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U.S. Department of Health and Human Services

Class 2 Device Recall Insulet Omnipod DASH" Insulin Management System

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 Class 2 Device Recall Insulet Omnipod DASH" Insulin Management Systemsee related information
Date Initiated by FirmFebruary 01, 2021
Create DateMarch 10, 2021
Recall Status1 Terminated 3 on February 08, 2023
Recall NumberZ-1203-2021
Recall Event ID 87305
510(K)NumberK192659 
Product Classification Pump, infusion, insulin - Product Code LZG
ProductOmnipod 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
For Additional Information ContactSAME
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
ActionInsulet 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 Commerce21,723 guides
DistributionCanada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland
Total Product Life CycleTPLC Device Report

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.
510(K) Database510(K)s with Product Code = LZG
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