FDA Adverse Event Malfunction Summary report: N

DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 19774193 · Received July 18, 2024

Report

Report Number
3004753838-2024-172593
Event Type
Malfunction
Date Received
July 18, 2024
Date of Event
June 21, 2024
Report Date
August 10, 2024
Manufacturer
DEXCOM, INC.
Product Code
QBJ
PMA / PMN Number
DEN170088
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GB
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). B5: DESCRIBE EVENT OR PROBLEM ¿ CORRECTION. G6:TYPE OF REPORT: FOLLOW UP. H2: ADDITIONAL INFORMATION - CORRECTION. H6: INVESTIGATION CONCLUSION ¿ ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

HTTPS://DEXCOMCOMPLAINTS.LIGHTNING.FORCE.COM/LIGHTNING/R/COMPLAINT__C/A12PH000008UUXRYAQ/VIEW#:~:TEXT=IT%20WAS%20REPORTED%20THAT%20A%20DEXCOM%20APP%20CRASH%20OCCURRED.%20NO%20DATA%20OR%20PRODUCT%20WAS%20PROVIDED%20FOR%20EVALUATION.%20THE%20ALLEGATION%20AND%20A%20PROBABLE%20CAUSE%20COULD%20NOT%20BE%20DETERMINED.%20NO%20INJURY%20OR%20MEDICAL%20INTERVENTION%20WAS%20REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DEXCOM APP CRASH OCCURRED. DATA HAS BEEN RECEIVED BUT IS PENDING EVALUATION. A FOLLOW UP REPORT WILL BE SUBMITTED UPON COMPLETION. NO INJURY OR MEDICAL INTERVENTION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1551546 DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC.

Patients

Seq Age Sex Outcome Treatment
1 12 YR Female