Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2165-2020Class II

Omnipod DASH Insulin Management System (mmol/L configuration), Catalog Number PT000011 M/D: INT1D001MM -

Insulet Corporation / initiated 2020-04-02 / Terminated / root cause: design

Insulet Corporation began a recall of Omnipod DASH Insulin Management System (mmol/L configuration), Catalog Number PT000011 M/D: INT1D001MM - Product Usage: is intended for subcutaneous delivery... on . FDA classified it as Class II and gives the reason as "After the device has been in use for about 2 months, data processing in the PDM can be slowed such that the Bolus Calculator fails to accurately subtract the correct amout of IOB before suggesting a bolus amount". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-2165-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Insulet Corporation
Product
Omnipod DASH Insulin Management System (mmol/L configuration), Catalog Number PT000011 M/D: INT1D001MM - Product Usage: is intended for subcutaneous delivery of insulin at set and variable rates for the management of diabetes mellitus in persons requiring insulin.
Product code
LZG Pump, Infusion, Insulin
Reason for recall
After the device has been in use for about 2 months, data processing in the PDM can be slowed such that the Bolus Calculator fails to accurately subtract the correct amout of IOB before suggesting a bolus amount.
Root cause tag
design
FDA root cause
Device Design
Action
URGENT: Field Safety Notification letters dated 4/3/20 were sent to customers. How do users prevent this from happening? This issue is entirely preventable (see Figure 1 below) by (1) always entering the Bolus Calculator through the Bolus Button from the Home screen and (2) by never entering the Bolus Calculator through the Menu Icon. Is it safe for users to continue using the Omnipod DASH" PDM? Yes, it is safe for users to continue using the Omnipod DASH" PDM if the steps detailed above are followed to avoid incorrect bolus calculations. Users will not experience the issue if they always use the Bolus Calculator by entering through the Bolus Button on the Home screen. How will Insulet fix the software issue? A software update is being made to fix this issue, along with the issue described in the February 2020 notice and an updated replacement Omnipod DASH" PDM will be provided from August 2020. Once available, we will contact users directly via email or letter to arrange shipping. If you have received an email from Insulet providing you with the information covered in this letter and you have already responded, you do not need to do anything more at this time. If you have not received an email, we would ask that you go our website to confirm receipt of this letter and provide the Serial Number of your Omnipod DASH" PDM to ensure a replacement is reserved for you. If you would like additional information, our Customer Care is available 24/7 on 0800 011 6132 (+44 (0) 203 887 1709 when calling from abroad) or by email [email protected].
Quantity in commerce
1773
Distribution
The products were distributed to the following foreign countries: Italy, Netherlands, UK.
Product codes and lots
UDI: PT000011 10385082000146; Lot Numbers: L000200, L000201, L000203, L000209, L000210

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2165-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2164-2020Class IITerminatedVoluntary: Firm initiated
Z-2165-2020Class IITerminatedVoluntary: Firm initiated