FDA Adverse Event Malfunction Summary report: N

DEXCOM G7 15 DAY CONTINUOUS GLUCOSE MONITORING SYSTEM

MDR report key: 25038202 · Received April 29, 2026

Report

Report Number
3004753838-2026-142208
Event Type
Malfunction
Date Received
April 29, 2026
Date of Event
April 24, 2026
Report Date
April 29, 2026
Manufacturer
DEXCOM, INC.
Product Code
QBJ
UDI-DI
00386270004765
PMA / PMN Number
K213919
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4). 3004753838-2026-142208 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 RECEIVED ON 5/5/2026 AND IT WAS DETERMINED THIS COMPLAINT IS NOT REPORTABLE PER (B)(4).

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) 2026. DATA WAS RECEIVED BUT NOT INVESTIGATED AS DATA WILL NOT CONFIRM THE ISSUE. 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
420577 DEXCOM G7 15 DAY CONTINUOUS GLUCOSE MONITORING SYSTEM CONTINUOUS GLUCOSE MONITOR QBJ DEXCOM, INC. 9510-003 1726060005 00386270004765

Patients

Seq Age Sex Outcome Treatment
1