FDA Enforcement Class II Ongoing

Omnipod 5 Automated Insulin Delivery System

Recall: Z-2618-2023 · Reported September 27, 2023

Enforcement

Recall Number
Z-2618-2023
Event ID
92909
Classification
Class II
Status
Ongoing
Product Type
Devices
Firm
Insulet Corporation
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
September 27, 2023
Initiation Date
February 28, 2023
Classification Date
September 20, 2023
Address
50 & 100 Nagog Park, Acton, MA, 01720-3440, United States

Description

Omnipod 5 Automated Insulin Delivery System

Reason

An error message was received when using the Omnipod 5 App on compatible smartphones that prevented phone control users from controlling the Omnipod 5 Automated Insulin Delivery System from their Omnipod 5 App which may cause a delay in therapy. To reduce the volume of inquiries Insulet was receiving from customers, an email was sent to all phone control users and the cause of the error message was resolved by reverting to prior certificates on the Insulet cloud to secure communications between the Omnipod 5 App sotware and the Insulet Cloud. This issue was limited to only certain compatible Android smartphones and did not affect the Omnipod 5 Pods or the dedicated locked-down Controller provided by Insulet. All other Omnipod 5 users were still able to manage their insulin with the device without use of the smartphone app and affected users were able to switch to the locked-down control provided to all users when they initiated the device during the time the App was unavailable to them. Further, the Omnipod itself continued to deliver insulin as per its pre-programmed settings so although affected users who did not have the locked-down controller readily available may not have been able to command insulin boluses during this time, they continued to receive basal insulin without interruption. Lastly, users of the Omnipod 5 were advised during training to always have backup supplies ready in the event of a device malfunction which would include alternative means to deliver insulin subcutaneously until the issue is resolved to minimize disruption to their insulin regimen. There were 2,168 complaints received out of 7,838 users with the Android compatible smartphones affected and 9 MDRs were submitted, however, there were no serious injuries reported or reports of erroneous results as the primary issue was a delay in therapy. This defect cannot cause false results that could negatively impact patients.

Code Info

PT-000559 Omnipod 5 App; all versions of software installed UDI-DI: 10385081120302

Distribution

Distribution throughout the US

Quantity

11,016 users