inforMED
InjuryQJI

TANDEM TSLIM CONTROL IQ INSULIN PUMP

Received Feb 18, 2022 · Event occurred Feb 16, 2022

Report MW5107593 · MDR key 13579001

Device

Generic name

Interoperable Automated Glycemic Controller

Catalog number

NA

Lot number

NA

Product problems

  • Material Twisted/Bent

Patient

71 YR · Female

  • Hyperglycemia
  • Hyperglycemia

Narrative

Description of Event or Problem

THE TANDEM TSLIM CONTROL IQ INSULIN PUMP DOESN'T HAVE WARNING PATIENTS WHEN INSULIN ISN'T BEING DELIVERED. THIS HAPPENED TO ME TODAY RESULTING IN A BLOOD SUGAR OF OVER 400; ALTHOUGH THE PUMP SAID I STILL HAD ADEQUATE INSULIN ON BOARD. IT WAS VERY SCARY TO ME BECAUSE I DIDN'T KNOW IF IT WAS SAFE TO GIVE ADDITIONAL INSULIN. THE PROBLEM WAS A BENT CANULA INFUSION SET, UNABLE TO ME DETECTED. GENERALLY THE TANDEM TSLIM PUMP IS POORLY DESIGNED FOR USERS AND THIS IS ANOTHER EXAMPLE OF IT. CAN YOU MAKE THEM DO FOCUS GROUPS? GET BETTER ENGINEERS? INSTALL A SAFETY ALARM WHEN INSULIN ISN'T BEING DELIVERED? THANK YOU. FDA SAFETY REPORT ID# (B)(4).

Description of Event or Problem

THE TANDEM TSLIM CONTROL IQ INSULIN PUMP DOESN'T HAVE WARNING PATIENTS WHEN INSULIN ISN'T BEING DELIVERED. THIS HAPPENED TO ME TODAY RESULTING IN A BLOOD SUGAR OF OVER 400; ALTHOUGH THE PUMP SAID I STILL HAD ADEQUATE INSULIN ON BOARD. IT WAS VERY SCARY TO ME BECAUSE I DIDN'T KNOW IF IT WAS SAFE TO GIVE ADDITIONAL INSULIN. THE PROBLEM WAS A BENT CANULA INFUSION SET, UNABLE TO ME DETECTED. GENERALLY THE TANDEM TSLIM PUMP IS POORLY DESIGNED FOR USERS AND THIS IS ANOTHER EXAMPLE OF IT. CAN YOU MAKE THEM DO FOCUS GROUPS? GET BETTER ENGINEERS? INSTALL A SAFETY ALARM WHEN INSULIN ISN'T BEING DELIVERED? THANK YOU. FDA SAFETY REPORT ID# (B)(4).