MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-03-31 for TANDEM T:SLIM INSULIN DELIVERY SYSTEM 004628 005472 manufactured by Tandem Diabetes Care.
[187030720]
No product was returned for evaluation. Should new relevant information become available, a supplemental report will be submitted.
Patient Sequence No: 1, Text Type: N, H10
[187030721]
It was reported that the "back" button on the pump touch screen was unresponsive. There was no reported impact to the customer's blood glucose level. The customer declined further troubleshooting with tandem technical support.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3013756811-2020-31295 |
| MDR Report Key | 9905920 |
| Report Source | CONSUMER |
| Date Received | 2020-03-31 |
| Date of Report | 2020-03-31 |
| Date of Event | 2020-03-08 |
| Date Mfgr Received | 2020-03-08 |
| Device Manufacturer Date | 2015-11-01 |
| Date Added to Maude | 2020-03-31 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MICK TRIER |
| Manufacturer City | SAN DIEGO CA 92121 |
| Manufacturer Country | US |
| Manufacturer Postal | 92121 |
| Manufacturer Phone | 8584011451 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TANDEM T:SLIM INSULIN DELIVERY SYSTEM |
| Generic Name | INSULIN PUMP |
| Product Code | LZG |
| Date Received | 2020-03-31 |
| Model Number | 004628 |
| Catalog Number | 005472 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TANDEM DIABETES CARE |
| Manufacturer Address | 11075 ROSELLE STREET SAN DIEGO CA 92121 US 92121 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-31 |