The FDA announced on Feb. 1, 2021, that Insulet Corporation is recalling Omnipod DASH Insulin Management System User Guides for use outside the U.S. due to a misprint that could cause incorrect bolus delivery and hypoglycemia.
How to tell if you have it
- Brand: Insulet
- Product: Omnipod DASH Insulin Management System User Guide (OUS Only)
- Catalog Numbers: PT 000002 XXX XXX XX, PT 000318, PT 000319
- Specific Part Numbers/Revisions: PT 000002 AUT DEU mg 1, 2, 3; PT 000002 BEL DEU MG 1, 2, 3; PT 000002 BEL FRE MG 1, 2, 3, 4; PT 000002 BEL NLD MG 1, 2, 3; PT 000002 DEU DEU mg 1, 2, 3; PT 000002 DEU DEU mm 1, 2, 3; PT 000002 DNK DANmm 1, 2, 3; PT 000002 FIN FIN mm 1, 2, 3; PT 000002 FRA FRE mg 1, 2, 3, 4; PT 000002 NLD NLD mm 1, 2, 3, 4; PT 000002 NOR NORmm 1, 2, 3; PT 000002 SWE SWEmm 1, 2, 3; 41333 CAN 1, 2; PT 000318 1, 2; PT 000319 1, 2
The hazard
According to the FDA, certain foreign user guides include a misprint on page 6 stating that the comma is not used for the decimal on the PDM, when in fact it is the period. If a user enters a bolus value using a period as the decimal separator, the device will not recognize it, potentially resulting in a larger insulin delivery than intended and causing hypoglycemia.
Context
GovInfoNow's records show Insulet Corporation has had 11 other recalls since Dec. 18, 2018. Recent Insulet recalls include the Omnipod Eros Pod recall on May 20, 2026, for insulin leaking risk, and the Omnipod 5 Pods recall on March 12, 2026, for internal leak risk from manufacturing defects. Other recent recalls of similar products include Tand pumps with Czech guide errors (Jan. 30, 2026), Medtronic MiniMed 780G insulin pump software error causing stoppage (May 27, 2026), and Medtronic MiniMed 780G risk of incorrect insulin delivery (July 13, 2026).