FDA Adverse Event Injury Summary report: N

EVERSENSE SENSOR

MDR report key: 22082158 · Received May 24, 2025

Report

Report Number
3009862700-2025-00649
Event Type
Injury
Date Received
May 24, 2025
Date of Event
September 12, 2022
Report Date
January 15, 2026
Manufacturer
SENSEONICS INC.
Product Code
QHJ
UDI-DI
00817491022349
PMA / PMN Number
P160048
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER IS CURRENTLY PERFORMING AN INVESTIGATION AND WILL PROVIDE THE RESULTS WITH THE SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 0

INABILITY OR DIFFICULTY TO REMOVE SENSOR DURING FIRST ATTEMPT IS A KNOWN AND ANTICIPATED POTENTIAL RISK AND EVERSENSE USER GUIDE MENTIONS ABOUT IT UNDER "RISKS AND SIDE EFFECTS".USER STATED THAT HER HCP COULDN'T REMOVE THE SENSOR DURING THE LAST APPOINTMENT WHICH WAS IN (B)(6) 2022. THE USER CONTACTED CUSTOMER CARE TO SEEK ASSISTANCE IN FINDING AN HCP WHO CAN REMOVE THE SENSOR. SEVERAL ATTEMPTS WERE MADE TO CONTACT THE USER TO PROVIDE ASSISTANCE. HOWEVER, NO RESPONSE WAS RECEIVED. THUS, NO FURTHER ACTIONS WERE POSSIBLE FOR THIS COMPLAINT. B4.DATE OF THIS REPORT 06 JUNE 2025. G3.DATE RECEIVED BY THE MANUFACTURER? 06 JUNE 2025. H6. INVESTIGATION FINDINGS UPDATED TO 4248. H6. INVESTIGATION CONCLUSIONS UPDATED TO 4311.

Additional Manufacturer Narrative · 0

D2B.CORRECTED FROM SBA TO QHJ.

Description of Event or Problem · 0

ON 24 APRIL 2025, SENSEONICS WAS MADE AWARE OF AN INCIDENT WHERE HCP WAS UNABLE TO REMOVE THE SENSOR ON THE FIRST ATTEMPT MADE ON (B)(6) 2022.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
714503 EVERSENSE SENSOR IMPLANTABLE GLUCOSE MONITORING SYSTEM, SENSOR QHJ SENSEONICS INC. 102096-67A WP08507 00817491022349

Patients

Seq Age Sex Outcome Treatment
1 23 YR Male