MAUDE MDR 4939648

MDR report key
4939648
Report number
3008272700-2015-00032
Event key
0
Event type
3
Date received
2015-07-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
305
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
SAM CRAWFORD
Address
220 SAGINAW DR REDWOOD CITY CA 94063 US
Phone
650-650-6502
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1FINESSE PATCHFINESSE INSULIN DELIVERYSYSTEMCALIBRA MEDICAL, INCOPPR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-07-240

Event Narratives#

N

Patient 1

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.

D

Patient 1

ON (B)(6) 2015, THE PATIENT RESPONDED TO AN ANONYMOUS SURVEY FOR CALIBRA STATING THAT IT WAS DIFFICULT TO GET THE BUBBLES OUT OF THE PATCH. 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.