FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE MMT-7008B

MDR report key: 6756870 · Received August 1, 2017

Report

Report Number
2032227-2017-32787
Event Type
Malfunction
Date Received
August 1, 2017
Date of Event
July 4, 2017
Report Date
August 1, 2017
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

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

THE CUSTOMER REPORTED VIA PHONE CALL THAT THE SENSOR ELECTRODE ONLY 2MM LONG AND SHORTER THAN USUAL. CUSTOMER'S BLOOD GLUCOSE WAS UNKNOWN AT THE TIME OF INCIDENT. THE PRODUCT WILL NOT BE RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
536624 SENSOR ENLITE MMT-7008B ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008B

Patients

Seq Age Sex Outcome Treatment
1