| Brand Name | ZIO AT |
| Common Device Name | 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 |
|
tara
mackinnon
|
| 699 8th st suite 600 |
| san francisco, CA 94103
|
|
6094600577
|
|
| MDR Report Key | 25781550 |
| Report Number | 3007208829-2026-00205 |
| Device Sequence Number | 9633576 |
| Product Code |
QYX
|
| UDI-Device Identifier | 00869770000210 |
| UDI-Public | (01)00869770000210(17)261013 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K240117 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/10/2026 |
| 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
|
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 06/19/2026 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/23/2026 |
| Initial Report FDA Received Date | 07/10/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/16/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Age | 79 YR |
| Patient Sex | Female |