FDA Adverse Event
Injury
Summary report: N
LIVONGO BLOOD PRESSURE MONITOR
MDR report key: 16686696
·
Received April 5, 2023
Report
- Report Number
- 3011196194-2023-00034
- Event Type
- Injury
- Date Received
- April 5, 2023
- Date of Event
- March 11, 2023
- Report Date
- April 5, 2023
- Manufacturer
- LIVONGO HEALTH, INC.
- Product Code
- DXN
- PMA / PMN Number
- K131395
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE BLOOD PRESSURE MONITOR WAS REQUESTED BACK FROM THE PATIENT BUT HAS NOT YET BEEN RETURNED.IF THE DEVICE IS RETURNED AN INVESTIGATION WILL BE CONDUCTED AND A SUPPLEMENTAL REPORT WILL BE FILED.
Description of Event or Problem · 0
PATIENT REPORTED THE LIVONGO BLOOD PRESSURE MONITOR CUFF CAUSED THEM PAIN AND CUT OFF CIRCULATION ON THEIR ARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1755980 | LIVONGO BLOOD PRESSURE MONITOR | BLOOD PRESSURE MONITOR | DXN | LIVONGO HEALTH, INC. | HT900 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female | Other |