FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE MMT-7008A

MDR report key: 8702710 · Received June 17, 2019

Report

Report Number
2032227-2019-16742
Event Type
Malfunction
Date Received
June 17, 2019
Date of Event
June 12, 2019
Report Date
June 16, 2019
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
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 THERE WAS NO ELECTRODE PART OF THE SENSOR WHEN THE SENSOR WAS REMOVED. THE CUSTOMER¿S BLOOD GLUCOSE WAS UNKNOWN AT THE TIME OF THE INCIDENT. THE SENSOR WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
496243 SENSOR ENLITE MMT-7008A ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008A

Patients

Seq Age Sex Outcome Treatment
1