V-GO DISPOSABLE INSULIN DELIVERY DEVICE V-GO 40

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,consumer report with the FDA on 2014-02-21 for V-GO DISPOSABLE INSULIN DELIVERY DEVICE V-GO 40 manufactured by Valeritas, Llc.

Event Text Entries

[21110829] Patient on v-gu 40 called into the company's customer (b)(4) to report multiple adverse events while wearing v-go. Patient reports that he is a type 2 diabetic and has been on v-go for approximately 3 months. The patient reported that he wears two v-go 40's every 12 hours (off label use). Patient reports: skin irritation, hyperglycemia, laser surgery to correct "diabetic glaucoma. " patient reports a "pre-v-go" blood glucose range of 120-150 and a "with v-go" blood glucose range of 82-400. Patient reports that he had outpatient surgery for diabetic glaucoma correction for his left and right eyes. Patient believes that the glaucoma may be related to hyperglycemia and blood glucose variability while wearing v-go.
Patient Sequence No: 1, Text Type: D, B5


[21168173] The devices were not returned for investigation, so unable to confirm any device malfunction. Patient was using two v-go's at the same time (off label usage) which indicates a large insulin requirement and therefore prone to hyperglycemia. Patient reports wide variation in bg levels when using the device. Chronic hyperglycemia can cause an increase in ocular pressure (glaucoma) which, if left untreated, can lead to blindness (serious injury). In this case, the patient required medical treatment (laser surgery). Since the patient required medical intervention (laser surgery) for treatment of a potentially serious adverse event and there was no attributable cause (due to device not being returned) a mdr is being submitted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1226572-2014-00001
MDR Report Key3641092
Report Source04,CONSUMER
Date Received2014-02-21
Date of Report2014-01-22
Date of Event2014-01-08
Date Mfgr Received2014-01-22
Date Added to Maude2014-02-25
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 FDA3
Event Location3
Manufacturer ContactSCOTT HUIE
Manufacturer Street750 ROUTE 202S SUITE 600
Manufacturer CityBRIDGEWATER NJ 08807
Manufacturer CountryUS
Manufacturer Postal08807
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameV-GO DISPOSABLE INSULIN DELIVERY DEVICE
Generic NameV-GO
Product CodeKZE
Date Received2014-02-21
Model NumberV-GO 40
Lot NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVALERITAS, LLC
Manufacturer Address750 ROUTE 202 SOUTH, SUITE 100 BRIDGEWATER NJ 088072597 US 088072597


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention; 2. Deathisabilit 2014-02-21

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