FINESSE PATCH

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 2015-07-17 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[6431875] On (b)(6) 2015 the reporter contacted calibra indicating that the patch was filled as normal but prior to inserting the patch, insulin was noted to have leaked out. This complaint is being reported because the reported issue was not resolved with troubleshooting. There was no indication that the product caused or contributed to an adverse event.
Patient Sequence No: 1, Text Type: D, B5


[14033745] The product has not been returned to calibra. 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


[23559426] Follow up #1: additional information: calibra contacted the patient on (b)(6) 2015 for additional troubleshooting of the reported event. The reporter indicated that the device was filled with 200 units of insulin. During the prime step the patient indicated holding the device vertical out in front of the body and pressed the buttons until the device clicked 3 times to prime, but the device was noted to be leaking from an area other than the cannula at that time. The patient confirmed feeling that he received the proper training.
Patient Sequence No: 1, Text Type: N, H10


[28660888] Follow-up #2 09/08/2015 device evaluation: the patch has been returned and evaluated by product analysis on 08/31/2015 with the following findings: the finesse patch was examined. The insulin reservoir was found to have an air bubble present. The fill septum appeared normal. The guide cap was found to have excess insulin in the insulin trap fins and the liner was found to have insulin around the guide cap possibly indicating that the device was clicked many times. When the beige cap was removed, no residual insulin was found, the welds were confirmed competent, and the reservoir bonds were in excellent condition confirming no internal leaks. During testing, the device de-bubbled with 5 clicks. The device clicked 47 times until the last dose lock out delivering approximately 94 units. The product was within specifications and performed appropriately during testing. Lot record review of all lots released for the market acceptance study was completed and lots were found to be operating within required specifications at the time of release.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3008272700-2015-00020
MDR Report Key4921775
Report Source04,CONSUMER
Date Received2015-07-17
Date of Report2015-07-10
Date Mfgr Received2015-07-10
Date Added to Maude2015-08-06
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 ContactSAM CRAWFORD
Manufacturer Street220 SAGINAW DR
Manufacturer CityREDWOOD CITY CA 940634725
Manufacturer CountryUS
Manufacturer Postal940634725
Manufacturer Phone6502984705
Manufacturer G1CALIBRA MEDICAL, INC
Manufacturer Street220 SAGINAW DR
Manufacturer CityREDWOOD CITY CA 940634725
Manufacturer CountryUS
Manufacturer Postal Code940634725
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeOPP
Date Received2015-07-17
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address220 SAGINAW DR REDWOOD CITY CA 940634725 US 940634725


Patients

Patient NumberTreatmentOutcomeDate
10 2015-07-17

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