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Information update

Urgent safety information for insulin pump users

Starting date:
November 21, 2014
Type of communication:
Information Update
Subcategory:
Medical Device
Source of recall:
Health Canada
Identification number:
RA-42629

November 21, 2014
For immediate release

OTTAWA – Unomedical a/s, in consultation with Health Canada, is informing Canadians and Canadian healthcare practitioners that there is a potential safety issue regarding infusion sets distributed by [NJS_FILE:446e83ae-308b-44b6-a893-4f5e772b68c5:c470c377-772e-4076-80c0-4c047cd6bb73], Roche Diagnostics, LifeScan Canada Inc., and Auto Control Medical Inc.  

Unomedical a/s, the manufacturer of these infusion sets, has identified an increase in reports of the tubing becoming detached at the connect/disconnect location on the products. Patients who are concerned about their device should contact their distributor.

If tubing detachment occurs, insulin delivery is interrupted and the pump alarm will not notify the user, according to the manufacturer. The risk to patients of an interruption in insulin delivery is hyperglycemia (elevated blood sugar levels). Hyperglycemia can result in diabetic ketoacidosis, which is a serious condition, and in extreme cases can lead to death. Symptoms of diabetic ketoacidosis may include nausea, vomiting, shortness of breath and excess thirst/urination.

The manufacturer is advising patients to continue to use the infusion sets while following the directions below:

  • When changing your infusion set, closely follow the instructions for use included in the product box. Check the tubing at the site connector location to make sure it is not loose.
  • Monitor your blood sugar levels frequently using your blood glucose meter. Proactively check your tubing connections occasionally to ensure tubing is secure. It is especially important to check your blood sugar and tubing connections at bedtime to confirm insulin delivery is occurring.
  • If you experience high blood sugar, check your tubing connections and infusion site closely to ensure your tubing is secure.

If you discover that the tubing is detached:

  • Do not attempt to reattach the tubing. Replace the infusion set immediately.
  • Treat any high blood sugar based on guidelines provided by your healthcare professional.
  • Call your distributor (see table below) to report the issue and receive instructions on how to return the affected infusion set to the company.
Distributor List
Company Model Reference Number Contact Information
[NJS_FILE:446e83ae-308b-44b6-a893-4f5e772b68c5:1e1a74c4-5ba4-4b8b-8a93-107d86b003a6] Paradigm Sure-T Infusion Sets MMT-862
MMT-864
MMT-874
1-800-646-4633
Silhouette Infusion Sets MMT-371
MMT-373
Paradigm Silhouette Infusion Sets MMT-377600
MMT-378600
MMT-381600
MMT-368600
MMT-383600
MMT-384600
Roche Diagnostics Accu-Chek Tender I 04541430001
04541413001
04541448001
1-800-688-4578
Accu-Chek Tender II 04541464001
04541472001
Auto Control Medical Inc. Comfort Short Infusion Sets 89-060-2522 (905) 814-6350  x 252
1-800-461-0991 x 252
LifeScan Canada Ltd Comfort Kit Infusion Sets 10000600
10000601
10000602
10000603
1-877-937-7867
Comfort Short Infusion Sets 10024001
10024003
10024004
10024005
Contact Detach Infusion Sets 10090500
10090501
10090502
10090503

Health Canada would also like to remind patients who have health concerns related to their use of these devices to speak with their healthcare professional.

Complaints about medical devices can be reported to the Health Products and Food Branch Inspectorate by calling the toll-free hotline at 1-800-267-9675, or by writing to:

Health Products and Food Branch Inspectorate
Health Canada
Address Locator: 2003D
Ottawa, Ontario K1A 0K9

Stay connected with Health Canada and receive the latest advisories and product recalls using social media tools.

Media Enquiries:

Health Canada
(613) 957-2983

Public Enquiries:

(613) 957-2991
1-866 225-0709