FDA Adverse Event Injury Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 22784987 · Received August 12, 2025

Report

Report Number
3004753838-2025-219235
Event Type
Injury
Date Received
August 12, 2025
Date of Event
July 27, 2025
Report Date
August 12, 2025
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270003935
PMA / PMN Number
K213919
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT A WEARABLE FAILURE OCCURRED. THE WEARABLE WAS INSERTED INTO THE ARM ON (B)(6) 2025. ON (B)(6) 2025, THE SENSOR STOPPED WORKING (FAILED) IN THE MIDDLE OF THE NIGHT WHILE THE PATIENT WAS ASLEEP. IT WAS REPORTED THAT DUE TO THIS ISSUE, THE PUMP STOPPED GIVING INSULIN. WHEN THE PATIENT WOKE UP VOMITING. THEY CHECKED A FINGER STICK READING AND IT WAS 500 MG/DL AND HAD KETONES. THE PATIENT STATED EHY HAD TO DOUBLE INSULING. THE PATIENT DID NOT KNOW HOW LONG THE SENSOR HAD THE FAILURE. THE PATIENT'S SISTER TOOK THE PATIENT TO THE HOSPITAL. UPON ARRIVAL, THE DOCTOR TREATED THE PATIENT WITH IV FLUIDS AND MONITORED THE PATIENT'S BLOOD SUGAR UNTIL THE READINGS STABILIZED FROM 500 MG/DL TO 110 MG/DL. THE PATIENT SLEPT IN THE HOSPITAL OVERNIGHT AND WAS RELEASED THE FOLLOWING MORNING AT 10:00AM. AT THE TIME OF THE REPORT, THE PATIENT WAS IN NORMAL CONDITION. NO PRODUCT OR DATA WAS PROVIDED FOR EVALUATION. THE ALLEGATION AND A PROBABLE CAUSE COULD NOT BE DETERMINED. NO ADDITIONAL EVENT OR PATIENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1350115 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 9500-161 1825053005 00386270003935

Patients

Seq Age Sex Outcome Treatment
1 16 YR Female Other INSULIN PUMP