FDA Adverse Event Injury Summary report: N

SENSOR ENLITE MMT-7008B

MDR report key: 8622860 · Received May 20, 2019

Report

Report Number
2032227-2019-04263
Event Type
Injury
Date Received
May 20, 2019
Date of Event
May 13, 2019
Report Date
May 19, 2019
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
UDI-DI
00643169541719
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LO
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 AND THEY EXPERIENCED HIGH BLOOD GLUCOSE. THE CUSTOMER¿S BLOOD GLUCOSE WAS 25 MMOL/L AND THE SENSOR GLUCOSE WAS 3.4 MMOL/L. INSULIN DELIVERY WAS SUSPENDED DUE TO SENSOR VALUES. SENSOR VALUE THAT TRIGGERED THE SUSPEND EVENT WAS 3.4 MMOL/L. SUSPEND ON LOW LIMIT IN SENSOR SETTINGS WAS 3.4 MMOL/L. INSULIN DELIVERY WAS SUSPENDED DUE TO SENSOR GLUCOSE AND BLOOD GLUCOSE DIFFERENCE. THE CUSTOMER WAS INFORMED THAT THEIR BLOOD GLUCOSE AND SENSOR GLUCOSE LEVELS WERE NOT IN ACCEPTABLE RANGE. THE SENSOR WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
416647 SENSOR ENLITE MMT-7008B ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008B B149P 00643169541719

Patients

Seq Age Sex Outcome Treatment
1 Other UNOMED INF SET, FRN-UNK-RSVR