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 2017-04-05 for FINESSE PATCH manufactured by Calibra Medical, Inc.

Event Text Entries

[72106146] The device is not available for return to calibra for evaluation. No conclusions can be made at this time. Initial reporter: (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[72106147] On (b)(6) 2017 it was reported that the dosing buttons on the device were not functioning properly. The patient stated that the buttons do not lock, as expected, when the device is empty of insulin. There was no indication that the product caused or contributed to an adverse event. The complaint is being reported because the alleged malfunction has the ability to result in a delay in treatment or long term cessation in delivery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008272700-2017-00010
MDR Report Key6460876
Date Received2017-04-05
Date of Report2017-03-23
Date Mfgr Received2017-03-23
Date Added to Maude2017-04-05
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 ContactKARIN SARGRAD
Manufacturer Street965 CHESTERBROOK BLVD
Manufacturer CityWAYNE PA 19087
Manufacturer CountryUS
Manufacturer Postal19087
Manufacturer Phone4843561808
Manufacturer G1CALIBRA MEDICAL, INC
Manufacturer Street965 CHESTERBROOK BLVD
Manufacturer CityWAYNE PA 19087
Manufacturer CountryUS
Manufacturer Postal Code19087
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFINESSE PATCH
Generic NameFINESSE INSULIN DELIVERYSYSTEM
Product CodeOPP
Date Received2017-04-05
Lot Number400
ID Number1-2VSIX7R
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCALIBRA MEDICAL, INC
Manufacturer Address965 CHESTERBROOK BLVD WAYNE PA 19087 US 19087


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-05

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