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Urgent Enforcement Amended Final

Class 2 Recall: Medtronic Paradigm Insulin Pump (73,656 Units)

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Summary

Medtronic MiniMed has issued a Class II recall for 73,656 Paradigm Insulin Pumps (MMT-712, MMT-715) due to a device design flaw causing unintended over- and under-delivery of insulin when the pump is elevated or lowered relative to the infusion site. Insulin over-delivery can result in severe hypoglycemia, altered mental status, seizure, coma, or death, while under-delivery can cause severe hyperglycemia, diabetic ketoacidosis, or death. The recall was initiated on February 13, 2026, with customer notifications sent via email, SMS, certified mail, and in-app push notifications.

Published by FDA on accessdata.fda.gov . Detected, standardized, and enriched by GovPing. Review our methodology and editorial standards .

What changed

Medtronic MiniMed is recalling Paradigm Insulin Pumps due to a design flaw where gravitational changes cause unintended insulin over- or under-delivery. When elevated relative to the infusion site, excessive insulin can cause severe hypoglycemia, seizures, coma, or death. When lowered, insufficient insulin can cause hyperglycemia, dehydration, diabetic ketoacidosis, or death. The FDA determined the cause is device design.

Affected parties including patients, caregivers, and healthcare providers should ensure pumps remain within 14 inches (35.5 cm) below or at infusion site level, monitor for alerts and symptoms, and complete the acknowledgement form. Updated user guides are being distributed to address proper pump placement.

What to do next

  1. Keep the location of your insulin pump close to your infusion site
  2. If you need to raise the pump above your infusion site, limit the time that the pump is held above the infusion site
  3. Pay attention to any alerts from your pump as well as symptoms of hypoglycemia and hyperglycemia; follow your healthcare professional's treatment instructions in these situations
  4. Contact Medtronic at 1-855-587-4950 with any questions about this notification
  5. Complete and return the acknowledgement form by visiting https://info.medtronicdiabetes.com/pump-placement

Archived snapshot

Apr 16, 2026

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Class 2 Device Recall Paradigm Insulin Pump

- Databases

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| 510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards |

| CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC | |

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| | Class 2 Device Recall Paradigm Insulin Pump | |

Date Initiated by Firm February 13, 2026
Date Posted April 02, 2026
Recall Status Open , Classified
Recall Number Z-1748-2026
Recall Event ID 98186
510(K)Number K031390 K040676 K053177 K120206
Product Classification Pump, infusion, insulin - Product Code LZG
Product Paradigm Insulin Pump (MMT-712, MMT-715)
Code Information Pump: UDI-DI(GTIN): User Guide Name(Part-Version):

Paradigm Insulin Pump: 643169999770, 643169729360, 763000065201, 763000069001, 763000192228, 763000198602, 763000155346, 763000192143, 763000258344, 763000317140, 763000404567, 763000317188, 763000317195, 763000367046, 763000317157, 00613994470492, 00643169496262, 643169577664, 643169577688, 643169577695, 643169739512, 00613994332929, 00613994469694, 00613994470904, 00763000084271, 00763000161019, 643169577701, 643169739512, 643169662612, 00643169533776, 00763000084370, 643169656840, 763000090197, 763000190439, 763000316631, 00613994473820, 00643169478503, 00613994151766, 00643169710368, 00763000161057, 00613994326478, 00613994326508, 00613994395771, 00613994395719, 00613994395696, 00613994527851, 00643169729421, 00643169198920, 00643169572447, 00643169198890, 00613994527868, 00613994172129, 00613994172419, 00613994171627, 00613994171344, 00613994172211, 00613994172525, 00613994172334, 00613994172044, 00613994172761, 00613994171917, 00613994326621, 00613994326584, 00643169848825, 00643169848832, 00643169848801, 00613994395818, 00613994395764, 00613994395740, 00613994394132, 00763000069209, 00763000069179, 00613994527905, 00763000069162, 00613994527769, 00613994405876, 00763000069186, 00763000069148, 00613994527783, 00613994527806, 00613994527899, 00613994527790, 00613994527882, 00613994527837, 00643169198968, 00643169198883, 00643169198944, 00643169198906, 00763000084301, 00613994527745, 00643169198975, 00643169035515, 00643169201927, 00643169198913, 00643169198937, 00613994475268, 00643169198999, 00643169198982, 00643169503120, 00763000187507, 00643169198951, 00643169848818, 00643169848795, 00643169848771, 00613994527738, 00613994171443, 00613994171528, 00613994326539, 00613994326560, 00613994395726, 00613994395757, 00763000102616, 00763000069155, 00613994473868, 00763000004262, 00763000084318, 00763000161064, 76300031665503, 763000316655, 643169656840, 763000367053, 763000090197, 763000166519, 763000072520, 763000190439, 76300031665501, 763000316631, 763000256807:

INSTR,US,FINE TUNING,PUMP,512/712 (6024948-012 3);
INSTR,US,FINE TUNING,PUMP,PRDGM (6024948-013 1);
INSTR,EN,FINE TUNING,PUMP (6024948-021 3);
INSTR,US,PUMPS,PRDGM,515/715 (6025020-017 1);
INSTR., 515/715, PRDGM, US (6025020-018 2);
INSTR, 515/715, MDD, EN (6025020-024 1);
INSTR, 515/715, EURO-E, MDD (6025020-025 2);
INSTR., X15, EN OUS (6025020-026 1) |
| FEI Number | 3003166194 |
| Recalling Firm/
Manufacturer | Medtronic MiniMed, Inc.
18000 Devonshire St
Northridge CA 91325-1219 |
| For Additional Information Contact | Medtronic 24-Hr Technical Support
855-587-4950 |
| Manufacturer Reason
for Recall | All Medtronic MiniMed infusion pumps (Paradigm series, 600 series, and BLE 700 series) were found to be affected by unintended over- and under-delivery of insulin when the pump is elevated or lowered relative to the infusion site, respectively, because of changes in gravitational force impacting hydrostatic and hydrodynamic pressures. Insulin over-delivery, which can occur when the pump is elevated relative to the infusion site, can result in severe hypoglycemia, altered mental status, seizure, coma, or death. An under-delivery of insulin, which can occur at lowered pump height conditions relative to the infusion site, can result in severe hyperglycemia, dehydration, diabetic ketoacidosis, or death. |
| FDA Determined
Cause | Device Design |
| Action | On 2/13/2026, communications began via email, SMS, certified postal mail, and in-app push notifications. Correction notices were sent informing customers of the following:

User Guides will be updated to include: "It is important to keep the location of your pump stable relative to your infusion site. Do not wear or place your pump more than 14 in (35.5 cm) above your infusion site. Doing so can cause an over-delivery of insulin, which may result in hypoglycemia."

User guides that are updated will be available at: https://www.medtronicdiabetes.com/download-library
visit https://info.medtronicdiabetes.com/pump-placement for affected user
guide versions.

Required Actions:
Keep the location of your insulin pump close to your infusion site.
- If you need to raise the pump above your infusion site, such as when a parent or
caregiver is using the pump for a child, limit the time that the pump is held above
the infusion site.
- Pay attention to any alerts from your pump as well as symptoms of hypoglycemia
and hyperglycemia; follow your healthcare professional's treatment instructions
in these situations.
- If you have any concerns about how this may impact insulin delivery and blood
glucose, please contact your healthcare professional. You may also contact firm at
1-855-587-4950 with any questions about this notification.
-Complete and return the acknowledgement form by visiting https://info.medtronicdiabetes.com/pump-placement

Distributor Partner / Service Provider: Send existing patients the Patient Notification. To HCPs send the HCP Notification and Patient Notification |
| Quantity in Commerce | 73,656 |
| Distribution | Worldwide - US Nationwide distribution including in the states of OR, CA, AZ, NY,TX,FL, OH, MO, TN,NJ, NC, SC, IL, VA, WA, DC, GA, PA, MS,IA, MI, NH, OK, SD, MT, WI, WV, MA, LA, MN, RI, AR, ME, AL, IN, UT, KY, CO, ND, MD, CT, NM, KS, ID, NV, DE, NE, VT, AK, HI, WY, PR, VI and the countries of Taiwan, New Zealand, Australia, Bangladesh, Brunei Darussalam, Cambodia, Indonesia, Malaysia, Maldives, Philippines, Thailand, Vietnam, Singapore, Pakistan, Hong Kong, China, Argentina, Aruba, Barbados, Bermuda, Bolivia, Plurinational State Of, Brazil, Chile, Colombia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Panama, Paraguay, Peru, Puerto Rico, Trinidad And Tobago, Uruguay, Venezuela, Canada, South Korea, India, Albania, Algeria, Andorra, Armenia, Austria, Azerbaijan, Bahrain, Belarus, Belgium, Bosnia And Herzegovina, Botswana, Bulgaria, Canary Islands, Croatia, Cyprus, Czech Republic, Denmark, Egypt, Estonia, Faroe Islands, Finland, France, French Guyana, French Polynes., Georgia, Germany, Gibraltar, Greece, Guadeloupe, Hungary, Iceland, Iran, Iraq, Ireland, Israel, Italy, Jordan, Kazakhstan, Kenya, Kosovo, Kuwait, Kyrgyzstan, Latvia, Lebanon, Libya, Liechtenstein, Lithuania, Luxembourg, Macedonia, Malawi, Malta, Martinique, Mauritius, Mayotte, Moldavia, Montenegro, Morocco, Namibia, Netherlands, New Caledonia, Nigeria, Northern Ireland, Norway, Oman, Poland, Portugal, Qatar, Reunion, Romania, Russia, San Marino, Saudi Arabia, Serbia, Sierra Leone, Slovakia, Slovenia, South Africa, Spain, St.Pier,Miquel., Sudan, Sweden, Switzerland, Syrian Arab Republic, Tanzania, Tunisia, Turkey, Turkmenistan, Ukraine, United Arab Emirates, United Kingdom, Uzbekistan, Yemen, Zambia, Zimbabwe. |
| Total Product Life Cycle | TPLC Device Report |

| 1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes. | |
| 510(K) Database | 510(K)s with Product Code = LZG

510(K)s with Product Code = LZG |

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Last updated

Classification

Agency
FDA
Filed
April 2nd, 2026
Instrument
Enforcement
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
Z-1748-2026

Who this affects

Applies to
Medical device makers Healthcare providers Patients
Industry sector
3345 Medical Device Manufacturing
Activity scope
Medical device recall Insulin delivery safety
Geographic scope
United States US

Taxonomy

Primary area
Medical Devices
Operational domain
Clinical Operations
Compliance frameworks
GxP
Topics
Pharmaceuticals Product Safety

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