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t:slim X2 Insulin Pump 1000103Recalls & reported problems

Tandem Diabetes Care, Inc. · t:slim X2 Insulin Pump · Class 2

All models of t:slim X2 Insulin Pump (45) · t:slim X2 Insulin Pump (2)

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 used to deliver insulin. Reports mostly describe pumps that stop, battery and charging failures, incorrect measurements, and blocked flow. There are 7,327 reports, including 1 death and 558 injuries. One open recall, begun in May 2022, covers software and display problems that could cause high or low blood sugar.

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
7,327
Deaths reported
1
Injuries reported
558
Recalls naming it
1

Summary

The FDA's MAUDE database contains 7,327 adverse event reports that list this exact device (DI 00852162004781), received between Jul 9, 2018 and Oct 20, 2025 — classified as 1 death, 558 injuries, 6,768 malfunctions.

The most frequently reported specific device problem is “Pumping Stopped” (1,686 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: 13 reportsDec 2023: 13 reportsJan 2024: 19 reportsFeb 2024: 11 reportsMar 2024: 12 reportsApr 2024: 14 reportsMay 2024: 7 reportsJun 2024: 8 reportsJul 2024: 10 reportsAug 2024: 11 reportsSep 2024: 9 reportsOct 2024: 12 reportsNov 2024: 2 reportsDec 2024: 5 reportsJan 2025: 10 reportsFeb 2025: 3 reportsMar 2025: 3 reportsApr 2025: 1 reportsMay 2025: 4 reportsJun 2025: 4 reportsJul 2025: 5 reportsAug 2025: 8 reportsSep 2025: 0 reportsOct 2025: 2 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports20242025202619
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. May 24, 2022Class IIOpen, 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 · Recall details · FDA record ↗

Most reported problems

Device problems

  • Pumping Stopped1,686
  • Battery Problem1,429
  • Incorrect Measurement947
  • Charging Problem918
  • Obstruction of Flow754
  • Failure to Sense699
  • False Alarm355
  • Adverse Event Without Identified Device or Use Problem316

Patient problems

  • No Clinical Signs, Symptoms or Conditions3,238
  • No Consequences Or Impact To Patient2,783
  • No Known Impact Or Consequence To Patient791
  • Hyperglycemia318
  • Hypoglycemia181
  • Elevated Ketones/ Diabetic Ketoacidosis99
  • Insufficient Information22
  • Vomiting8

Recent adverse event reports

The 25 most recent of 7,327 reports, in the reporter's own words as published by the FDA.

  • MalfunctionOct 20, 2025Pumping Stopped; Pumping Stopped

    A MALFUNCTION WAS REPORTED ON A CUSTOMER'S PUMP, BUT THERE WAS NO ADVERSE IMPACT ON THE CUSTOMER'S BLOOD GLUCOSE LEVEL. THE PUMP WAS NOT UNDER WARRANTY, LEADING THE CUSTOMER TO INQUIRE ABOUT AN OUT-OF-WARRANTY LOANER PUMP. TECHNICAL SUPPORT DECIDED TO REPLACE THE PUMP AND SENT OUT A LOANER UNIT. THE CALLER WAS GUIDED ON USING BACKUP THERAPY TO ENSURE INSULIN DELIVERY WAS NOT INTERRUPTED AND WAS INFORMED ABOUT UPCOMING STEPS UPON RECEIVING THE NEW PUMP. THE CUSTOMER ACKNOWLEDGED AND COMPLETED ALL NECESSARY AGREEMENTS RELATED TO THE LOANER PUMP ARRANGEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23337428 ↗
  • InjuryOct 17, 2025No Apparent Adverse Event; Insufficient Device Problem Information; No Apparent Adverse Event; Insufficient Device Problem Information

    IT WAS REPORTED ONGOING ISSUES WITH INSULIN DOSAGE. RESULTING IN THE CUSTOMER GOING TO THE EMERGENCY ROOM MULTIPLE TIMES. THE CUSTOMER DECLINED ASSISTANCE FROM TANDEM TECHNICAL SUPPORT REGARDING THE ISSUE. NO ADDITIONAL PATIENT OR EVENT INFORMATION WAS AVAILABLE.

    Patient problems: Insufficient Information

    MAUDE report 23331350 ↗
  • MalfunctionAug 21, 2025Loose or Intermittent Connection; Charging Problem; Loose or Intermittent Connection; Charging Problem

    IT WAS REPORTED THAT THE PUMP'S USB PORT WAS LOOSE, RESULTING IN DIFFICULTIES CHARGING 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 22863919 ↗
  • MalfunctionAug 8, 2025Failure to Charge; Failure to Charge

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. MULTIPLE CONTACT ATTEMPTS WERE MADE BY TANDEM TECHNICAL SUPPORT TO OBTAIN ADDITIONAL INFORMATION REGARDING THE ISSUE; HOWEVER, THE CUSTOMER DID NOT RESPOND. NO ADDITIONAL PATIENT OR EVENT INFORMATION WAS AVAILABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22748355 ↗
  • MalfunctionAug 7, 2025Fracture; Fracture

    CUSTOMER REPORTED A CRACK ON THE SCREEN, WHICH WAS HARD TO SEE AND SOMETIMES UNRESPONSIVE. THERE WAS NO REPORTED IMPACT ON THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. THE CUSTOMER DECLINED FURTHER TROUBLESHOOTING, AND THE ISSUE WAS DOCUMENTED BY TECHNICAL SUPPORT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22739188 ↗
  • MalfunctionAug 7, 2025Failure to Power Up; Failure to Power Up

    IT WAS REPORTED THAT THE PUMP BATTERY WAS UNRESPONSIVE. 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 22736890 ↗
  • MalfunctionAug 6, 2025Failure to Charge; Pumping Stopped; Failure to Charge; Pumping Stopped

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED, LEADING TO THE PUMP SHUTTING OFF. 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 22730071 ↗
  • MalfunctionAug 5, 2025Failure to Charge; Failure to Charge

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. REPORTEDLY, THE CUSTOMER HAD AN ALTERNATE PUMP FOR INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22719360 ↗
  • MalfunctionAug 5, 2025Failure to Charge; Failure to Charge

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. REPORTEDLY, THE CUSTOMER HAD AN ALTERNATE PUMP FOR INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22719290 ↗
  • MalfunctionAug 5, 2025Failure to Charge; Failure to Charge

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER'S BLOOD GLUCOSE. REPORTEDLY, THE PUMP SUCCESSFULLY BEGAN CHARGING AFTER LEAVING THE PUMP PLUGGED INTO THE POWER SOURCE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22718825 ↗
  • MalfunctionJul 31, 2025Loose or Intermittent Connection; Charging Problem; 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 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 22678393 ↗
  • MalfunctionJul 29, 2025Premature Discharge of Battery; Premature 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 THE ISSUE WITH TANDEM TECHNICAL SUPPORT; THEREFORE NO ADDITIONAL INFORMATION WAS OBTAINED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22650390 ↗
  • MalfunctionJul 16, 2025Date/Time-Related Software Problem; Date/Time-Related Software Problem

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

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22521397 ↗
  • MalfunctionJul 16, 2025Inappropriate or Unexpected Reset; Inappropriate or Unexpected Reset

    IT WAS REPORTED THAT AN UNEXPECTED RESET OCCURRED. THERE WAS NO REPORTED ADVERSE IMPACT TO THE 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 22519256 ↗
  • MalfunctionJul 7, 2025Pumping Stopped; Pumping 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 22420490 ↗
  • MalfunctionJun 26, 2025Pumping Stopped; Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED. THE CUSTOMER REVERTED TO MANUAL INJECTIONS FOR INSULIN THERAPY. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22338095 ↗
  • MalfunctionJun 7, 2025Mechanical Problem; Mechanical Problem

    IT WAS REPORTED THAT A CARTRIDGE ALARM OCCURRED DURING THE LOAD SEQUENCE. REPORTEDLY, THE CUSTOMER CONTACTED THE HEALTHCARE PROVIDER TO OBTAIN ALTERNATE INSULIN THERAPY. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22162979 ↗
  • MalfunctionJun 6, 2025Filling Problem; Incorrect Measurement; Filling Problem; Incorrect Measurement

    IT WAS REPORTED THAT A MINIMUM FILL NOTIFICATION OCCURRED AFTER THE USER FILLED THE CARTRIDGE DURING THE LOAD SEQUENCE. ADDITIONAL INFORMATION WAS NOT PROVIDED. CUSTOMER DECLINED TROUBLESHOOTING WITH TANDEM TECHNICAL SUPPORT. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22159694 ↗
  • MalfunctionJun 3, 2025Pumping Stopped; Battery Problem; Pumping Stopped; Battery Problem

    IT WAS REPORTED THAT THE PUMP BATTERY WAS DEPLETING QUICKLY RESULTING IN THE PUMP SHUTTING OFF. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. THE CUSTOMER CONTINUED TO USE THE PUMP FOR INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22135233 ↗
  • MalfunctionMay 28, 2025Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED THAT A CARTRIDGE DID NOT FIT ONTO THE PUMP. REPORTEDLY, THERE WAS AN O-RING FROM A PREVIOUS CARTRIDGE ON THE PNEUMATIC TAP. THE CUSTOMER REMOVED THE O-RING AND SUCCESSFULLY LOADED THE CARTRIDGE TO ADDRESS THE EVENT. THERE WAS NO ADVERSE IMPACT TO CUSTOMER'S BLOOD GLUCOSE LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22102558 ↗
  • MalfunctionMay 16, 2025Pumping Stopped; Charging Problem; Pumping Stopped; Charging Problem

    IT WAS REPORTED THAT THE PUMP BATTERY COULD NOT BE CHARGED, WHICH RESULTED IN THE PUMP SHUTTING DOWN. THERE WAS NO REPORTED 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 22039811 ↗
  • MalfunctionMay 8, 2025Pumping Stopped; Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED AFTER THE PUMP WAS DROPPED. 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 LEVEL.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21988273 ↗
  • MalfunctionMay 6, 2025Pumping Stopped; Pumping Stopped

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

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21970881 ↗
  • MalfunctionApr 29, 2025Communication or Transmission Problem; Communication or Transmission Problem

    IT WAS REPORTED THAT THE CUSTOMER RECEIVED A CONTINUOUS GLUCOSE MONITOR ERROR 42. THERE WAS NO REPORTED ADVERSE IMPACT TO THE CUSTOMER. THE CUSTOMER REVERTED TO AN ALTERNATE METHOD OF INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21927962 ↗
  • MalfunctionMar 31, 2025Mechanical Problem; Pumping Stopped; Mechanical Problem; Pumping Stopped

    IT WAS REPORTED THAT A MALFUNCTION ALARM OCCURRED. DURING TROUBLESHOOTING WITH TECHNICAL SUPPORT, THE MALFUNCTION ALARM WAS CLEARED. ADDITIONALLY, IT WAS REPORTED THAT A CARTRIDGE CHANGE ERROR INTERMITTENTLY OCCURRED. THERE WAS NO ADVERSE IMPACT TO THE CUSTOMER¿S BLOOD GLUCOSE LEVEL. REPORTEDLY, CUSTOMER REVERTED TO MANUAL INJECTIONS FOR INSULIN THERAPY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21730589 ↗

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Sources and updates

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