FDA Adverse Event Injury Summary report: N

KARDIAMOBILE

MDR report key: 10217486 · Received July 1, 2020

Report

Report Number
3009715978-2020-00003
Event Type
Injury
Date Received
July 1, 2020
Date of Event
May 19, 2020
Report Date
June 30, 2020
Manufacturer
ALIVECOR, INC.
Product Code
DXH
UDI-DI
B210AC0090
PMA / PMN Number
K191406
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

USER CONTACTED ALIVECOR ON (B)(6) 2020 ABOUT A COMPLAINT REGARDING HIS KARDIAMOBILE 1L DEVICE WHILE EXPERIENCING A HEART ATTACK ON (B)(6) 2020. USER RECORDED AN EKG ON HIS KARDIAMOBILE 1L AND RECEIVED A DEVICE ALGORITHM ANALYSIS OF "NORMAL SINUS RHYTHM". THE USER DID NOT DELAY SEEKING MEDICAL ATTENTION DUE TO THE KARDIAMOBILE RESULT. ALIVECOR CONTACTED THE USER ON FOUR SEPARATE OCCASIONS (JUNE 5, JUNE 9, JUNE 17 AND JUNE 19) TO INVESTIGATE THE COMPLAINT AND RETRIEVE EKG DATA FOR CARDIOLOGY REVIEW HOWEVER THE USER DID NOT SEND HIS EKG TRACING. ALIVECOR'S KARDIAMOBILE 1L DEVICE IS A LEAD-I MOBILE EKG DEVICE THAT IS NOT INTENDED TO DETECT AN INFARCT OR ST ELEVATION. THE DEVICE LABELING SPECIFIES THAT THE DEVICE DOES NOT DETECT HEART ATTACKS. IT APPEARS THAT THE DEVICE LIKELY HAD NO MALFUNCTION, DID NOT CAUSE OR CONTRIBUTE TO THE HEART ATTACK, AND THE INCIDENT WAS A RESULT OF USER ERROR.

Description of Event or Problem · 1

USER CONTACTED ALIVECOR ON (B)(6) 2020 STATING THAT HE USED HIS KARDIAMOBILE 1L TO TAKE AN EKG AND RECEIVED A NORMAL SINUS RHYTHM DETERMINATION WHILE EXPERIENCING A HEART ATTACK. THE SPECIFIC COMMENTS FROM THE PATIENT NOTES THAT "STILL RECOVERING FROM HEART ATTACK ON (B)(6). I USED THIS DEVICE 2 MINUTES PRIOR TO CALLING AMBULANCE AND DEVICE SAID EVERYTHING WAS FINE WITH MY HEART. SUFFERED MAJOR HEART ATTACK THAT MORNING."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
683645 KARDIAMOBILE MOBILE ELECTROCARDIOGRAM DXH ALIVECOR, INC. AC-009 B210AC0090

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization