Brand Name | DEXCOM 6 |
Type of Device | SENSOR, GLUCOSE, INVASIVE |
Manufacturer (Section D) |
|
MDR Report Key | 11265552 |
MDR Text Key | 230056260 |
Report Number | MW5099133 |
Device Sequence Number | 1 |
Product Code |
MDS
|
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
01/29/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/01/2021 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Expiration Date | 09/19/2021 |
Device Model Number | DEXCOM 6 SENSOR |
Device Lot Number | 5279889 |
Was Device Available for Evaluation? |
Yes
|
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 59 YR |
Patient Weight | 69 |
|
|