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 |