FDA Adverse Event Injury Summary report: N

SENSOR ENLITE MMT-7008A

MDR report key: 7755576 · Received August 7, 2018

Report

Report Number
2032227-2018-10097
Event Type
Injury
Date Received
August 7, 2018
Date of Event
July 8, 2018
Report Date
August 7, 2018
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
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

CUSTOMER REPORTED VIA PHONE CALL TO HAVE EXPERIENCED SENSOR GLUCOSE VERSUS BLOOD GLUCOSE DIFFERENCES WITH THRESHOLD SUSPEND. CUSTOMER'S SENSOR GLUCOSE WAS 48 AND BLOOD GLUCOSE WAS 149 MG/DL. CUSTOMER WAS ADVISED THAT SENSOR WOULD BE REPLACED. FRN-RESERVOIR, OZO- SENSOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
597383 SENSOR ENLITE MMT-7008A ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008A

Patients

Seq Age Sex Outcome Treatment
1 65 YR