FDA Adverse Event
Malfunction
Summary report: N
DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM
MDR report key: 18883222
·
Received March 12, 2024
Report
- Report Number
- 3004753838-2024-059102
- Event Type
- Malfunction
- Date Received
- March 12, 2024
- Date of Event
- February 20, 2024
- Report Date
- March 29, 2024
- Manufacturer
- DEXCOM, INC.
- Product Code
- QBJ
- PMA / PMN Number
- K213919
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
(B)(4).
Additional Manufacturer Narrative · 0
(B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT AN APP CRASH ALERT OCCURRED. NO DATA OR PRODUCT WAS PROVIDED FOR EVALUATION. THE ALLEGATION AND A PROBABLE CAUSE COULD NOT BE DETERMINED. NO INJURY OR MEDICAL INTERVENTION WAS REPORTED.
Description of Event or Problem · 0
HTTPS://DEXCOMCOMPLAINTS.LIGHTNING.FORCE.COM/LIGHTNING/R/COMPLAINT__C/A127V000008FNGNQAY/VIEW#:~:TEXT=IT%20WAS%20REPORTED%20THAT%20AN%20APP%20CRASH%20ALERT%20OCCURRED.%20DATA%20WAS%20EVALUATED%20AND%20THE%20ALLEGATION%20WAS%20UNDETERMINED.%20THE%20PROBABLE%20CAUSE%20COULD%20NOT%20BE%20DETERMINED.%20HOWEVER%2C%20POTENTIAL%20PATIENT%20MISUSE%20OCCURRED%20AS%20THE%20MOBILE%20DEVICE%20LOST%20POWER.%20NO%20INJURY%20OR%20MEDICAL%20INTERVENTION%20WAS%20REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1029150 | DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM | CONTINUOUS GLUCOSE MONITOR | QBJ | DEXCOM, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Male |