Accu-Chek Tenderlink infusion sets

Safety advisory - potential for tubing disconnection

25 November 2014

Consumers and health professionals are advised that Roche Diagnostics Australia, in consultation with the TGA, is issuing a safety alert to notify of a potential increase in the number of tubing disconnections involving Accu-Chek Tenderlink infusion sets.

Infusion sets are used in conjunction with a pump to deliver a continuous dose of insulin to help people with diabetes maintain normal blood glucose levels.

If tubing becomes detached, insulin delivery is interrupted. The interruption of insulin delivery can cause hyperglycaemia, which, if left untreated, can have serious health effects.

The issue was identified following an increase in the number of reports of infusion set disconnection worldwide. The number of disconnections that have occurred is still very low.

This issue also affects the following two other infusion set brands produced by the same manufacturer:

Please note that the infusion sets are not being recalled.

diagram showing the tubing disconnecting from Accu-chek tenderlink infusion set

Site where the tubing may become detached.

Information for consumers

Roche Diagnostics Australia has written to Accu-Chek Tenderlink infusion set users to notify them of this issue and the precautions they need to take to keep using the sets. If someone you care for uses one of these infusion sets, ensure they are aware of this issue.

Users are advised to:

  • closely follow the Instructions for Use (IFU) included in the product box
  • regularly check the tubing near the connection/disconnection point as shown in the diagram above to make sure it is not loose
  • monitor blood sugar levels frequently using a blood glucose meter
  • check both the tubing connection and blood sugar levels immediately before bedtime to confirm insulin delivery.

If the tubing becomes detached:

  • do not attempt to reattach the tubing
  • replace the infusion set immediately
  • treat any high blood sugar level as per the treating health professional's advice
  • keep the broken infusion set and telephone Roche Diagnostics Australia on 1800 633 457 to arrange for return and replacement.

Please note that the device is not designed to sound an alarm if the tubing becomes detached.

If you have any questions or concerns about this issue, telephone Roche Diagnostics Australia on 1800 633 457. Alternatively, you can speak to your diabetes nurse educator or other health professional.

Information for health professionals

Roche Diagnostics Australia has written to relevant health professionals and consumers for whom it has contact details advising of this issue.

If you are treating patients who use Accu-Chek Tenderlink infusion sets, please ensure they are aware of this issue.

Advise patients of the actions they should take to continue using the infusion sets. These actions are listed in the Information for consumers section above.

If you or your patients have any questions or concerns about this issue telephone Roche Diagnostics Australia on 1800 633 457.

Reporting problems

Consumers and health professionals are encouraged to report problems with medical devices. Your report will contribute to the TGA's monitoring of these products. For more information see the TGA Incident Reporting and Investigation Scheme (IRIS).

The TGA cannot give advice about an individual's medical condition. You are strongly encouraged to talk with a health professional if you are concerned about a possible adverse event associated with a medical device.