FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 22857130 · Received August 20, 2025

Report

Report Number
3004753838-2025-231143
Event Type
Malfunction
Date Received
August 20, 2025
Date of Event
July 23, 2025
Report Date
September 23, 2025
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270002525
PMA / PMN Number
K213919
Removal / Correction Number
Z-1944-2025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Additional Manufacturer Narrative · 0

(B)(4).

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2025-231143-01 WAS REPORTED IN ERROR. THE RECALL INFORMATION SHOULD HAVE BEEN INCLUDED IN THE H7 AND H9 OF THE PREVIOUS SUPPLEMENTAL.

Additional Manufacturer Narrative · 0

(B)(4). D9: DEVICE AVAILABLE FOR EVALUATION - CORRECTION - INV WAS CREATED BY MISTAKE. FFA LAB NEVER RECEIVED THE PRODUCT FOR INVESTIGATION. THE BOT CREATED INV.

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.

Description of Event or Problem · 0

SUBSEQUENT TO THE INITIAL MDR, ADDITIONAL INFORMATION IS REQUIRED.

Description of Event or Problem · 0

SUBSEQUENT TO THE INITIAL MDR, ADDITIONAL INFORMATION IS REQUIRED.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN ALERT/NOTIFICATION SETTINGS ISSUE OCCURRED. NO PRODUCT OR DATA WAS PROVIDED FOR EVALUATION. THE ALLEGATION AND A PROBABLE CAUSE COULD NOT BE DETERMINED. NO INJURY OR MEDICAL INTERVENTION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2410688 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 17198929 00386270002525

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male