inforMED
MalfunctionPQM

DEXCOM G5 MOBILE CONTINUOUS GLUCOSE MONITORING SYSTEM

Received Feb 9, 2018 · Event occurred Nov 13, 2017

Report 3004753838-2018-014819 · MDR key 7261599

Device

Generic name

Continuous Glucose Monitor

Manufacturer

Dexcom, Inc.

Model number

N/A

Catalog number

SW10611

Product problems

  • Wireless Communication Problem
  • Wireless Communication Problem

Patient

16 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

DEXCOM WAS MADE AWARE ON (B)(4) 2018 THAT ON (B)(6) 2017, A LOSS OF CONNECTION BETWEEN THE TRANSMITTER AND SMART DEVICE OCCURRED. NO ADDITIONAL PATIENT OR EVENT INFORMATION IS AVAILABLE. DATA WAS RETURNED AND EVALUATED. THE REPORTED EVENT OF A LOSS OF CONNECTION WAS CONFIRMED VIA DATA. A PROBABLE CAUSE COULD NOT BE DETERMINED.