ONETOUCHPING GLUCOSEMGMTSYSTEM OTP GLUCOSE MGMT SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2012-07-26 for ONETOUCHPING GLUCOSEMGMTSYSTEM OTP GLUCOSE MGMT SYSTEM manufactured by Animas Corporation.

Event Text Entries

[2843482] On (b)(6) 2012 the reporter contacted animas to report the pump would not power on after it had been exposed to water in a swimming pool. The reporter noted there was moisture in the battery compartment and behind the display lens. There was no damage to the battery compartment or the battery cap, and the battery cap was secure and tight. There was no patient injury associated with this issue.
Patient Sequence No: 1, Text Type: D, B5


[10056999] The pump has not been returned to animas for evaluation. Animas has conducted a review of the device history record for this pump and confirmed that it was operating within required specifications at the time of release. If the device is returned, an evaluation shall be completed and a supplemental report will be filed. No conclusions can be made at this time.
Patient Sequence No: 1, Text Type: N, H10


[20396524] (b)(4): visual inspection revealed a battery compartment crack and corrosion inside the battery compartment. The pump fails to power on, and therefore testing could not be adequately completed. Leak testing revealed a battery compartment leak, and there was evidence of moisture damage found inside the pump. The user guide warns that cracks, chips, or damage to the pump may impact the battery contact and/or the waterproof feature of the pump. Additionally, owner's booklet instructs the user to call animas customer service if the user suspects that the product is damaged.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2531779-2012-07201
MDR Report Key2671838
Report Source04
Date Received2012-07-26
Date of Report2012-07-02
Date of Event2012-07-02
Date Mfgr Received2012-07-02
Device Manufacturer Date2010-06-29
Date Added to Maude2012-11-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKELLY STONE
Manufacturer Street200 LAWRENCE DR
Manufacturer CityWEST CHESTER PA 193803428
Manufacturer CountryUS
Manufacturer Postal193803428
Manufacturer Phone4089564746
Manufacturer G1ANIMAS CORPORATION
Manufacturer Street200 LAWRENCE DR
Manufacturer CityWEST CHESTER PA 19380342
Manufacturer CountryUS
Manufacturer Postal Code19380 3428
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameONETOUCHPING GLUCOSEMGMTSYSTEM
Generic NameINSULIN INFUSION PUMP
Product CodeLZG
Date Received2012-07-26
Returned To Mfg2012-08-03
Model NumberOTP GLUCOSE MGMT SYSTEM
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerANIMAS CORPORATION
Manufacturer Address200 LAWRENCE DR WEST CHESTER PA 19380342 US 19380 3428


Patients

Patient NumberTreatmentOutcomeDate
10 2012-07-26

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