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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: IRHYTHM TECHNOLOGIES, INC ZIO AT; DETECTOR AND ALARM, ARRHYTHMIA

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IRHYTHM TECHNOLOGIES, INC ZIO AT; DETECTOR AND ALARM, ARRHYTHMIA Back to Search Results
Device Problem Failure to Transmit Record (1521)
Patient Problems Arrhythmia (1721); Atrial Fibrillation (1729)
Event Date 08/30/2021
Event Type  malfunction  
Manufacturer Narrative
The patient was hospitalized for fainting.The device was placed on the patient on (b)(6) 2021 in their physician¿s office.There were no transmissions received for 5 days at which point irhythm contacted the account to notify them.The preliminary investigation revealed gateway a128120837 was not successfully activated, and no transmissions were received during the wear period.The gateway failed to activate because it encountered a low battery fatal error.There were clinically actionable arrhythmias which did not get transmitted to irhythm¿s idtf (42 cfr 410) and therefore neither was the physician notified.
 
Event Description
Per an update to the criteria for reportable events, this mdr is being submitted.On 08dec2022 a patient was hospitalized while wearing the zio at ecg monitor.The original event occurred on (b)(6) 2021.It was reported that the patient was hospitalized due to fainting while wearing the zio at ecg monitor.
 
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Brand Name
ZIO AT
Type of Device
DETECTOR AND ALARM, ARRHYTHMIA
Manufacturer (Section D)
IRHYTHM TECHNOLOGIES, INC
699 8th st suite 600
san francisco CA 94103
Manufacturer (Section G)
IRHYTHM TECHNOLOGIES, INC
6550 katella avenue, suite 200
cypress CA 90630
Manufacturer Contact
mazi kiani
699 8th st suite 600
san francisco, CA 94103
9494132147
MDR Report Key16092146
MDR Text Key308491174
Report Number3007208829-2023-00001
Device Sequence Number1
Product Code DSI
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K163512
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 12/08/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Expiration Date01/23/2022
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/10/2021
Initial Date Manufacturer Received 12/08/2022
Initial Date FDA Received01/03/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/27/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
Patient Age90 YR
Patient SexFemale
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