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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ANIMAS CORPORATION ANIMAS VIBE INSULIN INFUSION PUMP

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ANIMAS CORPORATION ANIMAS VIBE INSULIN INFUSION PUMP Back to Search Results
Device Problems Corroded (1131); Moisture Damage (1405); Device Stops Intermittently (1599)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Animas has conducted a review of the device history record for this pump and confirmed that it was operating within required specifications at the time of release. The pump has not been returned to animas for evaluation. If the device is returned, an evaluation shall be completed and a supplemental report will be filed. No conclusions can be made at this time.
 
Event Description
On (b)(6) 2016, the reporter contacted animas, alleging an intermittent power issue with the pump. There was reportedly moisture and corrosion in the battery compartment. There was no indication of damage to the pump. This complaint is being reported because the reported issue was not resolved with troubleshooting. There was no indication that the product caused or contributed to an adverse event.
 
Manufacturer Narrative
Follow-up #1: date of submission 06/01/2016. Device evaluation: the device has been returned and evaluated by product analysis on 05/12/2016 with the following findings: multiple unexpected power on reset (por) events were observed on 04/04/2016. The battery compartment was found to be cracked from the finger pad down to the case seal. The returned battery cap secured to the pump and maintained electrical connection. During testing, the battery cap was fastened and then unscrewed ½ turn with no reboots. There was no evidence of moisture or corrosion observed in the battery compartment. A leak test revealed a battery compartment leak. The ¿ez-prime¿ steps were performed correctly; there were no power interruptions or any errors, alarms or warnings that occurred during the investigation. The pump¿s cover was removed; there was no moisture ingress or any intermittent conditions found to the power circuit or to the cgm module. The reported ¿power¿ complaint was unable to be duplicated during investigation. Animas has conducted a review of the device history record for this pump and confirmed that it was operating within required specifications at the time of release.
 
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Brand NameANIMAS VIBE
Type of DeviceINSULIN INFUSION PUMP
Manufacturer (Section D)
ANIMAS CORPORATION
200 lawrence dr
west chester PA 19380 3428
Manufacturer (Section G)
ANIMAS CORPORATION
200 lawrence dr
west chester PA 19380 3428
Manufacturer Contact
karin sargrad
200 lawrence dr
west chester, PA 19380-3428
4843561808
MDR Report Key5591834
MDR Text Key43849145
Report Number2531779-2016-08181
Device Sequence Number1
Product Code MDS
Combination Product (y/n)N
PMA/PMN Number
P130007
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,foreign
Type of Report Initial,Followup
Report Date 04/04/2016
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received04/20/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/26/2016
Was the Report Sent to FDA? Yes
Device Age23 MO
Event Location No Information
Date Manufacturer Received04/04/2016
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured04/21/2014
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unkown

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