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
Recalls naming this device
- 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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- Accu-Chek Combo 05027250001Roche Diabetes Care GmbH · Pump, Infusion, Insulin1,830 reports
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Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026 · each recall links to the FDA recall notice
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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