FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 23019993 · Received September 10, 2025

Report

Report Number
3004753838-2025-253640
Event Type
Malfunction
Date Received
September 10, 2025
Date of Event
September 1, 2025
Report Date
February 24, 2026
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270004055
PMA / PMN Number
K213919
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2025-253640 WAS REPORTED IN ERROR. PLEASE DISREGARD INITIAL REPORTING OF THIS EVENT AS THIS EVENT HAS NOW BEEN DEEMED NOT REPORTABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DETACHED OR MISSING SENSOR WIRE OCCURRED. THE SENSOR WAS INSERTED INTO THE ARM ON (B)(6) 2025. 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.

Description of Event or Problem · 0

AFTER SUBMISSION OF THE INITIAL MDR PRODUCT WAS RECEIVED ON 1/23/2026 IT WAS DETERMINED THIS COMPLAINT IS NOT REPORTABLE PER CORPFT-140202

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2047685 DEXCOM G7 CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 9501-161 1825167005 00386270004055

Patients

Seq Age Sex Outcome Treatment
1 65 YR Female UNKNOWN INSULIN PUMP.