Diabetes technology

Insulin Pump-Associated Adverse Events in a Brazilian Reference Center for the Treatment of Diabetes Mellitus: Proposal for a Taxonomy of Device Failures in Adults, Adolescents, and Children

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

The study describes in a taxonomic format the AEs directly associated with the use of modern CSIIs that may contribute with additional information to the Food and Drug Administration (FDA) Medical Device Report (MDR) adverse event codes. In addition to guiding educational actions in the treatment of DM and providing information for health professionals and medical device developers, prospective studies examining the frequency of such problems, including the potential psychosocial impact of this technologically advanced therapy, are needed.

Study context

Population
Patients using different continuous subcutaneous insulin infusion (CSII) devices at a reference diabetes mellitus (DM) center in Brazil (adults, adolescents and children)
Participants
118 patients
Outcome
Taxonomy of prevalent CSII-associated adverse events
Methodological detailssingle-centre, online interview
  • Single-centre
  • Online interview

Main finding

As reported in the abstract

CSII-associated AEs by taxonomy category
CSII User Interface
n = 45
CSII Alert System
n = 13
CSII Software and Connection
n = 11
CSII Durability
n = 30
Electrical and Mechanical System of CSII
n = 60
Total adverse events (AEs) identified (incl. conflicting alerts, error/warning notification failures, engine malfunctions, data loss, patient interface deficiencies, button problems, battery failure)
159

Observational data: associations, not effects.

Original publication

Insulin Pump-Associated Adverse Events in a Brazilian Reference Center for the Treatment of Diabetes Mellitus: Proposal for a Taxonomy of Device Failures in Adults, Adolescents, and Children. J Diabetes Sci Technol. Published 30 June 2022. doi:10.1177/19322968221106196

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