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 2016-02-10 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[38539951] 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. (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[38539952] On (b)(6) 2016, it was reported that on the first dose, the buttons were " sticky" and then stayed in the locked position. The patient was said to have replaced the patch with a new one, and dose was delivered without issue. There was no indication that the product caused or contributed to an adverse event. This complaint is being reported because the device was unable to deliver insulin.
Patient Sequence No: 1, Text Type: D, B5


[42301892] Follow-up #1 04/06/2016 device evaluation: the inserter has been returned and evaluated by product analysis on (b)(6) 2016 with the following findings: the patch showed evidence that the device was filled, partially debubbled and deployed. The patch buttons were not locked per the allegation upon receipt of the product. During testing the device was clicked several times without issues. The button travel was not found to be hindered or sticking during testing. There was no foreign material noted on the patch and there was no damage to the buttons, casing, or any of the springs. The cannula appeared slightly bent during investigation however this appeared to be related to lack of protection during shipping. The alleged sticking button allegation was unable to be confirmed or duplicated during testing.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3008272700-2016-00007
MDR Report Key5426839
Date Received2016-02-10
Date of Report2016-01-29
Date Mfgr Received2016-01-29
Date Added to Maude2016-02-10
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 Received2016-02-10
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 Received2016-02-10
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 2016-02-10

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