| Class 2 Device Recall Insulet Omnipod DASH" Insulin Management System | |
Date Initiated by Firm | February 01, 2021 |
Create Date | March 10, 2021 |
Recall Status1 |
Terminated 3 on February 08, 2023 |
Recall Number | Z-1203-2021 |
Recall Event ID |
87305 |
510(K)Number | K192659 |
Product Classification |
Pump, infusion, insulin - Product Code LZG
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Product | Omnipod DASH Insulin Management System User Guide (OUS Only)
Product Catalog Number:
PT 000002 XXX XXX XX
PT 000318
PT 000319
Distributed to: Canada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland |
Code Information |
Part Number/Rev./Country: PT 000002 AUT DEU mg 1, 2, 3 Guide, Dash User, German Austria PT 000002 BEL DEU MG 1, 2, 3 Guide, Dash User Guide, Belgium Germany, mgdl PT 000002 BEL FRE MG 1, 2, 3, 4 Guide, Dash User Guide, Belgium French, mgdl PT 000002 BEL NLD MG 1, 2, 3 Guide, Dash User Guide, Belgium Dutch, mgdl PT 000002 DEU DEU mg 1, 2, 3 Guide, Dash User Guide, German Germany, mgdl PT 000002 DEU DEU mm 1, 2, 3 Guide, Dash User Guide, German Germany, mmoll PT 000002 DNK DANmm 1, 2, 3 Guide, Dash User Guide, Danish Denmark PT 000002 FIN FIN mm 1, 2, 3 Guide, Dash User Guide, Finnish Finland PT 000002 FRA FRE mg 1, 2, 3, 4 Guide, Dash User Guide, French France PT 000002 NLD NLD mm 1, 2, 3, 4 Guide, Dash User Guide, Dutch Netherland PT 000002 NOR NORmm 1, 2, 3 Guide, Dash User Guide, Norwegian Norway PT 000002 SWE SWEmm 1, 2, 3 Guide, Dash User Guide, Swedish Sweden 41333 CAN 1, 2 User Guide, Omnipod, Dash, Canada PT 000318 1, 2 Guide, Dash User Guide, Greece PT 000319 1, 2 Guide, Dash User Guide, Turkey |
Recalling Firm/ Manufacturer |
Insulet Corporation 100 Nagog Park Acton MA 01720-3440
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For Additional Information Contact | SAME 978-600-7451 |
Manufacturer Reason for Recall | Certain foreign user guides include a misprint which could lead to an incorrect bolus delivery and hypoglycemia. Only Outside the US (OUS): Error in the Omnipod DASH User Guide text, page 6 of the User Guide, the text states that the comma (,) is not used for the decimal on the PDM, when in fact it is the period (.) that is not used.If a user were to use the period as a decimal separator when entering a bolus value, this decimal separator would not be recognized by the device and any numbers entered after the period could result in a larger value than intended |
FDA Determined Cause 2 | Labeling design |
Action | Insulet issued Email, mail, or outbound call notification of the Field Safety Notification between Feb 2nd and Feb 5 th to end customers, HCPs and distributors in: Canada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland.
Letter states reason for correction, health risk and action to take:
Please refer to the attached Annex in reference to page 6 of the User Guide as opposed to referring to the instructions in the existing User Guide. We recommend you place this insert at p.6 in your User Guide. Please ensure that the comma is always used when entering bolus values.
In accordance with applicable rules, this corrective action is implemented with the knowledge of the relevant competent authorities.
Please electronically confirm your understanding of this Field Safety Notification by going to the webpage the link below and following the instructions on screen. |
Quantity in Commerce | 21,723 guides |
Distribution | Canada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland |
Total Product Life Cycle | TPLC Device Report |
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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510(K) Database | 510(K)s with Product Code = LZG
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