CLIP ACC-1601 PUMP NGP 23L
Received Sep 9, 2021 · Event occurred Mar 3, 2021
Report 2032227-2021-191227 · MDR key 12447909
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Medtronic MinimedModel number
ACC-1601Catalog number
ACC-1601
Product problems
- Break
- Break
Patient
60 YR
- Insufficient Information
- Insufficient Information
Narrative
Additional Manufacturer Narrative
CURRENTLY IT IS UNKNOWN WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE THEREFORE CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR KNOWLEDGE.
Description of Event or Problem
INFORMATION RECEIVED BY MEDTRONIC INDICATED THAT THE INSULIN PUMP WAS DAMAGED. THE CUSTOMER REPORTED THAT THE RETAINER RING WAS CRACKED. CUSTOMER STATED THAT RESERVOIR WAS ABLE TO LOCK IN THE PLACE. NO HARM REQUIRING MEDICAL INTERVENTION WAS REPORTED. THE INSULIN PUMP WILL BE RETURNED FOR ANALYSIS.