FDA Adverse Event Injury Summary report: N

DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 18707948 · Received February 14, 2024

Report

Report Number
3004753838-2024-038853
Event Type
Injury
Date Received
February 14, 2024
Date of Event
January 21, 2024
Report Date
February 14, 2024
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270000255
PMA / PMN Number
DEN170088
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

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

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) 2024. ON 01-21-2024, THE WIFE DISCOVERED THE PATIENT OUT OF IT WITH MUSCLE SPASMS. THE WIFE CHECKED THE DEXCOM WAS READING 250 MGDL, BUT SHE FELT SOMETHING WAS OFF SO THEY CALLED EMERGENCY MEDICAL SERVICE (EMS). WHEN EMS ARRIVED, THEY GAVE THE PATIENT INTRAVENOUS SUGAR SOLUTION AND GOT A BG OF 27 MGDL WHILE THE DEXCOM WAS STILL AT 250 MGDL. EMS BROUGHT THE PATIENT TO THE EMERGENCY ROOM WHERE THE NURSES CONTINUED THE INTRAVENOUS SUGAR SOLUTION AND GAVE THE PATIENT A NASAL CANNULA FOR ADDITIONAL OXYGEN. OF NOTE, THE PATIENT WAS ALSO HYPERTENSIVE. THE PATIENT UNDERWENT TESTING INCLUDING X-RAYS AND COMPUTED TOMOGRAPHY (CT) SCANS. THERE WAS NO DOCUMENTATION OF FURTHER MEDICAL EVALUATION OR INTERVENTION FOR SYMPTOMATIC HYPOGLYCEMIA AND THE PATIENT WAS DISCHARGED (B)(6) 2024. THE PATIENT WAS REPORTEDLY FINE THE SAME DAY AS DISCHARGE. NO OTHER DETAILS WERE DOCUMENTED. THE REPORTED GLUCOSE VALUES FALL WITHIN THE E ZONE OF THE PARKES ERROR GRID. DATA WAS EVALUATED AND THE ALLEGATION WAS UNDETERMINED. THE PROBABLE CAUSE COULD NOT BE DETERMINED VIA DATA. NO ADDITIONAL PATIENT OR EVENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2225211 DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 9535-45 7335459 00386270000255

Patients

Seq Age Sex Outcome Treatment
1 81 YR Male Other| H