FDA Adverse Event Malfunction Summary report: N

JOT DX¿ ICM

MDR report key: 17863487 · Received October 3, 2023

Report

Report Number
2017865-2023-47638
Event Type
Malfunction
Date Received
October 3, 2023
Date of Event
September 12, 2023
Report Date
November 7, 2023
Manufacturer
ABBOTT
Product Code
MXC
UDI-DI
05415067040046
PMA / PMN Number
K163407
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT OF REQUIRING A MAGNET TO BE PLACED OVER THE DEVICE IN ORDER TO SEND A TRANSMISSION WAS NOT CONFIRMED. THE PATIENT WAS ABLE TO SUCCESSFULLY SEND A TRANSMISSION WITHOUT THE PLACEMENT OF A MAGNET, ALTHOUGH THE TRANSMISSION TOOK A LONGER THAN ANTICIPATED FOR THE PATIENT. THE PATIENT APP LOGS WERE REVIEWED AND IT WAS OBSERVED THAT THERE WAS A CONNECTION TIMEOUT WITH THE IOS APPLICATION. THE ROOT CAUSE FOR THIS CONNECTION TIMEOUT IS NOT ABLE TO BE DETERMINED, ALTHOUGH IT IS SUSPECTED THAT THE PATIENTS ENVIRONMENT OR ANOTHER BLUETOOTH DEVICE MAY HAVE AN INFLUENCE ON THE PATIENT APPLICATION. IT IS PER DEVICE DESIGN THAT THE JOT DX ADVERTISES EVERY 4 MINUTES, AND IF THAT WINDOW IS MISSED, THE PATIENT WILL NEED TO WAIT ANOTHER 4 MINUTES TO ATTEMPT CONNECTION.

Description of Event or Problem · 0

DURING AN IN CLINIC FOLLOW UP, THE DEVICE WAS UNABLE TO BE INTERROGATED USING BLUETOOTH (BLE) TELEMETRY. A MAGNET WAS USED TO ACTIVATE THE BLE AND INTERROGATION WAS SUCCESSFUL. FOLLOWING THE SUCCESSFUL IN CLINIC INTERROGATION, THE DEVICE WAS ATTEMPTED TO BE INTERROGATED USING BLE FROM THE PHONE APPLICATION AND WAS UNSUCCESSFUL. A MAGNET WAS AGAIN USED TO ACTIVATE THE BLE AND THE DEVICE WAS ABLE TO SEND A SUCCESSFUL TRANSMISSION FROM THE PHONE APPLICATION. TECHNICAL SUPPORT WAS CONTACTED AND RECOMMENDED FURTHER INVESTIGATION. THE PATIENT WAS STABLE AND WILL CONTINUE BEING MONITORED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1761444 JOT DX¿ ICM RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION) MXC ABBOTT DM4500 P000169177 05415067040046

Patients

Seq Age Sex Outcome Treatment
1 Unknown