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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: IRHYTHM TECHNOLOGIES, INC ZIO XT PATCH; RECORDER, MAGNETIC TAPE, MEDICAL

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IRHYTHM TECHNOLOGIES, INC ZIO XT PATCH; RECORDER, MAGNETIC TAPE, MEDICAL Back to Search Results
Device Problems Incorrect, Inadequate or Imprecise Result or Readings (1535); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Arrhythmia (1721); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 07/06/2022
Event Type  Injury  
Event Description
The account reported an event wherein a patient received delayed care due to an ecg result that was not provided to the physician in a timely manner.In addition, the account alleged due to the delay in care the patient suffered an injury resulting from a syncopal episode.Following the event, the patient visited the er and a pacemaker was placed.Per the account, the patient is ¿okay¿.
 
Manufacturer Narrative
The device has been returned to the investigation facility and an investigation is underway.A follow up report will be submitted upon completion of the investigation.
 
Manufacturer Narrative
The delay in posting the report was caused by an initial registration discrepancy by the account, as well as communication and process gaps within the customer care team and the clinical operations team that receives the reprocessing requests.In the time between the patient wearing the device and irhythm posting the results, the patient suffered an injury resulting from a syncopal episode.The patient received delayed care due to the report not being provided to the physician in a timely manner.
 
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Brand Name
ZIO XT PATCH
Type of Device
RECORDER, MAGNETIC TAPE, MEDICAL
Manufacturer (Section D)
IRHYTHM TECHNOLOGIES, INC
699 8th st suite 600
san francisco CA 94103
Manufacturer (Section G)
IRHYTHM TECHNOLOGIES, INC
11085 knott avenue suite b
cypress CA 90630
Manufacturer Contact
mazi kiani
699 8th st suite 600
san francisco, CA 94103
9494132147
MDR Report Key15154468
MDR Text Key297139021
Report Number3007208829-2022-00039
Device Sequence Number1
Product Code DSH
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K121319
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 10/28/2022
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
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/22/2022
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/22/2022
Initial Date FDA Received08/03/2022
Supplement Dates Manufacturer Received07/06/2022
Supplement Dates FDA Received11/17/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured04/22/2022
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) Other;
Patient Age56 YR
Patient SexFemale
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