Reported Reactions

Devices › Pump, infusion, insulin

Device brand name · Insulin infusion pump

Accu-Chek Spirit Combo: medical device reports filed with FDA

21,252 reports name it, 2010–2025. Manufacturer given most often on reports: Roche Diabetes Care. Product code LZG.

21,252
device reports naming the brand
0.1% of all MAUDE reports · about 1,350 a year
0
reports, 12 months to August 2026
410 in the 12 months before
89.6%
classified as malfunction
81.6% across the product code
0.1%
classified as death, as reported
20 reports · not verified by FDA

21,252 medical device reports received by FDA name the brand "Accu-Chek Spirit Combo" (insulin infusion pump); the manufacturer given most often on reports is Roche Diabetes Care; received from October 2010 to March 2025. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

0 reports arrived in the 12 months to August 2026, against 410 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (89.6%), injury (10.2%) and death (0.1%); across all pump, infusion, insulin reports (product code LZG) death is recorded in 0.3% and malfunction in 81.6%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are inaccurate delivery (26.2%), device operates differently than expected (17.2%) and inadequate user interface (15.9%). The patient problems coded most often are hyperglycemia, hypoglycemia and elevated ketones/ diabetic ketoacidosis. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

090180Sep 2021: 180Oct 2021: 142Nov 2021: 140Dec 2021: 1622022Jan 2022: 156Feb 2022: 136Mar 2022: 145Apr 2022: 145May 2022: 145Jun 2022: 137Jul 2022: 168Aug 2022: 164Sep 2022: 118Oct 2022: 143Nov 2022: 117Dec 2022: 1352023Jan 2023: 131Feb 2023: 102Mar 2023: 87Apr 2023: 71May 2023: 88Jun 2023: 80Jul 2023: 90Aug 2023: 85Sep 2023: 74Oct 2023: 67Nov 2023: 70Dec 2023: 652024Jan 2024: 89Feb 2024: 65Mar 2024: 70Apr 2024: 69May 2024: 65Jun 2024: 25Jul 2024: 100Aug 2024: 72Sep 2024: 75Oct 2024: 81Nov 2024: 60Dec 2024: 632025Jan 2025: 71Feb 2025: 54Mar 2025: 6Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

01,0702,1402010: 16520102011: 5952012: 69820122013: 1,2752014: 1,61220142015: 2,0322016: 2,09520162017: 2,1402018: 1,77220182019: 1,7772020: 1,67120202021: 1,7362022: 1,70920222023: 1,0102024: 83420242025: 131

Event type and report source

Event type, as classified on the report

Death0.1%20
Injury10.2%2,178
Malfunction89.6%19,052
Other0%1
Not given0%1

Who filed the report

Manufacturer report100%21,252
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 539,975 reports carrying product code LZG. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Inaccurate delivery5,56626.2%1.7%
Device operates differently than expectedthe device behaved unexpectedly3,65917.2%4.7%
Inadequate user interface3,37915.9%0.6%
Fail-safe did not operate1,8388.6%0.3%
Fail-safe problem1,2435.8%0.5%
No display/image1,1925.6%3.1%
Display difficult to read1,0885.1%0.2%
Device displays incorrect message3441.6%6.8%
Defective alarm3421.6%0.1%
Key or button unresponsive/not working2491.2%0.2%
High test results2411.1%0.4%
Display or visual feedback problem2031%0.4%
Infusion or flow problema problem with flow or infusion1430.7%0.2%
Insufficient device problem information1340.6%5%
Pumping problem1260.6%0.1%
Defective devicethe device was defective1250.6%0.1%
Insufficient flow or under infusion1240.6%0.3%
Device alarm system1200.6%1.2%
Protective measures problem1190.6%0%
Device inoperablethe device could not be used1000.5%2.6%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Hyperglycemiahigh blood sugar5,65226.6%
Hypoglycemialow blood sugar6192.9%
Elevated ketones/ diabetic ketoacidosis5502.6%
Loss of consciousnesspassing out1020.5%
Vomitingbeing sick1010.5%
Aneurysm990.5%
Coma410.2%
Nauseafeeling sick410.2%
Headachehead pain300.1%
Malaisegeneral feeling of being unwell290.1%
Deaththe patient died; cause not stated by this term200.1%
Dizzinesslight-headedness or unsteadiness200.1%
Underdoseless than the intended dose170.1%
Fatiguetiredness130.1%
Dehydrationdehydration120.1%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureAccu-Chek Spirit ComboProduct code LZGAll MAUDE reports
Reports21,252539,97526,136,888
Share of that pool—3.9%0.1%
Classified as death, per 1,000 reports139
Classified as injury10.2%17.8%36.2%
Classified as malfunction89.6%81.6%62.3%
Filed by the manufacturer100%99.8%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code LZG

BrandReportsLatest 12 monthsClassified as death
Onetouchping Glucosemgmtsystem98,94500.1%
Omnipod DASH Insulin Management System62,6465,5630.1%
Tandem T Slim Insulin Delivery System55,20700.1%
OmniPod Insulin Pump45,2721450.3%
Omnipod Insulin Management System37,5822180.1%
Animas Vibe88,70300%
Animas Insulin Infusion Pump26,29300.3%
MMT-712 PARADIGM Insulin Pump25,7814,1380%
t:slim Insulin Delivery System19,277300.1%
t:slim X2 Insulin Pump31,159860%
Animas Insulin Cartridge12,10500%
T Flex Insulin Delivery System11,35900.1%
Paradigm Insulin Infusion Pump16,32400.4%
Accu-Chek Spirit8,82600.3%
MMT-715 PARADIGM Insulin Pump5,4981360.1%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Accu-Chek Spirit Combo reports

How many FDA reports name Accu-Chek Spirit Combo?

21,252 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 0 in the latest 12 months.

What kinds of events are reported?

malfunction (89.6%), injury (10.2%) and death (0.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

inaccurate delivery (26.2%), device operates differently than expected (17.2%), inadequate user interface (15.9%), fail-safe did not operate (8.6%) and fail-safe problem (5.8%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Accu-Chek Spirit Combo was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.