Brand Name | DEXCOM G6 SENSOR |
Type of Device | SENSOR, GLUCOSE, INVASIVE |
Manufacturer (Section D) |
|
MDR Report Key | 13562818 |
MDR Text Key | 285957526 |
Report Number | MW5107581 |
Device Sequence Number | 3 |
Product Code |
MDS
|
Combination Product (y/n) | N |
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 |
02/16/2022 |
3 Devices were Involved in the Event: |
1
2
3
|
1 Patient was Involved in the Event |
|
Date FDA Received | 02/17/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Patient Sequence Number | 1 |
Treatment | DEXCOM G6; METFORMIN; TOUJEO |
Patient Age | 45 YR |
Patient Sex | Female |
Patient Weight | 75 KG |
Patient Ethnicity | Hispanic |
Patient Race | White |
|
|