FDA Adverse Event
Malfunction
Summary report: N
DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM
MDR report key: 22857536
·
Received August 21, 2025
Report
- Report Number
- 3004753838-2025-231270
- Event Type
- Malfunction
- Date Received
- August 21, 2025
- Date of Event
- July 13, 2025
- Report Date
- August 20, 2025
- Manufacturer
- DEXCOM, INC.
- Product Code
- QBJ
- UDI-DI
- 00386270004093
- PMA / PMN Number
- K213919
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
(B)(4). 250811-016817 125: MW5172761. 250811-012432 012: MW5172762. 250811-017612 125: MW5172763. 250811-017853 012: MW5172761.
Description of Event or Problem · 0
A VOLUNTARY MEDWATCH REPORT WAS RECEIVED ON 07/30/2025. IT WAS REPORTED THAT AN INACCURACY BETWEEN THE CONTINUOUS GLUCOSE MONITOR (CGM) AND THE BLOOD GLUCOSE (BG) METER OCCURRED. IT HAS BEEN REPORTED THAT THERE WAS A DIFFERENCE IN READINGS OF 150 POINTS. NO DATA WAS PROVIDED FOR EVALUATION. THE COMPLAINT CONFIRMATION AND PROBABLE CAUSE COULD NOT BE DETERMINED. THERE WERE NO REPORTED GLUCOSE VALUES AVAILABLE TO SEARCH WITHIN THE PARKES ERROR GRID CALCULATOR. NO INJURY OR MEDICAL INTERVENTION WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2053509 | DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM | CONTINUOUS GLUCOSE MONITOR | QBJ | DEXCOM, INC. | NI | 00386270004093 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Male |