FDA Adverse Event Injury Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 20386173 · Received October 7, 2024

Report

Report Number
3004753838-2024-258385
Event Type
Injury
Date Received
October 7, 2024
Date of Event
September 19, 2024
Report Date
October 7, 2024
Manufacturer
DEXCOM, INC.
Product Code
QBJ
PMA / PMN Number
K213919
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT A WIRE/NEEDLE/CANNULA DAMAGED OR MISSING OCCURRED. THE SENSOR WAS INSERTED INTO THE ABDOMEN, WHICH IS OFF-LABEL USAGE OF THE DEVICE ON (B)(6) 2024. ON THE SAME DAY, THE PATIENT REMOVED THE SENSOR BECAUSE IT FAILED ( REPORTED IN 240919-015870) BUT WHEN SHE REMOVED THE SENSOR, THE ENTIRE SENSOR WIRE GOT STUCK IN HER SKIN. THERE WAS A PORTION OF THE SENSOR THAT WAS STICKING OUT OF HER SKIN BUT WHEN SHE TRIED TO REMOVE IT HERSELF USING TWEEZERS, IT MOVED THE WIRE AND THE ENTIRE WIRE WAS STUCK INSIDE HER SKIN. ON (B)(6) 2024, THE PATIENT WENT TO THE HOSPITAL. THERE THEY ANAESTHETIZED HER ABDOMEN MADE AN "X" CUT TO REMOVE THE WIRE. THE WIRE WAS SUCCESSFULLY REMOVED AND THEY PRESCRIBED MUPIROCIN OINTMENT TO AVOID INFECTION. AT THE TIME OF THE REPORT THE PATIENT WAS OKAY. NO PRODUCT OR DATA WAS PROVIDED FOR EVALUATION. THE ALLEGATION AND A PROBABLE CAUSE COULD NOT BE DETERMINED. NO ADDITIONAL PATIENT OR EVENT INFORMATION WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2546470 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 9500-161 1824175001

Patients

Seq Age Sex Outcome Treatment
1 49 YR Female Other