FDA Adverse Event Injury Summary report: N

MINI HEART MONITOR

MDR report key: 18092403 · Received November 7, 2023

Report

Report Number
MW5147890
Event Type
Injury
Date Received
November 7, 2023
Date of Event
October 23, 2023
Report Date
November 7, 2023
Manufacturer
BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC TECHNOLOGIES, INC.
Product Code
DSI
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
PATIENT
Health Professional
N

Narratives

Description of Event or Problem · 0

PATIENT CALLED TO REPORT AN ADVERSE EVENT INVOLVING HER BOSTON SCIENTIFIC MINI HEART MONITOR. PATIENT STATED AFTER ABOUT 2 WEEKS OF USE, SHE STARTED ITCHING UNDER THE PAD. PATIENT STATED SHE CALLED THE MANUFACTURER AND WAS SENT ANOTHER PAD THAT WAS HYPOALLERGENIC. SHE SAID WHEN SHE REMOVED THE OLD PAD TO PUT ON THE NEW PAD, SHE NOTICED DRIED BLOOD AROUND THE PATCH. PATIENT SAID SHE CONTACTED THE MANUFACTURER AND WAS TOLD SHE WOULD RECEIVE A CALL BACK AND THAT SHE WAITED 3 DAYS AND NEVER HEARD FROM ANYONE. PATIENT SAID SHE DECIDED TO TAKE OFF THE MONITOR HERSELF BECAUSE OF THE IRRITATION AND FOUND BLEEDING SORES UNDER THE PATCH WITH BLOOD AROUND THE EDGES. PATIENT SAID HER SKIN WAS RAW AND RED. REFERENCE REPORT MW5147889.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104132 MINI HEART MONITOR DETECTOR AND ALARM, ARRHYTHMIA DSI BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC TECHNOLOGIES, INC.

Patients

Seq Age Sex Outcome Treatment
1 74 YR Female