| Brand Name | T:SLIM X2 INSULIN PUMP WITH CONTROL-IQ TECHNOLOGY |
| Common Device Name | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP |
| Manufacturer (Section D) |
| TANDEM DIABETES CARE |
| 12400 high bluff drive |
| san diego CA 92130 |
|
| Manufacturer Contact |
|
john
connell
|
| 12400 high bluff drive |
| san diego, CA 92130
|
|
858 224-6281
|
|
| MDR Report Key | 25552973 |
| Report Number | 3013756811-2026-110781 |
| Device Sequence Number | 10762402 |
| Product Code |
QFG
|
| UDI-Device Identifier | 00850006613731 |
| UDI-Public | (01)00850006613731(22)1006379(11)240703 |
| Combination Product (Y/N) | N |
| Initial Reporter State | SC |
| Initial Reporter Country | US |
| PMA/510(K) Number | K203234 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/18/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | 1000354 |
| Device Catalogue Number | 1006379 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/12/2026 |
| Initial Report FDA Received Date | 06/18/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/08/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | TANDEM - CARTRIDGE |
| Patient Age | 72 YR |
| Patient Sex | Female |