FDA Adverse Event Malfunction Summary report: N

EVERSENSE SENSOR

MDR report key: 23103233 · Received September 19, 2025

Report

Report Number
3009862700-2025-01391
Event Type
Malfunction
Date Received
September 19, 2025
Date of Event
August 19, 2025
Report Date
January 15, 2026
Manufacturer
SENSEONICS, INC
Product Code
QHJ
PMA / PMN Number
P160048
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

D2B. CORRECTED FROM SBA TO QHJ.

Additional Manufacturer Narrative · 0

THE MANUFACTURER IS CURRENTLY PERFORMING AN INVESTIGATION AND WILL PROVIDE THE RESULTS WITH THE SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 0

A REVIEW OF THE TRANSMITTER ALERT HISTORY SHOWED SENSOR REPLACEMENT ALERT WAS FIRST PRESENTED TO THE CUSTOMER ON (B)(6) 2025, DAY 140 AFTER INSERTION. IN-HOUSE TESTING OF SENSOR (B)(6) SHOWED THAT THE SENSOR WAS CHEMICALLY UNDERPERFORMING. A REVIEW OF THE IN VIVO DATA FROM DMS SHOWED DIMINISHED SENSOR PERFORMANCE AS THE SIGNAL STEADILY DECLINED AND THE MSP GRADUALLY DECREASED TO THE THRESHOLD VALUE THROUGHOUT THE INSERTION PERIOD. THIS IS INDICATIVE OF HYDROGEL OXIDATION AND THE SYSTEM CORRECTLY DISABLED THE SENSOR DUE TO PERFORMANCE FAILURE. B4.DATE OF THIS REPORT 17 NOV 2025. G3.DATE RECEIVED BY THE MANUFACTURER? 17 NOV 2025. H3. DEVICE EVALUATED BY MANUFACTURER? YES. H6. TYPE OF INVESTIGATION UPDATED TO 10. H6. INVESTIGATION FINDINGS UPDATED TO 3231. H6. INVESTIGATION CONCLUSIONS UPDATED TO 4307.

Description of Event or Problem · 0

ON (B)(6 2025, SENSEONICS WAS MADE AWARE OF AN INCIDENT WHERE USER RECEIVED AN EARLY SENSOR REPLACEMENT ALERT RESULTING IN AN EARLY SENSOR REMOVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
246973 EVERSENSE SENSOR IMPLANTABLE GLUCOSE MONITORING SYSTEM, SENSOR QHJ SENSEONICS, INC 101967-950 WP09966

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown