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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEXCOM, INC. SENSOR; SENSOR, GLUCOSE, INVASIVE

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DEXCOM, INC. SENSOR; SENSOR, GLUCOSE, INVASIVE Back to Search Results
Model Number 9500-45
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Rash (2033); Caustic/Chemical Burns (2549)
Event Date 07/16/2020
Event Type  Injury  
Event Description
This issue has been occurring since the beginning of 2020.I use a dexcom g6 to help monitor my blood glucose since i am a type 1 diabetic.The adhesive is giving me a chemical burn/ rash.The device is suppose to stay on for 10 days, but due to the adhesive eating my skin, it falls off in less than a week.The spot where the device was takes multiple weeks to fully heal.I have used dexcom for years and never had this issue until this year.I also wear an omnipod and don't have the adverse reaction i do to the dexcom g6 sensor adhesive.While the device gives me better control of my diabetes, i am not the benefits outweigh the pain experience.Fda safety report id # (b)(4).
 
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Brand Name
SENSOR
Type of Device
SENSOR, GLUCOSE, INVASIVE
Manufacturer (Section D)
DEXCOM, INC.
MDR Report Key10307482
MDR Text Key200201111
Report NumberMW5095644
Device Sequence Number1
Product Code MDS
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/17/2020
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Device Model Number9500-45
Device Catalogue NumberSTS-OR-003
Device Lot Number5271469
Initial Date Manufacturer Received Not provided
Initial Date FDA Received07/21/2020
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Patient Age38 YR
Patient Weight80
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