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 |