FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 22796832 · Received August 13, 2025

Report

Report Number
3004753838-2025-221092
Event Type
Malfunction
Date Received
August 13, 2025
Date of Event
July 15, 2025
Report Date
February 26, 2026
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270002518
PMA / PMN Number
K213919
Removal / Correction Number
Z-1944-2025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2025-221092 WAS REPORTED IN ERROR, PLEASE DISREGARD THE INITIAL REPORTING OF THIS EVENT AS THIS EVENT HAS NOW BEEN DEEMED NOT REPORTABLE.

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

AFTER SUBMISSION OF THE INITIAL MDR PRODUCT WAS RECEIVED ON 8/5/2025. IT WAS DETERMINED THIS COMPLAINT IS NOT REPORTABLE PER CORPFT-140202

Description of Event or Problem · 0

IT WAS REPORTED THAT AN ALERT/NOTIFICATION SETTINGS ISSUE OCCURRED. PRODUCT 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
91897 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 18038150 00386270002518

Patients

Seq Age Sex Outcome Treatment
1 68 YR Female GLARGINE PEN| HUMALOG PEN