Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2471-2018Class II

t:slim G4 Insulin Pump with Dexcom G4 Platinum CGM Software version: 4.3.4.3, Firmware version: 004722...

Tandem Diabetes Care, Inc. / initiated 2018-04-23 / Open, Classified / root cause: design

Tandem Diabetes Care Inc began a recall of t:slim G4 Insulin Pump with Dexcom G4 Platinum CGM Software version: 4.3.4.3, Firmware version: 004722, Firmware, Fuel Gauge, Binary Rev B on . FDA classified it as Class II and gives the reason as "The fuel gauge, the component that reads and reports the battery parameters to the pump, could provide inaccurate readings, which present to the user in one of two ways: A) by triggering a Malfunction 4 Alarm, or B) by...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-2471-2018
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Tandem Diabetes Care, Inc.
Product
t:slim G4 Insulin Pump with Dexcom G4 Platinum CGM Software version: 4.3.4.3, Firmware version: 004722, Firmware, Fuel Gauge, Binary Rev B.
Product code
OYC Pump, Infusion, Insulin, To Be Used With Invasive Glucose Sensor
Reason for recall
The fuel gauge, the component that reads and reports the battery parameters to the pump, could provide inaccurate readings, which present to the user in one of two ways: A) by triggering a Malfunction 4 Alarm, or B) by triggering a succession of notifications prior to the pump shutting off, including Alert 2 (Battery Low), Alert 3 (Battery Very Low) and Alarm 12 (Battery Very Low). The alarms in both scenarios notify the user that the pump has stopped delivering insulin.
Root cause tag
design
FDA root cause
Device Design
Action
On 04/23/2018, customers were sent Urgent Medical Device Voluntary Recall letters via overnight mail delivery and email. The letter instructed customers to call Customer Support at 1-877-801-6901 to arrange for replacement pumps. Customers were advised to continue using effected devices provided they kept Emergency Kits with backup insulin supplies with them. If customers noted unexpected battery behavior, malfunction 4 alarm, or the following alerts: Alert 2 (Battery Low), Alert 3 (Battery Very Low) and Alarm 12 (Battery Very Low), then customers were advised to discontinue use and use backup insulin supplies, while they waited for replacement pumps. The firm advised customers to fill out and return via fax, email, or mail Medical Device Recall Return Response forms.
Quantity in commerce
55
Distribution
U.S. Consignees: IN, AZ, UT, TX, NY, NJ, MD, MN, IL, CO, AL, WI, CA, PA, OH, OR, MS, FL, NM, ID, NV, KY, VA,
Product codes and lots
Serial Numbers: 483731, 483930, 483992, 484013, 492055, 492368, 501157, 501177, 501178, 501187, 501191, 501200, 501202,  501205,  501207,  501268,  501285,  501364,  501368,  501370,  501376,  501385,  501386,  501387,  501432, 501435, 501440, 501443, 501444, 501445, 501466, 501479, 501488, 501490, 501491, 501495, 501503, 501508, 501509, 501519, 501522, 501523, 501526, 501535, 501560, 504522, 504531, 504535, 504540,  504753,  504972,  504990,  505025,  90472671,  90488584

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2471-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2471-2018Class IIOngoingVoluntary: Firm initiated