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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEXCOM, INC. DEXCOM FOLLOW APP; CONTINUOUS GLUCOSE MONITOR

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DEXCOM, INC. DEXCOM FOLLOW APP; CONTINUOUS GLUCOSE MONITOR Back to Search Results
Catalog Number SW12299
Medical Device Problem Code Display or Visual Feedback Problem (1184)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/12/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that an alert/notification settings occurred.Performance data was reviewed.The allegation was undetermined via data.However, it was found that egvs not updating issue occurred within the investigation window.The probable cause could not be determined.No injury or medical intervention was reported.
 
Additional Manufacturer Narrative
(b)(4).
 
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Brand Name
DEXCOM FOLLOW APP
Common Device Name
CONTINUOUS GLUCOSE MONITOR
Manufacturer (Section D)
DEXCOM, INC.
6340 sequence dr.
san diego CA 92121
Manufacturer Contact
ashley spoto
6340 sequence dr.
san diego, CA 92121
8582000200
MDR Report Key23512517
Report Number3004753838-2025-315411
Device Sequence Number9955529
Product Code QBJ
UDI-Device Identifier00386270001917
UDI-Public(01)00386270001917
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 11/10/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Catalogue NumberSW12299
Was Device Available for Evaluation? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 10/13/2025
Initial Report FDA Received Date11/10/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age73 YR
Patient SexFemale
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