Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0165-2014Class II

OmniPod Insulin Management System Starter Kit; Model Reference Number: SKT-UST400 (Starter Kit)

Insulet Corporation / initiated 2013-09-27 / Terminated / root cause: labeling and UDI

Insulet Corporation began a recall of OmniPod Insulin Management System Starter Kit; Model Reference Number: SKT-UST400 (Starter Kit) Product Usage: The Starter Kit (SKT-UST400) is provided to... on . FDA classified it as Class II and gives the reason as "Alcohol Prep Pads contained within the kit are not properly labeled". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-0165-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Insulet Corporation
Product
OmniPod Insulin Management System Starter Kit; Model Reference Number: SKT-UST400 (Starter Kit) Product Usage: The Starter Kit (SKT-UST400) is provided to users as an introduction to the OmniPod Insulin Management System prior to initiating care. It includes the Personal Diabetes Manager (PDM) with two AAA alkaline batteries, a USB cable, a Users Guide, a Soft Carrying Case, a Troubleshooting guide, a Warranty Registration Card, and two Alcohol Pads. The OmniPod Insulin Management System is intended for subcutaneous delivery of insulin at set and variable rates for the management of diabetes mellitus in persons requiring insulin and for the quantitative measurement of glucose in fresh whole capillary blood (in vitro) from the finger. The glucose measurements should not be used for the diagnosis of or screening for diabetes. The PDM glucose meter is intended for single-patient use and should not be shared. Abbott FreeStyle test strips are used with the built-in FreeStyle meter for the quantitative measurement of blood glucose in fresh whole capillary blood from the finger, upper arm and palm. Abbott Freestyle Control Solutions are used to verify that the meter and test-strips are working together properly and that the test is performed correctly.
Product code
LZG Pump, Infusion, Insulin
Reason for recall
Alcohol Prep Pads contained within the kit are not properly labeled.
Root cause tag
labeling and UDI
FDA root cause
Labeling design
Action
Insulet sent an Important Corrective Action Notification letter dated September 27, 2013 to all affected customers. The letter identified the affected product, problem and actions to be taken. Customers are asked to discontinue use and properly dispose of the affected product. For questions contact Customer Care at (866) 941-0294.
Quantity in commerce
1,719 starter kits
Distribution
Worldwide Distribution - USA Nationwide and the country of Israel.
Product codes and lots
Lot Numbers: L13483, L13485, L13478, & L13481

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0165-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0165-2014Class IITerminatedVoluntary: Firm initiated
Z-0166-2014Class IITerminatedVoluntary: Firm initiated