MAUDE Adverse Event Report: UNOMEDICAL DEVICES S.A. DE C.V. SURE-T PARADIGM; UNO CONTACT DETACH G29 60/6 PCC MIMX

Model Number	MMT-864
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Elevated ketones/Diabetic Ketoacidosis (2364)
Date of Event	03/23/2025
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
E1: patient city: (b)(6).Patient country: colombia.H11: since no lot number is available, a detailed investigation, tests on reference samples or batch review cannot be conducted.Therefore, this complaint will be closed, this issue will be monitored through pms product trends and malfunction.If any trends picked up, this will flag on the trips and alerts according to the omqr procedure.
Event or Problem Description
Reference number (b)(4).Event occured in colombia.It was reported that the patient went to the hospital due to high blood glucose levels on (b)(6) 2025.The blood glucose value when admitted to the hospital was 307 mg/dl.The patient tested for ketones, and the results were 2.7.The reason for hospitalization was ketoacidosis.Insulin was administered intravenously while at the hospital.The patient was hospitalized for more than 24 hours.No further information available.
Additional Manufacturer Narrative
Unomedical hereby submits this supplemental report as part of its complaint remediation activities conducted under a capa/fda action plan.This submission includes a retrospective reassessment of previously evaluated complaints.Unomedical is providing this supplemental information in accordance with the reporting requirements set forth in 21 cfr part 803.Any fields left blank indicate that the information is unknown, unavailable, or remains unchanged.Mdr retraction: the initial mdr with manufacturing report number (3003442380-2025-06822), was submitted on 23-apr-2025.However, based on the reassessment of the complaints done on 06 feb 2026, it was found that the serious injury was not related to the infusion set and there is no allegation on infusion set.The event was due to sg vs bg discrepancies (sensor issue) now, this case has been determined to be non-reportable.Hence, this mdr is being submitted to retract the initial mdr.To date no additional information has been received.Should additional information become available, a follow-up report will be submitted.
Event or Problem Description
To date no additional patient or event details have been received.

• Brand Name: SURE-T PARADIGM
• Common Device Name: UNO CONTACT DETACH G29 60/6 PCC MIMX
• Manufacturer (Section D): UNOMEDICAL DEVICES S.A. DE C.V.; ave. fomento industrial l9 m3; parque industrial del norte; reynosa, tamaulipas, c.p., 88736 ; MX 88736
• Manufacturer Contact: aaholmvej 1-3; osted; lejre, 4320
• MDR Report Key: 21888136
• Report Number: 3003442380-2025-06822
• Device Sequence Number: 3553292
• Product Code: FPA
• UDI-Device Identifier: 05705244005778
• UDI-Public: 05705244005778
• Combination Product (Y/N): N
• Initial Reporter Country: MX
• PMA/510(K) Number: K160648
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 02/06/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Model Number: MMT-864
• Device Lot Number: UNKNOWN
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/24/2025
• Supplement Date Received by Manufacturer: 02/06/2026
• Initial Report FDA Received Date: 04/23/2025
• Supplement Report FDA Received Date: 02/10/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Hospitalization; Required Intervention
• Patient Sex: Unknown