FINESSE PATCH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-01-25 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[36936335] Calibra has been unable to request return of the product at this time. 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


[36936336] On (b)(6) 2016, it was reported that the button became locked on one side of the patch while the patient was delivering a dose of insulin. The patient mentioned that she might not have filled the patch sufficiently. Reportedly, this issue has not occurred since the patient was re-educated on filling the patch with more insulin. There was no indication that the product caused or contributed to an adverse event. This complaint is being reported because there is a possibility that the patch locked without reason, causing the device to become unusable.
Patient Sequence No: 1, Text Type: D, B5


[42639737] Follow-up #1 04/12/2016 device evaluation: the patch has been returned and evaluated by product analysis on (b)(6) 2016 with the following findings: the two returned patches were found to have the buttons locked out. When the patch buttons are locked out, the valve button has a small amount of movement inward while the pump button is completely locked. During testing, the buttons were able to be released by injecting air into the reservoir and pressing the buttons. The patches were locked out again by pressing the buttons until they reached their last dose lockout. The patches were again confirmed to be able to unlock the buttons by injecting air into the reservoir. Based on the testing, it appears that the patch buttons were locked out due to reaching the last dose lockout.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3008272700-2016-00004
MDR Report Key5387785
Date Received2016-01-25
Date of Report2016-01-14
Date Mfgr Received2016-01-14
Date Added to Maude2016-01-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
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 Sequence Number: 0

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeOPP
Date Received2016-01-25
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address220 SAGINAW DR REDWOOD CITY CA 940634725 US 940634725

Device Sequence Number: 1

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeLZG
Date Received2016-01-25
Returned To Mfg2016-02-04
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address220 SAGINAW DR REDWOOD CITY CA 940634725 US 940634725


Patients

Patient NumberTreatmentOutcomeDate
10 2016-01-25

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