| Brand Name | Rhythm Express RX-1 Mini |
| Common Device Name | Cardiac Monitor |
| Manufacturer (Section D) |
| VivaQuant Inc |
| 1265 grey fox rd |
| suite 400 |
| arden hills MN 55112 |
|
| Manufacturer (Section G) |
| VivaQuant Inc |
| 1265 grey fox rd |
| suite 400 |
| arden hills MN 55112 |
|
| Manufacturer Contact |
|
mark
swanson
|
| 1265 grey fox rd |
| suite 400 |
| arden hills, MN 55112
|
|
+1(763)234-0727
|
|
| MDR Report Key | 50166350 |
| Report Number | 3011937459-2026-04168 |
| Device Sequence Number | 5305298 |
| Product Code |
DSI
|
| UDI-Device Identifier | 00860000272407 |
| UDI-Public | 00860000272407 |
| Combination Product (Y/N) | N |
| Initial Reporter State | PA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K200833 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Consumer |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
12/12/2025 |
| 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 Model Number | RX-1 Mini |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 01/05/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 01/05/2026 |
| Initial Report FDA Received Date | 08/06/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/24/2024 |
| 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 |
Reuse
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Age | 47 YR |
| Patient Sex | Female |
| Patient Race | White |
|
|