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Recall Observatory FDA recall evidence

Device product

Omnipod 5 Automated Insulin Delivery System, iOS Application. Model Number: PT-000664/M009-S-AP. Software Version: all Product Description: The Omnipod 5 iOS App software is available to download through the Apple app store. The Omnipod 5 App is the user interface that controls the Omnipod 5 Automated Insulin Delivery System. It is used to activate/deactivate Pods, display alerts/alarms, and send insulin delivery commands for execution to the Pod. Only available in the US.

Z-2016-2025

May 23, 2025

Class II

Product summary

Firm
Insulet Corporation
Event
Event 96945
Status
Ongoing
Classification
Class II
Quantity
122,823 downloads
Official record key
device-enforcement:Z-2016-2025

Official wording

Reason: Insulet Corporation is recalling Omnipod 5 iOS App, due to a software design issue in which a comma is not recognized as a decimal separator and the user cannot enter a decimal separator in any manual entry screen if the user manually updates their phone settings to a region OUS that uses a decimal separator instead of a period decimal separator or chooses that format as a preference. Use of the affected software may result in over delivery of insulin by increasing the amount of insulin when a decimal separator is not recognized (e.g., 0.1 unit recognized as 1 unit) and thus may result in hypoglycemia, potentially severe.

Code information: Model Number: PT-000664/M009-S-AP. UDI-DI: 10385083000336. All software versions 1.X.X

Distribution pattern: US market only- Although there are 122823 downloads of the application, our data shows there are only ~80k active users.

Derived failure modes

  • Device software or design

    reason.device_software_design · v1.0.0

    software design issue