Paradigm ambulatory insulin infusion pumps 를 위한 안전성 경고 / 현장 안전성 서한

Medicines and Healthcare products Regulatory Agency에 따르면, 해당 안전성 경고 / 현장 안전성 서한 는 United Kingdom 에서 Medtronic 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

현장 안전성 서한은 의료기기 제조사 또는 제조사 대리인이 시중에 유통되고 있는 자사 의료기기 제품에 대하여 취할 수 있는 조치를 알리는 소통방식입니다. 주요 대상층은 보건의료업계 종사자와 의료기기 사용자들입니다. 여기에는 회수(recall) 조치와 경고도 포함될 수 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert / Field Safety Notice
  • 사례 연번
    MDA/2013/035
  • 날짜
    2013-05-17
  • 사례 출판 날짜
    2014-12-17
  • 사례 국가
  • 사례 출처
    MHRA
  • 사례 출처 URL
  • 비고 / 경고
    Data from the United Kingdom is current through April 2019. All of the data comes from the Medicines and Healthcare products Regulatory Agency, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and the United Kingdom.
  • 데이터 추가 비고
    Risk of compromised insulin therapy, which may lead to severe hypoglycaemia (low blood glucose) or severe hyperglycaemia (high blood glucose). The root causes are:Loose drive support cap (all models)
    Damage to pump if immersed in water (all models)
    Programming issue related to the sensor graph timeout (Paradigm VEO MMT-554 and MMT-754 only).Loose drive support cap:
    Medtronic has received a report of a serious injury related to a loose drive support cap. This may become detached from the pump case, due to impact damage. An attempt to press back the drive support cap may result in an unintended delivery of insulin.
    Water damage:
    This may result in a pump alarm or may cause the buttons to stop working.
    Sensor graph timeout:
    This issue only applies to Paradigm VEO (MMT-554 and MMT-754) pump users who are also using both Medtronic ‘Continuous Glucose Monitoring’ and the ‘Low Glucose Suspend’ feature.Paradigm VEO is equipped with a ’Low Glucose Suspend’ feature, which will automatically suspend insulin delivery when glucose levels are too low, to help reduce the risk of severe hypoglycaemia. Basal insulin delivery may not resume in time if the pump user has the ‘Low Glucose Suspend’ feature enabled and has changed the sensor graph timeout setting to “NONE” from the default setting of two minutes. This could result in hyperglycaemia.
  • 원인
    (medtronic) may lead to severe hypoglycaemia (low blood glucose) or severe hyperglycaemia (high blood glucose). (mda/2013/035).
  • 조치
    Identify affected devices. Ensure that all staff and patients receive a copy of Medtronic’s Field Safety Notice (FSN) dated 28 March 2013 and are aware of the recommendations. In particular: Discontinue pump use if drive support cap is loose and contact the manufacturer. Do not immerse the pump in water. Regularly examine the pump for damage, especially after a shock or drop. For Paradigm VEO models, check that the default setting for the sensor graph timeout is not ‘NONE’, if the ‘Low Glucose Suspend’ feature is used.

Device

  • 모델명 / 제조번호(시리얼번호)
  • 제품 설명
    Paradigm ambulatory insulin infusion pumps.Manufactured by Medtronic.Models: MMT- 511, 512, 712, 712E, 515, 715, 522, 522K, 722, 722K, 523, 523K, 723, 723K, 554, and 754.
  • Manufacturer

Manufacturer

  • 제조사 주소
    Lezlie Bridge Regulatory Affairs Manager, UK & Ireland Medtronic Limited Building 9 Croxley Green Business Park Watford WD18 8WW Tel:    01923 212 213 Fax:  01923 225 273Email: lezlie.j.bridge@medtronic.com
  • 제조사 모회사 (2017)
  • 제조사 의견
    “If our surveillance systems identify a potential performance issue, our personnel promptly evaluate the problem, including, when appropriate, conducting root cause investigations and internal testing to assess whether the product continues to meet specifications and defined performance criteria,” Medtronic told ICIJ in a statement. “In some cases, based on this evaluation, Medtronic may determine that a recall is necessary.” The company said that it communicates with healthcare providers and/or patients and provide recommendations to address such issues. Medtronic noted that these communications can include letters, emails, calls, press releases, physician notifications and social media postings, as well as informing the FDA and other regulators of the actions.
  • Source
    MHRA