Medical Device
Manufacturing
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Z-2016-2025Class II

Omnipod 5 Automated Insulin Delivery System, iOS Application. Model Number: PT-000664/M009-S-AP. Software...

Insulet Corporation / initiated 2025-05-23 / Open, Classified / root cause: software

Insulet Corporation began a recall of Omnipod 5 Automated Insulin Delivery System, iOS Application. Model Number: PT-000664/M009-S-AP. Software Version: all Product Description: The Omnipod 5 iOS... on . FDA classified it as Class II and gives the reason as "Insulet Corporation is recalling Omnipod 5 iOS App, due to a software design issue in which a comma is not recognized as a decimal separator and the user cannot enter a decimal separator in any manual entry screen if...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-2016-2025
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Insulet Corporation
Product
Omnipod 5 Automated Insulin Delivery System, iOS Application. Model Number: PT-000664/M009-S-AP. Software Version: all Product Description: The Omnipod 5 iOS App software is available to download through the Apple app store. The Omnipod 5 App is the user interface that controls the Omnipod 5 Automated Insulin Delivery System. It is used to activate/deactivate Pods, display alerts/alarms, and send insulin delivery commands for execution to the Pod. Only available in the US.
Product code
QRX Continuous Glucose Monitor Informed Insulin Dose Calculator
Reason for recall
Insulet Corporation is recalling Omnipod 5 iOS App, due to a software design issue in which a comma is not recognized as a decimal separator and the user cannot enter a decimal separator in any manual entry screen if the user manually updates their phone settings to a region OUS that uses a decimal separator instead of a period decimal separator or chooses that format as a preference. Use of the affected software may result in over delivery of insulin by increasing the amount of insulin when a decimal separator is not recognized (e.g., 0.1 unit recognized as 1 unit) and thus may result in hypoglycemia, potentially severe.
Root cause tag
software
FDA root cause
Software design
Action
Insulet notified health care professionals and users on 05/23/2025 via emailed letter. Consignees were instructed to make sure your phone s keyboard and region settings match the approved country for use currently, the U.S. only and this issue does not affect the Insulet-provided Omnipod 5 Controllers or the Omnipod 5 App on compatible Android phones. A software update will be pushed to all devices in the coming weeks, and each consignee will be notified via email and in-app notification on the device when it is ready to install. The fix will allow commas to be recognized as decimal points when using the Omnipod 5 App for iPhone. The email notification to users included a section to formally acknowledge the notification.
Quantity in commerce
122,823 downloads
Distribution
US market only- Although there are 122823 downloads of the application, our data shows there are only ~80k active users.
Product codes and lots
Model Number: PT-000664/M009-S-AP. UDI-DI: 10385083000336. All software versions 1.X.X

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2016-2025
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2016-2025Class IIOngoingVoluntary: Firm initiated