FDA Adverse Event Injury Summary report: N

DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 17573866 · Received August 18, 2023

Report

Report Number
3004753838-2023-164465
Event Type
Injury
Date Received
August 18, 2023
Date of Event
July 21, 2023
Report Date
August 18, 2023
Manufacturer
DEXCOM, INC.
Product Code
QBJ
PMA / PMN Number
DEN170088
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4). DIABETES MELLITUS IS A KNOWN CAUSE OF HYPOGLYCEMIA AND LOSS OF CONSCIOUSNESS.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN INACCURACY BETWEEN THE CONTINUOUS GLUCOSE MONITOR (CGM) AND THE BLOOD GLUCOSE (BG) METER OCCURRED. THE SENSOR WAS INSERTED INTO THE ABDOMEN ON (B)(6) 2023. ON (B)(6) 2023, THE PATIENT WAS OUT SHOPPING WHEN SUDDENLY SHE COLLAPSED, HAD A SEIZURE AND WAS UNCONSCIOUS FOR ABOUT 3 TO 5 MINUTES. NO CGM NOR BLOOD GLUCOSE READINGS WERE REPORTED FROM THE TIME THE PATIENT LOSS CONSCIOUSNESS, BUT THE PATIENT RECEIVED GLUCOGEL AND JELLYBEANS FROM THE CHEMIST AT THE STORE. AN AMBULANCE WAS CALLED, AND THE PATIENT WAS BROUGHT TO THE HOSPITAL. AT THE HOSPITAL, A FINGERSTICK WAS PERFORMED, AND THE CGM READING WAS 12.0 MMOL/L, AND THE BLOOD GLUCOSE READING WAS 4.0 MMOL/L. NO SPECIFIC TREATMENT WAS REPORTED BUT IS STATED THAT THEY CHECKED HER BLOOD GLUCOSE READING AND DID UNSPECIFIED BLOOD TESTS. ALL THE RESULTS OF THESE TESTS WERE GOOD, AND AFTER BEING IN OBSERVATION FOR 3-4 HOURS THE PATIENT WAS DISCHARGED. AT THE TIME OF THE REPORT, SHE WAS FEELING BETTER AND THE CGM READING WAS 11.0 MMOL/L. NO DATA WAS PROVIDED FOR EVALUATION. THE ALLEGATION AND THE PROBABLE CAUSE COULD NOT BE DETERMINED. THE REPORTED GLUCOSE VALUES FALL WITHIN THE D ZONE OF THE PARKES ERROR GRID. NO ADDITIONAL PATIENT OR EVENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2167679 DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. NI

Patients

Seq Age Sex Outcome Treatment
1 Female Other