Outcome Treatment
1 57 YR