CLIP ACC-1601 PUMP NGP 23L
Received Sep 28, 2021 · Event occurred Sep 25, 2021
Report 2032227-2021-198713 · MDR key 12538805
Device
Generic name
Accessories, Pump, Infusion
Manufacturer
Medtronic MinimedModel number
ACC-1601Catalog number
ACC-1601
Product problems
- Patient Device Interaction Problem
- Patient Device Interaction Problem
Patient
26 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 HAD A DAMAGED RETAINER RING. THE CUSTOMER STATED THAT THE RESERVOIR DOES LOCK INTO PLACE. CUSTOMER INFORMED RETAINER BROKE DUE TO UNCLIPPING IT THEN IT BROKE. NO HARM REQUIRING MEDICAL INTERVENTION WAS REPORTED. THE INSULIN PUMP WILL NOT BE RETURNED FOR ANALYSIS.