BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFEWATCH MOBILE CARDIAC TELEMETRY MCT 3-LEAD ( UNIVERSAL GATEWAY)

    MDR report key: 12696821 · Received October 26, 2021

    Report

    Report Number
    3027765-2021-00011
    Event Type
    Injury
    Date Received
    October 26, 2021
    Date of Event
    October 7, 2021
    Report Date
    October 26, 2021
    Manufacturer
    LIFEWATCH SERVICES, INC.
    Product Code
    DSI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 1

    PER PATIENT USER GUIDE SUP546, PATIENTS ARE PROVIDED WARNING STATEMENTS REGARDING ELECTRODE SKIN IRRITATION. PATIENTS ARE INSTRUCTED TO CONTACT LIFEWATCH SERVICES CUSTOMER SUPPORT PRIOR TO USING THE MCT 3L MONITORING SYSTEM IF THEY HAVE KNOWN ALLERGIES TO NICKEL OR OTHER METALS. THE PATIENT IS ALSO INFORMED IN THE USER GUIDE THAT IF THEY DEVELOP SKIN IRRITATION THEY SHOULD CONTACT THEIR HEALTHCARE PROFESSIONAL. THE PATIENT PRESENTED TO THEIR HEALTH CARE PROVIDER FOR PRESCRIPTIVE TREATMENT. THE HEALTH CARE PROVIDER IDENTIFIED THE SKIN IRRITATION. THE PATIENT STATED THEY HAD SKIN SENSITIVITY. PATIENT SELF-MEDICATED WITH NEOSPORING. PATIENT WAS PRESCRIBED FLUOCINOLONEACETONIDE TO CLEAR UP THE AFFECTED AREA. THE IFU LOCATED ON THE POUCH STATES THE ELECTRODES ARE HYPOALLERGENIC AND AN ELECTRODE IS TO BE WORN FOR LESS THAN 72 HOURS. THE ELECTRODES ARE ALSO PVC AND LATEX FREE. THE ELECTRODE SUPPLIER HAS NOT UNDERGONE CHANGES IN THE PRODUCTION PROCESS OR RAW MATERIALS AND MEET REQUIREMENTS FOR SKIN SENSITIVITY / CYTOTOXICITY / IRRITATION. NO ADDITIONAL INFORMATION IS KNOWN TO LIFEWATCH SERVICES, INC. AT THIS TIME.

    Description of Event or Problem · 1

    PATIENT COMMUNICATION OF CONSULTING A HEALTHCARE PROFESSIONAL DUE TO ALLERGIC REACTION/SKIN IRRITATION WHERE TREATMENT WAS PRESCRIBED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1593327 LIFEWATCH MOBILE CARDIAC TELEMETRY MCT 3-LEAD ( UNIVERSAL GATEWAY) PLATINUM SENSOR DSI LIFEWATCH SERVICES, INC. MCT 3L ELECTRODE LOT 108134X

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other