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t:slim X2 Insulin Pump with Basal-IQ 1006379Recalls & reported problems

Tandem Diabetes Care, Inc. · t:slim X2 Insulin Pump with Basal-IQ, 6.4.x, Refurbished Replacement · Class 2

2 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.

Quick summary

This Tandem t:slim X2 Basal-IQ insulin pump has 16,720 adverse event reports in the FDA database, including 1,532 injuries and no deaths. Reports often describe pumping stopping, incorrect measurements, and charging or battery problems. There are 2 open recalls: one about speakers that may fail and silence alerts, and one about battery display, touchscreen, and memory issues that a software update can address. Reports in the last 12 months (249) are well below the 12 months before (979).

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
16,712
Deaths reported
0
Injuries reported
1,531
Recalls naming it
2

Summary

The FDA's MAUDE database contains 16,712 adverse event reports that list this exact device (DI 00850006613731), received between Sep 2, 2020 and Sep 29, 2026 — classified as 1,531 injuries, 15,181 malfunctions.

The most frequently reported specific device problem is “Pumping Stopped” (4,258 reports).

2 FDA recall records name this device's identifier, 2 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. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 431 reportsDec 2023: 360 reportsJan 2024: 340 reportsFeb 2024: 255 reportsMar 2024: 255 reportsApr 2024: 244 reportsMay 2024: 200 reportsJun 2024: 191 reportsJul 2024: 195 reportsAug 2024: 164 reportsSep 2024: 166 reportsOct 2024: 197 reportsNov 2024: 130 reportsDec 2024: 118 reportsJan 2025: 168 reportsFeb 2025: 81 reportsMar 2025: 79 reportsApr 2025: 44 reportsMay 2025: 77 reportsJun 2025: 52 reportsJul 2025: 84 reportsAug 2025: 53 reportsSep 2025: 57 reportsOct 2025: 36 reportsNov 2025: 36 reportsDec 2025: 45 reportsJan 2026: 18 reportsFeb 2026: 31 reportsMar 2026: 33 reportsApr 2026: 30 reportsMay 2026: 22 reportsJun 2026: 18 reportsJul 2026: 4 reportsAug 2026: 2 reportsSep 2026: 2 reportsOct 2026: 0 reports202420252026431
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. Jul 21, 2025Open, 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 · FDA record ↗

  2. May 24, 2022Open, Classified

    Insulin pumps may have the following issues: 1) Malfunction 6 Non-Volatile Memory, 2) Inaccurate (Fluctuating) Battery Life Display, 3) Touchscreen Staying On, 4) Unexpected Open Loop, that can be mitigated with a software update. Issues could result in hypoglycemia, hyperglycemia or diabetic ketoacidosis.

    Z-1811-2022 · Root cause: Device Design · FDA record ↗

Most reported problems

Device problems

  • Pumping Stopped4,258
  • Failure to Sense1,991
  • Charging Problem1,944
  • Incorrect Measurement1,795
  • Battery Problem1,693
  • Obstruction of Flow1,225
  • Crack914
  • Adverse Event Without Identified Device or Use Problem897

Patient problems

  • No Clinical Signs, Symptoms or Conditions14,762
  • Hyperglycemia971
  • Hypoglycemia478
  • No Consequences Or Impact To Patient366
  • Elevated Ketones/ Diabetic Ketoacidosis150
  • No Known Impact Or Consequence To Patient78
  • Insufficient Information56
  • Loss of consciousness25

Recent adverse event reports

The 25 most recent of 16,712 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 29, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50936575 ↗
  • MalfunctionSep 29, 2026Charging Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50932927 ↗
  • MalfunctionAug 21, 2026Insufficient Device Problem Information

    It was reported that pump repeatedly suspended insulin during delivery. 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 50369774 ↗
  • MalfunctionAug 20, 2026Key or Button Unresponsive/not Working

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50359481 ↗
  • MalfunctionJul 8, 2026Incorrect Measurement; Pumping Stopped

    IT WAS REPORTED THAT THE BATTERY GAUGE WAS FLUCTUATING RESULTING IN THE PUMP SHUTTING DOWN. 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 25751860 ↗
  • MalfunctionJul 8, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. 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 25750677 ↗
  • MalfunctionJul 7, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. CUSTOMER DECLINED FOLLOW UP FROM TANDEM TECHNICAL SUPPORT. THERE WAS NO REPORTED ADVERSE IMPACT. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25732592 ↗
  • MalfunctionJul 2, 2026Scratched Material

    IT WAS REPORTED THAT THE PUMP TOUCHSCREEN WAS SCRATCHED AND UNREADABLE. 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 25697070 ↗
  • MalfunctionJun 30, 2026Scratched Material

    IT WAS REPORTED THAT THE PUMP TOUCH SCREEN WAS UNREADABLE. CUSTOMER DECLINED FOLLOW UP FROM TANDEM TECHNICAL SUPPORT. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER. CUSTOMER DECLINED TROUBLESHOOTING. NO FURTHER ACTION NEEDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25669864 ↗
  • MalfunctionJun 29, 2026Charging Problem

    IT WAS REPORTED THAT CUSTOMER EXPERIENCED ISSUES WITH CURRENT PUMP. THERE WAS NO REPORTED IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TROUBLESHOOTING AND FOLLOW-UP FROM TECHNICAL SUPPORT AND PROCEEDED WITH PROCESS FOR RENEWAL PUMP, AND NO FURTHER ACTION WAS TAKEN BY TECHNICAL SUPPORT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25653465 ↗
  • MalfunctionJun 26, 2026Mechanical Problem

    IT WAS REPORTED THAT CARTRIDGE CHANGE ERRORS OCCURRED WITH MULTIPLE CARTRIDGES DURING THE LOAD SEQUENCE. CUSTOMER REVERTED TO MANUAL INJECTIONS FOR INSULIN THERAPY. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25637329 ↗
  • MalfunctionJun 25, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION COULD BE OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25627184 ↗
  • MalfunctionJun 25, 2026Incorrect Measurement

    IT WAS REPORTED THAT A MINIMUM FILL NOTIFICATION OCCURRED AFTER THE USER FILLED THE CARTRIDGE WITH 250 UNITS OF INSULIN DURING THE LOAD SEQUENCE. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. THE CUSTOMER RELOADED THE CARTRIDGE TO RESOLVE THE ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25623413 ↗
  • MalfunctionJun 24, 2026Key or Button Unresponsive/not Working

    IT WAS REPORTED THAT THE WAKE BUTTON ON THE PUMP WAS DELAYED IN RESPONDING TO BEING PRESSED. 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 25611744 ↗
  • MalfunctionJun 23, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. 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 25598484 ↗
  • MalfunctionJun 22, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. CUSTOMER DECLINED TO TROUBLESHOOT WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION COULD BE OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25578012 ↗
  • MalfunctionJun 18, 2026Pumping Stopped

    IT WAS REPORTED THAT A CARTRIDGE ALARM OCCURRED. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. THE CUSTOMER REVERTED TO AN ALTERNATE METHOD OF INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25552973 ↗
  • MalfunctionJun 18, 2026Break

    IT WAS REPORTED THAT THE RACK PUSHROD ON THE PUMP WAS DAMAGED (RUBBER GASKET WAS MISSING OR BECAME DETACHED), WHICH LED TO DIFFICULTIES LOADING CARTRIDGES. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE LEVEL. REPORTEDLY, THE CUSTOMER CONTINUED USING THE PUMP FOR INSULIN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25551767 ↗
  • MalfunctionJun 12, 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 25490743 ↗
  • MalfunctionJun 12, 2026Premature Discharge of Battery

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY. 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 25487775 ↗
  • MalfunctionJun 11, 2026Pumping Stopped

    IT WAS REPORTED THAT PUMP EXPERIENCED MALFUNCTION WITH CODE DISPLAYED AND NO NOTABLE EVENTS OCCURRED BEFOREHAND. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. CUSTOMER CONTACTED SUPPORT, RECEIVED INSTRUCTIONS TO RESET PUMP, SUCCESSFULLY RESET IT WITHOUT RECURRENCE OF MALFUNCTION CODE, WAS ADVISED TO CONTINUE USING PUMP, AND WAS INSTRUCTED TO CALL BACK IF MALFUNCTION RETURNED, WHICH CUSTOMER UNDERSTOOD.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25473419 ↗
  • MalfunctionJun 10, 2026Pumping Stopped

    IT WAS REPORTED THAT UNSPECIFIED ALARM OCCURRED. 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 25462436 ↗
  • MalfunctionJun 8, 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 25437060 ↗
  • 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 25436748 ↗
  • MalfunctionJun 8, 2026Insufficient Device Problem Information

    IT WAS REPORTED THAT THE PUMP WAS NOT WORKING PROPERLY. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. THE CUSTOMER DECLINED FOLLOW-UP TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT, THEREFORE NO ADDITIONAL INFORMATION COULD BE OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25428615 ↗

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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.