FDA Adverse Event Injury Summary report: N

DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 21236446 · Received January 25, 2025

Report

Report Number
3004753838-2025-021930
Event Type
Injury
Date Received
January 25, 2025
Date of Event
January 9, 2025
Report Date
January 25, 2025
Manufacturer
DEXCOM, INC.
Product Code
QBJ
PMA / PMN Number
DEN170088
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GB
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4)

Description of Event or Problem · 0

IT WAS REPORTED THAT A SKIN REACTION OCCURRED. THE SENSOR WAS INSERTED INTO THE ARM ON (B)(6)2025. ON (B)(6)2025, THE PEDIATRIC PATIENT EXPERIENCED A SKIN REACTION WITH ITCHING, BURNING, RASH, REDNESS, INFLAMMATION, PIMPLES, BLISTERS, DRY SKIN, DRAINAGE, AND PUSTULES, EXTENDED BEYOND THE PATCH PERIMETER. THE PATIENT WAS SEEN AT THE HOSPITAL AND WAS DIAGNOSED WITH STAPHYLOCOCCUS. THE REACTION WAS TREATED WITH A PRESCRIPTION OF AN UNSPECIFIED ORAL ANTIBIOTIC, A NASAL CREAM AND BODY WASH CALLED DERMOL 500 LOTION. AT THE TIME OF THE REPORT THE PATIENT WAS STABLE. NO PRODUCT OR DATA WAS PROVIDED FOR INVESTIGATION. PROBLEM COULD NOT BE CONFIRMED AND PROBABLE CAUSE CANNOT BE DETERMINED. NO ADDITIONAL PATIENT OR EVENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2376984 DEXCOM G6 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. NI

Patients

Seq Age Sex Outcome Treatment
1 7 YR Female Other