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