Unomedical reference number (b)(4).Event occurred in (b)(6).It was reported that a patient experienced a kinked cannula issue, but on (b)(6) 2021, the patient changed the infusion set and the blood glucose level was reported as 21 mmol/l which was rising.Moreover, in the morning of (b)(6) 2021 at 1:45 am, the patient's blood glucose level was reported as more than 30 mmol/l, as the cannula was kinked.They tried to treat this issue by a correction bolus.On the same day ( (b)(6) 2021), the patient was admitted to the hospital with high blood glucose level of over 30 mmol/l and had ketones which the health care professional assessed as dangerous/life threatening.During hospitalization, the patient received kalium infusion as corrective treatment which resolved the issue.Further, the pump was reactivated during the stay in the hospital.Unomedical do not see bent/kinking as being related to human factors, but rather as a training issue including correct choices of insertion sites and infusion sets and cannula length.Furthermore, the soft cannula is a flexible material that during use and upon removal can bend slightly.No further information available.
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