The Recall Desk
HighFDA (Devices)·Z-1203-2021·Announced 2021-03-17

Insulet Recalls Omnipod DASH User Guides Due to Decimal Error

Insulet Corporation is recalling 21,723 Omnipod DASH User Guides distributed outside the US due to a misprint regarding decimal separators that could lead to incorrect bolus delivery.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: The recall involves a medical device documentation error that could lead to incorrect insulin dosing and hypoglycemia, a risk-of-harm scenario where injury has not yet been reported, fitting the High severity criteria.

Plain-English summary

Insulet Corporation is recalling 21,723 Omnipod DASH Insulin Management System User Guides. These guides were distributed to Canada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland. The recall is limited to Outside the US (OUS) markets.

The recall is due to a misprint on page 6 of the User Guide. The text incorrectly states that the comma (,) is not used for the decimal on the Personal Diabetes Manager (PDM), when in fact it is the period (.) that is not used. If a user follows the incorrect instruction and uses a period as the decimal separator when entering a bolus value, the device will not recognize the separator. This could result in the device interpreting the numbers entered after the period as part of the main value, leading to a larger bolus delivery than intended and potential hypoglycemia.

Consumers who have these specific user guides should stop using them for reference and contact Insulet Corporation for a replacement or further instructions. The affected part numbers include PT 000002, PT 000318, and PT 000319 in various language and country-specific revisions.

The recalled product

Product
Omnipod DASH Insulin Management System User Guide (OUS Only) Product Catalog Number: PT 000002 XXX XXX XX PT 000318 PT 000319 Distributed to: Canada (French only), the Netherlands, France, Austria, Germany, Belgium, Greece, Turkey, Norway, Sweden, Denmark, and Finland
Affected units
21,723

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (20)

  • Part Number/Rev./Country: PT 000002 AUT DEU mg 1
  • 2
  • 3 Guide
  • Dash User
  • German Austria PT 000002 BEL DEU MG 1
  • Dash User Guide
  • Belgium Germany
  • mgdl PT 000002 BEL FRE MG 1
  • 3
  • 4 Guide
  • Belgium French
  • mgdl PT 000002 BEL NLD MG 1
  • Belgium Dutch
  • mgdl PT 000002 DEU DEU mg 1
  • German Germany
  • mgdl PT 000002 DEU DEU mm 1
  • mmoll PT 000002 DNK DANmm 1
  • Danish Denmark PT 000002 FIN FIN mm 1
  • Finnish Finland PT 000002 FRA FRE mg 1
  • French France PT 000002 NLD NLD mm 1

Distribution

Distribution scope not specified by the agency.

Same manufacturer · Insulet Corporation

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