FDA Adverse Event Malfunction Summary report: N

SENSOR ENLITE MMT-7008A

MDR report key: 8805965 · Received July 19, 2019

Report

Report Number
2032227-2019-32320
Event Type
Malfunction
Date Received
July 19, 2019
Date of Event
July 9, 2019
Report Date
July 18, 2019
Manufacturer
MEDTRONIC MINIMED
Product Code
OZO
UDI-DI
20643169541706
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
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. THE INSULIN PUMP INVOLVED IN THIS EVENT IS THE 640 G INSULIN INFUSION PUMP, WHICH IS NOT MARKETED IN THE UNITED STATES. HOWEVER, THE DEVICE IS SIMILAR TO THE PARADIGM REAL-TIME INSULIN INFUSION PUMP, WHICH IS MARKETED IN THE UNITED STATES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE NEEDLE WAS CUSTOMER NOTICED THAT THE ELECTRODE WAS MISSING. CUSTOMER¿S BLOOD GLUCOSE LEVEL WAS UNKNOWN. THE SENSOR WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
601703 SENSOR ENLITE MMT-7008A ARTIFICIAL PANCREAS DEVICE SYSTEM, THRESHOLD SUSPEND OZO MEDTRONIC MINIMED MMT-7008A D239P 20643169541706

Patients

Seq Age Sex Outcome Treatment
1