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Model Number MMT-105NNBLNA |
Device Problem
Patient Device Interaction Problem (4001)
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Patient Problems
Hyperglycemia (1905); Hypoglycemia (1912)
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Event Date 07/06/2022 |
Event Type
malfunction
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Manufacturer Narrative
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Currently it is unknown whether or not the device may have caused or contributed to the event as no product has been returned.The device will be returned for analysis and further information will follow once the analysis has been completed.No conclusion can be drawn at this time.Medtronic, inc.(medtronic) is submitting this report to comply with 21 c.F.R.Part 803, the medical device reporting regulation.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information in the time allotted and has provided as much information as is available to the company as of the submission date this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employees caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any "defects" or has "malfunctioned".These words are included in the fda 3500a form and are fixed items for selection created by the fda, to categorize the type of event solely for the purpose of reporting pursuant to part 803.Medtronic objects to the use of these words and others like it because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.
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Event Description
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Information received by medtronic indicated that the screw was not moving when the dose button was pushed in.Customer experienced low and high blood glucose no harm requiring medical intervention was reported.Troubleshooting was performed, and the customer will discontinue to use the device.
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Manufacturer Narrative
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Per visual inspection: no physical damaged to cap, cartridge holder or inpen was noted.The inpen paired to the commercial app with small pairing dose.Leadscrew was received fully extended.It was re-wound.Resistance was observed when rewinding inpen.The leadscrew retracts into inpen when dialing a dose.Unable to perform functional test.In conclusion: per dominic leyden san diego investigation: inpen retracted and extended when dialing.The dose knob was cut open and visible horizontal abrasions on the electronics housing were noted.This indicated debris was lodged between the knob and electronics housing causing the lead screw anomaly.Therefore, the customer of leadscrew anomaly was confirmed.Medtronic, inc.(medtronic) is submitting this report to comply with 21 c.F.R.Part 803, the medical device reporting regulation.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information in the time allotted and has provided as much information as is available to the company as of the submission date this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employees caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any "defects" or has "malfunctioned".These words are included in the fda 3500a form and are fixed items for selection created by the fda, to categorize the type of event solely for the purpose of reporting pursuant to part 803.Medtronic objects to the use of these words and others like it because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.
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Search Alerts/Recalls
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