Reported Reactions

Devices › Pump, infusion, insulin, to be used with invasive glucose sensor

Device brand name · Insulin pump

t:slim G4 system: medical device reports filed with FDA

39,215 reports name it, 2015–2026. Manufacturer given most often on reports: Tandem Diabetes Care. Product code OYC.

39,215
device reports naming the brand
0.2% of all MAUDE reports · about 3,649 a year
20
reports, 12 months to August 2026
36 in the 12 months before
76.8%
classified as malfunction
85.5% across the product code
0%
classified as death, as reported
17 reports · not verified by FDA

FDA's MAUDE database holds 39,215 reports that name the brand "t:slim G4 system" (insulin pump), received between October 2015 and August 2026; the manufacturer given most often on reports is Tandem Diabetes Care. Spellings of one product vary from report to report.

20 reports arrived in the 12 months to August 2026, down 44% from 36 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 (76.8%) and injury (23.1%); across all pump, infusion, insulin, to be used with invasive glucose sensor reports (product code OYC) death is recorded in 0.3% and malfunction in 85.5%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are pumping stopped (22%), incorrect measurement (9.7%) and device displays incorrect message (9.2%). 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

02345Sep 2021: 29Oct 2021: 36Nov 2021: 45Dec 2021: 322022Jan 2022: 12Feb 2022: 21Mar 2022: 21Apr 2022: 35May 2022: 16Jun 2022: 15Jul 2022: 15Aug 2022: 17Sep 2022: 13Oct 2022: 8Nov 2022: 10Dec 2022: 162023Jan 2023: 6Feb 2023: 4Mar 2023: 12Apr 2023: 12May 2023: 9Jun 2023: 10Jul 2023: 7Aug 2023: 4Sep 2023: 5Oct 2023: 7Nov 2023: 6Dec 2023: 182024Jan 2024: 8Feb 2024: 13Mar 2024: 6Apr 2024: 5May 2024: 13Jun 2024: 9Jul 2024: 8Aug 2024: 13Sep 2024: 9Oct 2024: 9Nov 2024: 3Dec 2024: 42025Jan 2025: 3Feb 2025: 2Mar 2025: 1Apr 2025: 2May 2025: 1Jun 2025: 0Jul 2025: 1Aug 2025: 1Sep 2025: 2Oct 2025: 1Nov 2025: 2Dec 2025: 12026Jan 2026: 6Feb 2026: 0Mar 2026: 2Apr 2026: 0May 2026: 0Jun 2026: 1Jul 2026: 3Aug 2026: 2

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

06,08812,1752015: 43320152016: 12,1752017: 10,55920172018: 5,9762019: 5,00720192020: 4,0152021: 62020212022: 1992023: 10020232024: 1002025: 1720252026: 14

Event type and report source

Event type, as classified on the report

Death0%17
Injury23.1%9,066
Malfunction76.8%30,131
Other0%0
Not given0%1

Who filed the report

Manufacturer report100%39,215
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 891,173 reports carrying product code OYC. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Pumping stopped8,61222%2.1%
Incorrect measurementthe device measured wrongly3,7859.7%1.2%
Device displays incorrect message3,5919.2%24%
Charging problem3,4358.8%1%
Battery problema problem with the battery2,4386.2%3.1%
Wireless communication problema wireless connection problem2,0085.1%1.3%
Mechanical problema mechanical problem1,8604.7%3.7%
Occlusion within devicethe device blocked1,8394.7%0.3%
Device operates differently than expectedthe device behaved unexpectedly1,7644.5%4.5%
Obstruction of flow1,5764%3%
Failure to sense1,4423.7%0.6%
Filling problem1,0892.8%0.4%
Device sensing problem9692.5%0.3%
Crackthe device cracked8532.2%2.2%
False alarm8362.1%0.3%
Invalid sensing6921.8%0.1%
Visual prompts will not clear5671.4%0.7%
Partial blockage5331.4%0.2%
Imprecision4691.2%0.4%
Loose or intermittent connection4151.1%0.5%

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 sugar7,36518.8%
Hypoglycemialow blood sugar1,7664.5%
Elevated ketones/ diabetic ketoacidosis6141.6%
No patient involvement2130.5%
Loss of consciousnesspassing out500.1%
Vomitingbeing sick370.1%
Seizures220.1%
Deaththe patient died; cause not stated by this term170%
Nauseafeeling sick160%
Dehydrationdehydration130%
Reactiona reaction, type not specified130%
Scarring130%
Erythemaskin redness100%
Itching sensation100%
Rashskin rash80%

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

In context

Measuret:slim G4 systemProduct code OYCAll MAUDE reports
Reports39,215891,17326,136,888
Share of that pool—4.4%0.2%
Classified as death, per 1,000 reports039
Classified as injury23.1%14.2%36.2%
Classified as malfunction76.8%85.5%62.3%
Filed by the manufacturer100%100%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 OYC

BrandReportsLatest 12 monthsClassified as death
Paradigm Real-Time Revel Insulin Infusion Pump178,69100.6%
Paradigm Real-Time Insulin Infusion Pump126,28200.3%
640G Insulin Pump MMT-1712K119,5471,5980.1%
640G Insulin Pump MMT-1711K76,6091510.1%
Animas Vibe88,70300%
T Slim G5 System49,78300%
Pump Mmt-1712kl 640g V4 10 Bk Sf Mg21,5319520%
640g Insulin Pump16,91100%
Paradigm REAL-Time REVEL Insulin Infusion Pump MMT-723LNAS12,936410.8%
t:slim X2 Insulin Pump31,159860%
Pump Mmt-1711kl 640g V4 10 Bk Sf Mm11,1571680%
Paradigm REAL-Time Insulin Infusion Pump MMT-754WWS10,4656610%
Paradigm Real-Time Revel Insulin Infusion Pump Mmt-723nas8,540490.8%
640g Insulin Pump Mmt-1712b5,62910%
Paradigm Insulin Infusion Pump16,32400.4%

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 t:slim G4 system reports

How many FDA reports name t:slim G4 system?

39,215 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 20 in the latest 12 months.

What kinds of events are reported?

malfunction (76.8%) and injury (23.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

pumping stopped (22%), incorrect measurement (9.7%), device displays incorrect message (9.2%), charging problem (8.8%) and battery problem (6.2%). 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 t:slim G4 system 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.