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"/>
WARNING:

Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use and all indications, contraindications, warnings, precautions, and cautions may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from G6 do not match your symptoms or expectations, use a fingerstick blood glucose value from your blood glucose meter to make diabetes treatment decisions. Seek medical attention when appropriate. Please review the product instructions before using the G6. Indications, contraindications, warnings, precautions, cautions, and other important user information can be found on the Dexcom website and in the product instructions that are included with, or accompany, the G6. Discuss with your healthcare professional how you should use the information displayed on the G6 to help manage your diabetes. The product instructions contain important information on troubleshooting the G6 and on the performance characteristics of the system.

 

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Appendix W – Australia Safety Statement (Indications for Use Statement and Important Warnings and Precautions) – Dexcom g5 Mobile CGM System (Australia Only)

 

 Indications for Use

The Dexcom G5 Mobile Continuous Glucose Monitoring System is a glucose monitoring

system indicated for the management of type 1 diabetes in persons age 2 years and older.

The Dexcom G5 Mobile CGM System is designed to replace fingerstick blood glucose testing

for diabetes treatment decisions.

Interpretation of the Dexcom G5 Mobile CGM System results should be based on the glucose

trends and several sequential readings over time. The Dexcom G5 Mobile CGM System also

aids in the detection of episodes of hyperglycemia and hypoglycemia, facilitating both acute

and long-term therapy adjustments.

The Dexcom G5 Mobile CGM System is intended for use by patients at home and in

healthcare facilities.

Intended Use

• The Dexcom G5 Mobile/G4 PLATINUM Sensor Kit CGM System is used alone.

• The option of sharing data are only with the use of the smart display devices such as

Apple iPhone that provides an optional feature of sharing CGM data remotely with the

user’s friends and family through the Dexcom Share.

• The Dexcom CGM System has the capability to communicate with authorized connected

devices such as third-party insulin pump systems. Subject to consideration of these

other indications for use, testing, validation, and country applications for use with thirdparty

insulin pump systems that are subject to separate approval.

• The Dexcom CGM Glucose Sensor is only intended to be used by patients (aged 2 years

and older) with type 1 diabetes.

• Health care professionals and consumers should be aware about the limitations of

available scientific evidence for use of this device in any other groups of patients who

require diabetes management.

• During times of rapidly changing glucose (more than 0.1 mmol/L (2 mg/dL) per minute),

interstitial fluid glucose levels as measured by the Dexcom CGM Glucose Sensor may

not accurately reflect blood glucose levels. Under these circumstances, check the

Sensor glucose readings by conducting a fingerstick test using a blood glucose meter.

• In order to confirm hypoglycaemia or impending hypoglycaemia as reported by the

Dexcom CGM Glucose Sensor, conduct a fingerstick test using a blood glucose meter.

• Do not ignore symptoms that may be due to low or high blood glucose. If you have

symptoms that do not match the Dexcom CGM Sensor reading or suspect that your

reading may be inaccurate, check the reading by conducting a fingerstick test using a

blood glucose meter. If you are experiencing symptoms that are not consistent with your

glucose readings, consult your health care professional.

• It would not be unreasonable to allow the clinical data derived from type 1 diabetes to

be adduced to other forms of diabetes which are truly insulin dependent or deficient,

including severe insulin deficient secondary diabetes, and some with cystic fibrosis

related diabetes, where the achievement of adequate glycaemic control may benefit

from continuous glucose monitoring or continuous subcutaneous insulin infusion.

Contraindications

MRI/CT/Diathermy

Remove the Dexcom G5 Mobile CGM System sensor, transmitter, and receiver before

Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, or high-frequency

electrical heat (diathermy) treatment.

The Dexcom G5 Mobile CGM System has not been tested during MRI or CT scans or with

diathermy treatment. The magnetic fields and heat could damage the components of the

Dexcom G5 Mobile CGM System, which may cause it to display inaccurate blood glucose

readings or may prevent alerts.

Medications

Taking medications with paracetamol/acetaminophen while wearing the Dexcom G5

Mobile CGM System may inaccurately raise the glucose readings generated by the

Dexcom G5 Mobile CGM System. The level of inaccuracy depends on the amount of

paracetamol/acetaminophen active in your body and is different for each person. Do not

rely on continuous glucose monitoring (CGM) data produced by the Dexcom G5 Mobile CGM

System if you have recently taken paracetamol/acetaminophen.

Warnings

Sensor Fractures

Do not ignore sensor fractures. Sensors may fracture or detach from the sensor pod on

rare occasions. If a sensor breaks and no portion of it is visible above the skin, do not

attempt to remove it. Seek professional medical help if you have symptoms of infection or

inflammation—redness, swelling or pain—at the insertion site. If you experience a broken

sensor, please report this to your local Dexcom representative.

Do Not Use Damaged Goods

If the Dexcom G5 Mobile CGM System Receiver or G5 Mobile Transmitter is damaged

or cracked, do not use it. This could create an electrical safety hazard causing possible

electrical shocks resulting in injury. In addition, a damaged or cracked G5 Mobile

Receiver or G5 Mobile Transmitter may cause the Dexcom G5 Mobile CGM System not to

function properly.

Choking

Do not allow young children to hold the sensor or transmitter without adult supervision. The

sensor and transmitter include small parts that may pose a choking hazard.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Review Training Materials

Thoroughly review the training materials included with your Dexcom G5 Mobile

CGM System before use. Incorrect use of the Dexcom G5 Mobile CGM System could

lead you to misunderstand information produced by the system or might affect the

system’s performance.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Diabetes Treatment Decisions

If your Dexcom G5 Mobile CGM System does not display a sensor glucose reading or if you

are getting inconsistent readings, use a fingerstick blood glucose value from your blood

glucose meter to make diabetes treatment decisions.

Do Not Ignore Low/High Symptoms

Do not ignore symptoms of low or high glucose. If your glucose alerts and readings do not

match your symptoms or expectations, you should obtain a fingerstick blood glucose value

from your blood glucose meter to make diabetes treatment decisions or seek immediate

medical attention.

Who Should Not Use

The Dexcom G5 Mobile CGM System was not evaluated or approved for the

following persons:

• Pregnant women

• Persons on dialysis

The Dexcom G5 Mobile CGM System’s accuracy has not been tested in people within these

groups and the system’s glucose readings may be inaccurate.

Calibrate on Schedule

Calibrate the Dexcom G5 Mobile CGM System at least once every 12 hours. The Dexcom

G5 Mobile CGM System needs to be calibrated in order to provide accurate readings.

Do not use the Dexcom G5 Mobile CGM System for diabetes treatment decisions unless

you have followed the prompts from the device and calibrated every 12 hours after the

initial calibration.

Placement

Do not insert the sensor component of the Dexcom G5 Mobile CGM System in a site other

than the belly/abdomen (ages 2 years and older) or the upper buttocks (ages 2 to 17 years).

The placement and insertion of the sensor component of the Dexcom G5 Mobile CGM System

is not approved for other sites. If placed in other areas, the Dexcom G5 Mobile CGM System

may not function properly.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Initial Calibration: Data/Alarm/Alert

Do not expect sensor glucose readings or alarms/alerts from the Dexcom G5 Mobile CGM

System until after the 2-hour startup. The Dexcom G5 Mobile CGM System will NOT provide

any sensor glucose readings or alarms/alerts until after the 2-hour startup ends AND you

complete the startup calibration. Use fingerstick glucose values from your blood glucose

meter during the 2-hour startup.

Sensor Storage

Store the sensor at temperatures between 2° C-25° C for the length of the sensor’s shelf life.

You may store the sensor in the refrigerator if it is within this temperature range. The sensor

should not be stored in the freezer.

Storing the sensor improperly might cause the sensor glucose readings to be inaccurate.

Smart Device Settings

Your smart device’s internal settings override any Dexcom G5 Mobile App setting.

To receive Alarm or Alerts you must:

• Make sure the notifications for the G5 Mobile App are turned on in the setting’s menu of

your smart device

• Check that the G5 Mobile App hasn’t been shut down by your smart device

• In order for the G5 Mobile App to function properly, you must turn on BluetoothR on your

smart device

• The Do Not Disturb feature on your smart device (if available) must be turned off

• Restart the G5 Mobile App after your smart device is restarted

• Set the volume on your smart device at a level you can hear

• Do not close the G5 Mobile App; always run the app in the background

If the settings on your smart device are incorrect your Dexcom G5 Mobile CGM System may

not function properly.

The Dexcom G5 Mobile CGM System Alarm/Alert vibrations are not any different from other

vibrating apps on your smart device. Medical device apps, like the Dexcom G5 Mobile CGM

System App, do not have any special priorities over your smart device’s features. You cannot

determine if a vibration is a notification from your Dexcom G5 Mobile CGM System App or

another app. The only way to know is to look at the screen.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Missed an Alarm or Alert?

An Alarm or Alert from the Dexcom G5 Mobile CGM System App cannot be heard through

your smart device’s speakers if headphones are plugged in.

Make sure you unplug your headphones when you are done using them, otherwise you might

not hear an Alarm or Alert from the Dexcom G5 Mobile CGM System.

Precautions

Sensor Package

Do not use the G5 Mobile Sensor if its sterile package has been damaged or opened. Using a

non-sterile sensor might cause infection.

Clean and Dry Before Using

Do not open the sensor package until you have washed your hands with soap and water, and

let them dry. You may contaminate the insertion site and suffer an infection if you have dirty

hands while inserting the sensor.

Do not insert the sensor until you have cleaned the skin near the insertion site with a topical

antimicrobial solution, such as isopropyl alcohol, and allowed the skin to dry. Inserting into

unclean skin might lead to infection. Do not insert the sensor until the cleaned area is dry so

the sensor adhesive will stick better.

Reusable: Do Not Throw Away

Do not discard your transmitter. It is reusable. The same transmitter is used for each session

until you have reached the end of the transmitter’s battery life.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Be Accurate, Be Quick

To calibrate the system, enter the exact blood glucose value displayed on your blood glucose

meter within five minutes of a carefully performed fingerstick glucose measurement.

Do not enter the Dexcom G5 Mobile CGM System’s sensor glucose readings for calibration.

Entering incorrect blood glucose values, blood glucose values obtained more than 5 minutes

before entry, or sensor glucose readings might affect sensor performance.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Treatment Decisions

Make diabetes treatment decisions based on the combination of the sensor glucose reading,

trend arrow, trend graph, and/or actionable alerts generated by the Dexcom G5 Mobile

CGM System.

Expiration Date

Do not use Dexcom G5 Mobile CGM Sensors that are beyond their expiration date. Before

inserting a sensor, confirm the expiration date listed on the package label in the following

format: YYYY-MM-DD.

Do not use sensors that are beyond their expiration date because the sensor glucose

readings might not be accurate.

Sensor Placement

Avoid using the same spot repeatedly for sensor insertion. Rotate your sensor placement

sites, and do not use the same site for two sensor sessions in a row. Using the same site

might cause scarring or skin irritation.

Avoid inserting the sensor in areas that are likely to be bumped, pushed or compressed

or areas of skin with scarring, tattoos, or irritation as these are not ideal sites to measure

glucose. Insertion in these areas might affect sensor accuracy.

Avoid injecting insulin or placing an insulin pump infusion set within 7.5 cm of the sensor. The

insulin might affect sensor performance.

Use Correct Transmitter, Receiver, and Sensor

Different generations of Dexcom continuous glucose monitoring system transmitters and

receivers are not interchangeable with each other.

The Dexcom G5 Mobile CGM System’s transmitter and receiver are not compatible with

the Dexcom G4™ PLATINUM CGM System’s transmitter and receiver. The Dexcom G5

Mobile CGM System will not work if you mix transmitter and receiver components from

different generations.

You can use either a Dexcom G4 PLATINUM Sensor or Dexcom G5 Mobile/G4 PLATINUM

Sensor with your Dexcom G5 Mobile CGM System.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

Communication Range

Avoid separating the transmitter and receiver by more than 6 meters. The transmission

range from the transmitter to the receiver is up to 6 meters without obstruction. Wireless

communication does not work well through water so the range is much less if you are in a

pool, bathtub, or on a water bed, etc.

Types of obstruction differ and have not been tested. If your transmitter and receiver are

farther than 6 meters apart or are separated by an obstruction, they might not communicate

or the communication distance may be shorter.

Setting Alarm/Alert Notifications

When using both a receiver and a smart device with your Dexcom G5 Mobile CGM System,

you must set your settings separately in each. If you set up one device and then use another,

you might not get an Alarm or Alert.

Is It On?

If the receiver or smart device is turned off (Shut Down), it will not display sensor data,

information, Alarm or Alerts generated by the Dexcom G5 Mobile CGM System. Make sure

the Display Devices are turned on; otherwise you will not get sensor glucose readings or

Alarm or Alerts.

Keep Receiver Dry

Keep the USB port cover on the receiver closed whenever the USB cable is not attached. Do

not submerge the receiver in water.

If water gets into the USB port, the receiver could become damaged and stop displaying

readings or providing alerts.

No Alternative Site Testing

Do not use alternative blood glucose site testing (blood from your palm or forearm, etc.) for

calibration. Alternative site blood glucose values may be different than those taken from a

fingerstick blood glucose value and may not represent the timeliest blood glucose value.

Use a blood glucose value taken only from a fingerstick for calibration. Alternative site blood

glucose values might affect the Dexcom G5 Mobile CGM System’s accuracy.

The following may result in:

• missing severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose)

• making a treatment decision that results in injury

When Not to Calibrate

Do not calibrate if your blood glucose is changing at a significant rate, typically more than

0.11 mmol/L per minute. Do not calibrate when your receiver screen is showing the rising or

falling single arrow or double arrow, which indicates that your blood glucose is rapidly rising

or falling. Calibrating during rapid rise or fall of blood glucose may affect sensor accuracy.

__________________________________________________________________________________________ Appendix V – Australia Safety Statement (Indications for Use Statement and Important Warnings and Precautions) – Dexcom G4 Platinum CGM System (Australia Only)

 

 

 IMPORTANT USER INFORMATION

Failure to use the Dexcom G4 PLATINUM CGM System and its components according to the instructions for use and all indications, contraindications, warnings, precautions, and cautions may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from your Dexcom G4 PLATINUM CGM System do not match your symptoms or expectations, use a fingerstick blood glucose value from your blood glucose meter to make diabetes treatment decisions. Seek medical attention when appropriate.

Please review the product instructions before using the Dexcom G4 PLATINUM CGM System. Indications, contraindications, warnings, precautions, cautions, and other important user information can be found in the product instructions that are included with, or accompany, the Dexcom G4 PLATINUM CGM System. Discuss with your healthcare professional how you should use the information displayed on the Dexcom G4 PLATINUM System to help manage your diabetes. The product instructions contain important information on troubleshooting the Dexcom G4 PLATINUM CGM System and on the performance characteristics of the system.

INDICATIONS FOR USE

The Dexcom G4 PLATINUM Continuous Glucose Monitoring System is a

glucose-monitoring device indicated for detecting trends and tracking patterns in

persons (age 2 and older) with type 1 diabetes. The system is intended for use

by patients at home and in healthcare facilities.

The Dexcom G4 PLATINUM System is indicated for use as an adjunctive device

to complement, not replace, information obtained from standard home glucose

monitoring devices.

The Dexcom G4 PLATINUM System aids in the detection of episodes of

hyperglycemia and hypoglycemia, facilitating both acute and long-term therapy

adjustments, which may minimize these excursions. Interpretation of the

Dexcom G4 PLATINUM System results should be based on the trends and

patterns seen with several sequential readings over time.

INTENDED USE

• The Dexcom G4 Platinum Sensor Kit CGM System is used alone.

• The option of sharing data are only with the use of the smart display devices

such as Apple iPhone that provides an optional feature of sharing CGM data

remotely with the user’s friends and family through the Dexcom Share.

• The Dexcom CGM System has the capability to communicate with authorized

connected devices such as third-party insulin pump systems. Subject to

consideration of these other indications for use, testing, validation, and country

applications for use with third-party insulin pump systems that are subject to

separate approval.

• The Dexcom CGM Glucose Sensor is only intended to be used by patients

(aged 2 years and older) with type 1 diabetes.

• Health care professionals and consumers should be aware about the limitations

of available scientific evidence for use of this device in any other groups of

patients who require diabetes management.

• During times of rapidly changing glucose (more than 0.1 mmol/L (2 mg/dL) per

minute), interstitial fluid glucose levels as measured by the Dexcom CGM

Glucose Sensor may not accurately reflect blood glucose levels. Under these

circumstances, check the Sensor glucose readings by conducting a fingerstick

test using a blood glucose meter.

• In order to confirm hypoglycaemia or impending hypoglycaemia as reported by

the Dexcom CGM Glucose Sensor, conduct a fingerstick test using a blood

glucose meter.

• Do not ignore symptoms that may be due to low or high blood glucose. If you

have symptoms that do not match the Dexcom CGM Sensor reading or

suspect that your reading may be inaccurate, check the reading by conducting

a fingerstick test using a blood glucose meter. If you are experiencing

symptoms that are not consistent with your glucose readings, consult your

health care professional.

• It would not be unreasonable to allow the clinical data derived from type 1

diabetes to be adduced to other forms of diabetes which are truly insulin

dependent or deficient, including severe insulin deficient secondary diabetes,

and some with cystic fibrosis related diabetes, where the achievement of

adequate glycaemic control may benefit from continuous glucose monitoring or

continuous subcutaneous insulin infusion.

CONTRAINDICATIONS

• The blood glucose value from your blood glucose meter should be used for

treatment decisions, such as how much insulin you should take. The Dexcom

G4 PLATINUM System does not replace a blood glucose meter.

• The Dexcom G4 PLATINUM Sensor, Transmitter, and Receiver must be

removed prior to Magnetic Resonance Imaging (MRI), CT scan, or diathermy

treatment. The Dexcom G4 PLATINUM System has not been tested during

MRI or CT scans or with diathermy treatment, and it is unknown if there are

safety or performance issues.

• Taking acetaminophen (paracetamol) containing products (such as Tylenol)

while wearing the sensor may falsely raise your sensor glucose readings. The

level of inaccuracy depends on the amount of acetaminophen (paracetamol)

active in your body.

WARNINGS

• Do not use the Dexcom G4 PLATINUM CGM System until after you have been

trained or viewed the training materials included with your CGM system.

• The blood glucose value from your blood glucose meter should be used for

treatment decisions, such as how much insulin you should take. The Dexcom

G4 PLATINUM System does not replace a blood glucose meter. Blood glucose

values may differ from sensor glucose readings. The direction, rate of glucose

change, and trend graph on your Dexcom G4 PLATINUM System provide

additional information to help with your diabetes management decisions.

• Symptoms of high and low glucose should not be ignored. If your sensor

glucose readings do not fit with your symptoms, you should measure your

blood glucose with a blood glucose meter.

• Your sensor glucose readings may be inaccurate if you calibrate less than

every 12 hours.

• Sensors may fracture on rare occasions. If a sensor breaks and no portion of it

is visible above the skin, do not attempt to remove it. Seek professional medical

help if you have symptoms of infection or inflammation—redness, swelling or

pain—at the insertion site. If you experience a broken sensor, please report this

to your local distributor.

• The Dexcom G4 PLATINUM System is not approved for use in pregnant

women or persons on dialysis.

• Sensor placement is not approved for sites other than under the skin of the

belly (abdomen) or, in the case of patients between the ages of 2 and 17, the

belly or upper buttocks.

• If your transmitter or receiver case is damaged/cracked, do not use them, as

this could create an electrical safety hazard or malfunction.

• The sensor and transmitter include small parts that may pose a choking

hazard. Keep the transmitter kit box away from young children; it contains a

magnet that should not be swallowed.

PRECAUTIONS

• Before opening the sensor package, wash your hands with soap and water and

dry them to avoid contamination.

• Before inserting the sensor, always clean the skin at the sensor insertion

location with a topical antimicrobial solution, such as isopropyl alcohol. This

may help prevent infection. Do not apply the sensor until the cleaned area is

dry so that it will stick better.

• Change the site where you place your sensor with each insertion to allow your

skin to heal.

• Avoid areas that are likely to be bumped, pushed or compressed or areas of

skin with scarring, tattoos, or irritation as these are not ideal sites to measure

glucose.

• Avoid injecting insulin or placing an insulin pump infusion set within 7.62 cm of

the sensor in case the insulin affects the sensor glucose readings.

• The sensor is sterile in its unopened, undamaged package. Do not use any

sensor if its sterile package has been previously damaged or opened.

• To calibrate the system, you must enter the exact blood glucose value that

your blood glucose meter displays within 5 minutes of a carefully performed

blood glucose measurement. Entering incorrect blood glucose values or blood

glucose values from more than 5 minutes ago could result in inaccurate sensor

glucose readings.

• The transmission range from the transmitter to the receiver is up to 6 meters

without obstruction. Wireless communication does not work well through water

so the range is much less if you are in a pool, bathtub, water bed, etc.

• Sensors should be stored at temperatures between 2° C - 25° C for the length

of the shelf life. You may store your sensors in the refrigerator if it is within this

temperature range. Sensors should not be stored in a freezer.

• Keep the USB port cover on the receiver closed whenever the USB cable is not

attached. The receiver may malfunction if water gets into the USB port