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t:slim X2 Insulin Pump with Control-IQ Technology 1012869Recalls & reported problems

Tandem Diabetes Care, Inc. · Class 2

All models of t:slim X2 Insulin Pump (45) · t:slim X2 Insulin Pump with Control-IQ Technology (11)

Data updated Oct 18, 2026 from official FDA records · Editorial policy

1 open recall names this device. See the recall details and contact the manufacturer or your healthcare provider.

Quick summary

This Tandem t:slim X2 insulin pump is named in 892 adverse event reports, with 82 injuries and no deaths. Many describe pumps stopping, battery and charging problems and malfunction alarms, with some mentioning air bubbles in the tubing. One open recall, started in July 2025, covers pumps with certain speakers that may malfunction, which can silence alerts and stop insulin delivery. Reports in the last year fell to 121, from 314 in the year before.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
892
Deaths reported
0
Injuries reported
81
Recalls naming it
1

Summary

The FDA's MAUDE database contains 892 adverse event reports that list this exact device (DI 00389152286914), received between Jan 5, 2024 and Sep 30, 2026 — classified as 81 injuries, 811 malfunctions.

The most frequently reported specific device problem is “Pumping Stopped” (307 reports).

1 FDA recall record name this device's identifier, 1 still open.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 24 reportsFeb 2024: 45 reportsMar 2024: 50 reportsApr 2024: 54 reportsMay 2024: 44 reportsJun 2024: 50 reportsJul 2024: 49 reportsAug 2024: 44 reportsSep 2024: 52 reportsOct 2024: 45 reportsNov 2024: 29 reportsDec 2024: 21 reportsJan 2025: 34 reportsFeb 2025: 27 reportsMar 2025: 33 reportsApr 2025: 20 reportsMay 2025: 26 reportsJun 2025: 25 reportsJul 2025: 29 reportsAug 2025: 25 reportsSep 2025: 14 reportsOct 2025: 31 reportsNov 2025: 16 reportsDec 2025: 25 reportsJan 2026: 22 reportsFeb 2026: 16 reportsMar 2026: 5 reportsApr 2026: 11 reportsMay 2026: 15 reportsJun 2026: 6 reportsJul 2026: 1 reportsAug 2026: 1 reportsSep 2026: 3 reportsOct 2026: 0 reports20242025202654
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. Jul 21, 2025Class IOpen, Classified

    Insulin pumps manufactured with speakers from Revision A and B may malfunction ("Malfunction 16") which prevents audible alerts and causes the pumps to become inoperable and stop infusing insulin which could result in a hyperglycemic event, which may lead to injury and/or hospitalization.

    Z-2343-2025 · Root cause: Nonconforming Material/Component · Recall details · FDA record ↗

Most reported problems

Device problems

  • Pumping Stopped307
  • Battery Problem142
  • Charging Problem100
  • Incorrect Measurement70
  • Obstruction of Flow47
  • Adverse Event Without Identified Device or Use Problem37
  • Communication or Transmission Problem36
  • Failure to Sense27

Patient problems

  • No Clinical Signs, Symptoms or Conditions811
  • Hyperglycemia56
  • Hypoglycemia26
  • Confusion/ Disorientation1
  • Elevated Ketones/ Diabetic Ketoacidosis1
  • Shaking/Tremors1

Recent adverse event reports

The 25 most recent of 892 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 30, 2026Insufficient Device Problem Information

    It was reported that intermittent pump failure occurred. Reportedly, the customer restart the pump to address the issue. There was no reported impact to the customer's blood glucose level. No additional information was provided and the customer declined troubleshooting with Tandem Technical Support.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948412 ↗
  • MalfunctionSep 30, 2026Key or Button Unresponsive/not Working

    It was reported that the pump touch screen was unresponsive. Customer declined follow up from Tandem Technical Support. There was no reported adverse impact to the customer. No additional information was provided.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948108 ↗
  • MalfunctionSep 29, 2026Loose or Intermittent Connection; Charging Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50934280 ↗
  • MalfunctionAug 17, 2026Incorrect Measurement

    It was reported that a minimum fill notification occurred after the user filled the cartridge with 180 units of insulin during the load sequence. A new cartridge was loaded to resolve the issue. There was no adverse impact to the customer¿s blood glucose level.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50276990 ↗
  • MalfunctionJul 8, 2026Insufficient Device Problem Information

    IT WAS REPORTED THAT INTERMITTENTLY THE PUMP ¿ERRORED OUT A COUPLE TIMES¿. CUSTOMER CHANGED THE SUPPLIES TO RESOLVE THE ISSUES. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25747106 ↗
  • MalfunctionJun 29, 2026Pumping Stopped

    IT WAS REPORTED THAT PUMP EXPERIENCED MALFUNCTION ALARM WITH CODE MALF 12, WITH NO NOTABLE EVENTS OCCURRING BEFOREHAND. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER CONTACTED TECHNICAL SUPPORT, RECEIVED INSTRUCTIONS TO RESET PUMP, SUCCESSFULLY COMPLETED RESET WITHOUT RECURRENCE OF MALFUNCTION, WAS ADVISED TO CONTINUE USING PUMP, AND WAS INSTRUCTED TO CALL BACK IF MALFUNCTION CODE APPEARED AGAIN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25658452 ↗
  • MalfunctionJun 15, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE PUMP TOUCH SCREEN WAS INTERMITTENTLY UNRESPONSIVE. CUSTOMER DECLINED FOLLOW UP FROM TANDEM TECHNICAL SUPPORT. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25504669 ↗
  • MalfunctionJun 11, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE WAKE BUTTON ON THE PUMP WAS STICKING OR UNRESPONSIVE. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25472580 ↗
  • MalfunctionJun 9, 2026Pumping Stopped

    IT WAS REPORTED THAT PUMP EXPERIENCED MALFUNCTION ALARM WITH NO NOTABLE EVENTS OCCURRING BEFOREHAND. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER CONTACTED TECHNICAL SUPPORT, WAS GUIDED THROUGH PUMP RESET, CONFIRMED MALFUNCTION DID NOT RECUR AFTER RESET, WAS ADVISED TO CONTINUE USING PUMP, AND WAS INSTRUCTED TO CALL BACK IF MALFUNCTION ALARM HAPPENED AGAIN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25442852 ↗
  • MalfunctionJun 8, 2026Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED. DURING TROUBLESHOOTING WITH TECHNICAL SUPPORT, THE MALFUNCTION ALARM WAS CLEARED, AND INSULIN DELIVERY WAS RESUMED SUCCESSFULLY. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25436973 ↗
  • MalfunctionJun 8, 2026Pumping Stopped

    IT WAS REPORTED THAT PUMP EXPERIENCED MALFUNCTION ALARM WITH CODE DISPLAYED AND CALLER CONFIRMED NO NOTABLE EVENTS OCCURRED BEFORE ISSUE. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER CONTACTED SUPPORT, RECEIVED INSTRUCTIONS TO RESET PUMP, SUCCESSFULLY RESET DEVICE WITHOUT MALFUNCTION RECURRING, WAS ADVISED TO CONTINUE USING PUMP AND TO CALL BACK IF MALFUNCTION RETURNED, AND CONFIRMED UNDERSTANDING OF GUIDANCE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25431202 ↗
  • MalfunctionMay 29, 2026Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. DURING TROUBLESHOOTING WITH TECHNICAL SUPPORT, THE MALFUNCTION ALARM WAS CLEARED, AND INSULIN DELIVERY WAS RESUMED SUCCESSFULLY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25332662 ↗
  • MalfunctionMay 27, 2026Mechanical Problem

    IT WAS REPORTED THAT PUMP DISPLAYED CARTRIDGE CHANGE ERROR DURING LOAD PROCESS. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER RELOADED CARTRIDGE, CONFIRMED ABILITY TO COMPLETE LOAD PROCESS, AND SUCCESSFULLY RESUMED INSULIN DELIVERY WITHOUT FURTHER INTERVENTION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25301240 ↗
  • MalfunctionMay 20, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE PUMP TOUCHSCREEN "DID NOT WORK" AT TIMES. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25230191 ↗
  • MalfunctionMay 20, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE WAKE BUTTON ON THE PUMP WAS NOT WORKING INTERMITTENTLY. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25230183 ↗
  • MalfunctionMay 19, 2026Charging Problem

    IT WAS REPORTED THAT THE CUSTOMER WAS UNABLE TO CHARGE THE PUMP DUE TO DAMAGE TO THE TANDEM-PROVIDED USB CHARGING CABLE. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. A NEW CHARGING CABLE WAS SENT TO THE CUSTOMER.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25219600 ↗
  • MalfunctionMay 19, 2026Date/Time-Related Software Problem

    IT WAS REPORTED THAT THE PUMP TIME WAS INCORRECT, CAUSE WAS UNKNOWN. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. DURING TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT, THE CUSTOMER CORRECTED THE TIME AND RESUMED INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25217364 ↗
  • MalfunctionMay 15, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE WAKE BUTTON WAS STICKING. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. THE CUSTOMER DECLINED FOLLOW-UP FROM TANDEM TECHNICAL SUPPORT REGARDING THE ISSUE, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25186411 ↗
  • MalfunctionMay 7, 2026Incorrect Measurement

    IT WAS REPORTED THAT A MINIMUM FILL NOTIFICATION OCCURRED AFTER THE USER FILLED THE CARTRIDGE WITH 300 UNITS OF INSULIN DURING THE LOAD SEQUENCE. A NEW CARTRIDGE WAS LOADED TO RESOLVE THE ISSUE. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25118109 ↗
  • MalfunctionMay 7, 2026Scratched Material

    IT WAS REPORTED THAT THE PUMP TOUCHSCREEN WAS SCRATCHED, CAUSING ISSUES WITH THE RESPONSIVENESS OF THE TOUCHSCREEN. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25117148 ↗
  • MalfunctionMay 7, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THERE WERE UNSPECIFIED ISSUES WITH THE WAKE BUTTON ON THE PUMP. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT THE ISSUE WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25117141 ↗
  • MalfunctionMay 7, 2026Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED. DURING TROUBLESHOOTING WITH TECHNICAL SUPPORT, THE MALFUNCTION ALARM WAS CLEARED, AND INSULIN DELIVERY WAS RESUMED SUCCESSFULLY. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25117126 ↗
  • MalfunctionMay 7, 2026Pumping Stopped

    IT WAS REPORTED THAT PUMP MALFUNCTION OCCURRED WITHOUT ANY NOTABLE EVENTS BEFOREHAND. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER CONTACTED SUPPORT, RECEIVED INSTRUCTIONS TO RESET PUMP, SUCCESSFULLY CLEARED MALFUNCTION WITHOUT RECURRENCE, WAS ADVISED TO CONTINUE USING PUMP, AND WAS INSTRUCTED TO CALL BACK IF MALFUNCTION CODE APPEARED AGAIN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25111564 ↗
  • MalfunctionMay 5, 2026Failure to Charge

    IT WAS REPORTED THAT T:SLIM X2 PUMP BATTERY WOULD NOT CHARGE. THERE WAS NO REPORTED IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TROUBLESHOOTING, AND NO ADDITIONAL INFORMATION WAS RECEIVED REGARDING THE OUTCOME OF THE EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25083425 ↗
  • MalfunctionMay 4, 2026Inappropriate or Unexpected Reset

    IT WAS REPORTED THAT AN UNEXPECTED RESET OCCURRED. THERE WAS NO REPORTED ADVERSE IMPACT TO CUSTOMER'S BLOOD GLUCOSE LEVEL. REPORTEDLY, THE CUSTOMER CONTINUED TO USE THE PUMP FOR INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25069272 ↗

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Sources and updates

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