Skip to content

t:slim X2 Insulin Pump with Control-IQ Technology 1013196Recalls & reported problems

Tandem Diabetes Care, Inc. · Control-IQ 7.8 · 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 has 13,026 adverse event reports, including 8 deaths and 2,247 injuries. Many describe the pump stopping, giving incorrect measurements, or blocking flow, and reports often mention high or low blood sugar. There is 1 open recall, from July 2025, because some pumps built with certain speakers may fail, silencing alerts and stopping insulin delivery.

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
12,972
Deaths reported
8
Injuries reported
2,260
Recalls naming it
1

Summary

The FDA's MAUDE database contains 12,972 adverse event reports that list this exact device (DI 00389152319612), received between Jan 29, 2024 and Sep 30, 2026 — classified as 8 deaths, 2,260 injuries, 10,704 malfunctions.

The most frequently reported specific device problem is “Pumping Stopped” (4,867 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: 1 reportsFeb 2024: 19 reportsMar 2024: 81 reportsApr 2024: 172 reportsMay 2024: 201 reportsJun 2024: 225 reportsJul 2024: 302 reportsAug 2024: 340 reportsSep 2024: 364 reportsOct 2024: 469 reportsNov 2024: 409 reportsDec 2024: 404 reportsJan 2025: 681 reportsFeb 2025: 421 reportsMar 2025: 587 reportsApr 2025: 444 reportsMay 2025: 644 reportsJun 2025: 501 reportsJul 2025: 781 reportsAug 2025: 612 reportsSep 2025: 387 reportsOct 2025: 419 reportsNov 2025: 504 reportsDec 2025: 700 reportsJan 2026: 493 reportsFeb 2026: 552 reportsMar 2026: 658 reportsApr 2026: 553 reportsMay 2026: 402 reportsJun 2026: 347 reportsJul 2026: 152 reportsAug 2026: 73 reportsSep 2026: 74 reportsOct 2026: 0 reports202420252026781
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 Stopped4,867
  • Incorrect Measurement1,431
  • Adverse Event Without Identified Device or Use Problem1,260
  • Charging Problem805
  • Obstruction of Flow651
  • Filling Problem565
  • Failure to Charge532
  • Communication or Transmission Problem473

Patient problems

  • No Clinical Signs, Symptoms or Conditions10,718
  • Hyperglycemia1,567
  • Hypoglycemia657
  • Elevated Ketones/ Diabetic Ketoacidosis107
  • Loss of consciousness42
  • Insufficient Information34
  • Fall19
  • Confusion/ Disorientation10

Recent adverse event reports

The 25 most recent of 12,972 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 30, 2026Failure to Charge

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50952509 ↗
  • MalfunctionSep 30, 2026Break; Loose or Intermittent Connection; Charging Problem

    It was reported that the pump's USB port was loose, and the pump battery intermittently could not be charged properly without the customer maneuvering the cable into the charging port at a certain angle. There was no adverse impact to the customer¿s blood glucose level. The customer reverted to an alternate method insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50950728 ↗
  • MalfunctionSep 30, 2026Incorrect Measurement

    It was reported that the insulin gauge was inaccurate. Reportedly, the customer was not completing the air removal step during the load process. Tandem Technical Support educated customer regarding the air removal step. There was no reported impact to the customer¿s blood glucose level. Customer loaded a new cartridge to resolve the issue.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50949868 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    A malfunction was reported on the pump. There was no reported adverse impact to the customer's blood glucose level. Technical Support provided information to reset the pump, assisted the caller with the reset, and confirmed that the malfunction code did not recur. The customer was advised to continue using the pump for insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50949810 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    A malfunction was reported on the pump. There was no reported adverse impact to the customer's blood glucose level. Technical Support provided information to reset the pump, assisted the caller with the reset, and confirmed that the malfunction code did not recur. The customer was advised to continue using the pump for insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50949491 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    A malfunction was reported on the pump. There was no reported adverse impact to the customer's blood glucose level. Technical Support provided information to reset the pump, assisted the caller with the reset, and confirmed that the malfunction code did not recur. The customer was advised to continue using the pump for insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50949484 ↗
  • MalfunctionSep 30, 2026Break

    It was reported that cartridge did not fully snap into pump, and caller was concerned about cartridge fit. There was no reported impact to the customer¿s blood glucose level. Caller inspected pump and cartridge with guidance from Technical Support, confirmed no visible housing damage or debris, successfully loaded second cartridge onto pump, and resumed insulin delivery.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948856 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    A malfunction was reported on the pump. There was no reported adverse impact to the customer's blood glucose level. Technical Support provided information to reset the pump, assisted the caller with the reset, and confirmed that the malfunction code did not recur. The customer was advised to continue using the pump for insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948429 ↗
  • MalfunctionSep 30, 2026Premature Discharge of Battery; Pumping Stopped

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948407 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    It was reported that the pump experienced a malfunction. There was no reported adverse impact to the customer¿s blood glucose level. The pump was replaced to resolve the issue, and the customer continued to use the pump for insulin therapy and has an alternate method of insulin therapy available, if necessary, until the replacement arrives.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948396 ↗
  • MalfunctionSep 30, 2026Incorrect Measurement

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948067 ↗
  • MalfunctionSep 30, 2026Key or Button Unresponsive/not Working

    It was reported that the pump touch screen was unresponsive. There was no adverse impact to customer¿s blood glucose level. During troubleshooting with technical support, the pump was reset, and the customer continued to use the pump for insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948047 ↗
  • MalfunctionSep 30, 2026Charging Problem

    It was reported that t:slim X2 pump battery would not charge unless caller held charging cable in place or positioned pump in specific way, and charging connection was unstable even though charging equipment and wall outlet were confirmed to be working. There was no adverse impact to the customer¿s blood glucose level. Customer changed charging cable and wall adapter, after which pump began charging normally, and no further assistance was required.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50946971 ↗
  • MalfunctionSep 30, 2026Failure to Charge

    It was reported that pump battery would not charge even though customer used Tandem charging cable, Tandem wall adapter, and working wall outlet, and there was no power source alert in pump history. There was no adverse impact to the customer¿s blood glucose level. Customer left wall adapter plugged into working outlet for at least 30 minutes, after which pump began charging using original supplies, and no further assistance was required.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50946934 ↗
  • MalfunctionSep 30, 2026Obstruction of Flow

    It was reported intermittent occlusion alarms occurred. There was no reported adverse impact to the customer¿s blood glucose level. The customer changed supplies and resumed insulin therapy.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50946917 ↗
  • MalfunctionSep 30, 2026Pumping Stopped

    It was reported that the pump stopped insulin delivery; cause was unknown. There was no adverse impact to the customer's blood glucose level. Tandem Technical Support assisted the customer with resuming insulin therapy successfully.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50946134 ↗
  • InjurySep 30, 2026Obstruction of Flow

    It was reported that occlusion alarms occurred. The customer¿s blood glucose (BG) level was displayed as ¿High¿; however, a specific value was not provided. The elevated BG was addressed by a correction bolus via the pump. No third party assistance was required. Customer changed the pump supplies and resumed insulin delivery.

    Patient problems: Hyperglycemia

    MAUDE report 50941705 ↗
  • InjurySep 29, 2026Pumping Stopped

    Patient problems: Insufficient Information

    MAUDE report 50941244 ↗
  • InjurySep 29, 2026False Alarm

    Patient problems: Elevated Ketones/ Diabetic Ketoacidosis; Hyperglycemia

    MAUDE report 50941242 ↗
  • MalfunctionSep 29, 2026Obstruction of Flow

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50941091 ↗
  • InjurySep 29, 2026Adverse Event Without Identified Device or Use Problem

    Patient problems: Hyperglycemia

    MAUDE report 50939731 ↗
  • MalfunctionSep 29, 2026Pumping Stopped

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50939675 ↗
  • MalfunctionSep 29, 2026Mechanical Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50939038 ↗
  • MalfunctionSep 29, 2026Charging Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50938753 ↗
  • MalfunctionSep 29, 2026Incorrect Measurement

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50938559 ↗

Other Alternate Controller Enabled Insulin Infusion Pump devices

All Alternate Controller Enabled Insulin Infusion Pump devices →

Sources and updates

How reports and recalls are matched · Editorial policy · Report an error on this page