title: Two case reports of retained steel insulin pump infusion set needles.
abstract: Insulin pumps are common in the management of type 1 diabetes (T1D). We report two cases of metal insulin infusion set needles which broke off the tubing and remained embedded in the soft tissue of two boys with T1D (five needles in one case, and one needle in the other). The patient with five retained needles was asymptomatic and had a normal physical examination, and the missing needles were only detected using pelvic X-ray; the second patient had only mild discomfort. While these are the first such cases reported in the medical literature, there may be other cases which have gone unnoticed, suggesting the potential need to explore the safety of this product further.
authors: Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, 55454, USA.
authors: Phillip
authors: P
authors: Plager
authors: Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, 55454, USA.
authors: Michael A
authors: MA
authors: Murati
authors: Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, 55454, USA.
authors: Antoinette
authors: A
authors: Moran
authors: Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, 55454, USA.
authors: Muna
authors: M
authors: Sunni
mesh_terms: D000293:Adolescent; D002081:Buttocks; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D007332:Insulin Infusion Systems / Q000009:adverse effects* / Q000592:standards; D008297:Male; D009339:Needles; D013232:Steel
chemical_list: D007328:Insulin; D013232:Steel
keywords: Contact™ Detach infusion set; Sure-T® infusion sets; metal infusion set; needles