FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE MMT-7008A

MDR report key: 8419514 · Received March 14, 2019

Report

Report Number
2032227-2019-02275
Event Type
Malfunction
Date Received
March 14, 2019
Date of Event
January 27, 2019
Report Date
March 14, 2019
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
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

IT WAS REPORTED THAT THE SENSOR HAD INACCURATE READINGS THAT TRIGGERED THRESHOLD SUSPEND ALARM. THE CUSTOMER¿S BLOOD GLUCOSE WAS 14 MMOL/L AND THE SENSOR GLUCOSE WAS 3.2 MMO/L. THE CUSTOMER WAS ASSISTED WITH TROUBLESHOOTING. INSULIN DELIVERY WAS SUSPENDED DUE TO SENSOR VALUES. CUSTOMER STATES THE SENSOR VALUE THAT TRIGGERED THE SUSPEND EVENT WAS 3.2 MMO/L. SUSPEND ON LOW LIMIT IN SENSOR SETTINGS WAS 3.5 MMO/L. THE CUSTOMER WAS INFORMED THAT THEIR BLOOD GLUCOSE AND SENSOR GLUCOSE LEVELS WERE NOT IN ACCEPTABLE RANG. CUSTOMER STATES LAST SENSOR DID HAVE SOME BLOOD ON REMOVAL. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
216041 SENSOR ENLITE MMT-7008A ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008A

Patients

Seq Age Sex Outcome Treatment
1