FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 23005701 · Received September 9, 2025

Report

Report Number
3004753838-2025-251279
Event Type
Malfunction
Date Received
September 9, 2025
Date of Event
August 12, 2025
Report Date
March 11, 2026
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270002273
PMA / PMN Number
K213919
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2025-251279 WAS REPORTED IN ERROR. PLEASE DISREGARD 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 RETURNED AND INVESTIGATED ON 1/27/2026. IT WAS DETERMINED THIS COMPLAINT DOES NOT MEET THE CRITERIA OF A REPORTABLE EVENT PER (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT AN UNEXPECTED RECEIVER SHUTDOWN 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
2836148 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 17527110 00386270002273

Patients

Seq Age Sex Outcome Treatment
1 37 YR Male