FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 22922437 · Received August 29, 2025

Report

Report Number
3004753838-2025-240908
Event Type
Malfunction
Date Received
August 29, 2025
Date of Event
August 4, 2025
Report Date
September 29, 2025
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270001870
PMA / PMN Number
K213919
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2025-240908 WAS REPORTED IN ERROR. PLEASE DISREGARD INITIAL REPORTING OF THE PATIENT¿S WEIGHT, AS NO INFORMATION ON THIS WAS PROVIDED IN THE PARENT COMPLAINT.

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT NO ALERT/NOTIFICATION OCCURRED. PERFORMANCE DATA WAS REVIEWED. THE ALLEGATION WAS CONFIRMED DUE TO THE FINDING OF NO ALERT/NOTIFICATION. THE PROBABLE CAUSE COULD NOT BE DETERMINED. NO INJURY OR MEDICAL INTERVENTION WAS REPORTED.

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
2864517 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 00386270001870

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male