FDA Adverse Event Malfunction Summary report: N

PARADIGM REAL -TIME INSULIN INFUSION PUMP

MDR report key: 4131248 · Received September 19, 2014

Report

Report Number
2032227-2014-26076
Event Type
Malfunction
Date Received
September 19, 2014
Date of Event
August 20, 2014
Report Date
June 27, 2019
Manufacturer
MEDTRONIC MINIMED
Product Code
OYC
PMA / PMN Number
P980022
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CURRENTLY, IT IS UNK WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. THE DEVICE WILL BE RETURNED FOR ANALYSIS AND FURTHER INFO WILL FOLLOW ONCE THE ANALYSIS HAS BEEN COMPLETED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. THE INSULIN PUMP INVOLVED IN THIS EVENT IS THE PARADIGM REAL-TIME VEO INSULIN INFUSION PUMP, WHICH IS NOT MARKETED IN THE UNITED STATES. HOWEVER, THE DEVICE IS SIMILAR TO THE PARADIGM REAL-TIM INSULIN INFUSION PUMP, WHICH IS MARKETED IN THE UNITED STATES.

Additional Manufacturer Narrative · 1

INSULIN PUMP MONITORED FOR SEVERAL DAYS AND NO BLANK DISPLAY NOTED. INSULIN PUMP RECEIVED WITH NORMAL OPERATING CURRENT. PUMP PASSED SELF TEST. INSULIN PUMP PASSED OFF NO POWER TEST. NO UNEXPECTED LOW BATTERY ALARM ANOMALIES NOTED.

Description of Event or Problem · 1

IT WAS REPORTED THE INSULIN PUMP HAD CONSTANT LOW BATTERY ISSUES. A BATTERY CAP HAS BEEN PREVIOUSLY SENT AND ISSUE PERSISTED. CUSTOMER STATED CUSTOMER HAD CHANGED THE BATTERY ON FOUR OCCASIONS AND THEY ONLY LAST THREE DAYS. CUSTOMER'S BLOOD GLUCOSE WAS 10.1 MMOL/L. NO FURTHER INFO REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
584867 PARADIGM REAL -TIME INSULIN INFUSION PUMP OYC MEDTRONIC MINIMED MMT-754LWWP

Patients

Seq Age Sex Outcome Treatment
1