FDA Adverse Event Injury Summary report: N

BODYGUARDIAN ONE

MDR report key: 18544170 · Received January 18, 2024

Report

Report Number
MW5150541
Event Type
Injury
Date Received
January 18, 2024
Date of Event
December 27, 2023
Report Date
January 16, 2024
Manufacturer
BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC TECHNOLOGIES, INC.
Product Code
DSI
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IN, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

BURNED SKIN USING BOSTON SCIENTIFIC CONTINUAL EKG (ELECTROCARDIOGRAM) MONITORING DEVICE BODYGUARDIANONE MODEL 231206 SERIAL #: (B)(6). SKIN BURNED FROM THE ADHESIVE USED TO HOLD ELECTRODES ON SKIN DESPITE REMOVING AND CLEANING SKIN AND REAPPLYING IN NEW LOCATIONS EVERY 3 DAYS. STOPPED USE OF DEVICE FOR 7 DAYS TO ALLOW SKIN TO HEAL BEFORE CONTINUING USE. THERE SHOULD HAVE BEEN A WARNING ABOUT THIS. ADDITIONALLY, WHEN I ASKED MY CARDIOLOGISTS RECEPTIONIST TO FILE AN ADVERSE EVENT, SHE CLAIMED TO NOT KNOW HOW TO FIND THE FORM AND DID NOTHING. SKIN IS STILL HEALING AND SCABBED OVER DESPITE REMOVING LAST ELECTRODES 4 DAYS AGO. USE OF CONTINUOUS HEART MONITORING DEVICE REQUIRED APPLICATION OF ELECTRODES FOR 3-DAY PERIODS. AFTER A DAY THE SITE OF APPLICATION BEGAN TO ITCH AND BURN AND WHEN REMOVED AFTER 3 DAYS OF USE, SKIN WAS RED AND BURNED. DISCONTINUED USE OF DEVICE FOR 7 DAYS TO ALLOW SKIN TO HEAL MID-USE. ADDITIONALLY, DEVICE BATTERIES DID NOT FUNCTION CORRECTLY AND MOST OF THE TIME I ONLY HAD ONE FUNCTIONING BATTERY. VERY FLAWED STUDY WITH LIMITED DATA DUE TO INABILITY TO GET A SECOND BATTERY SENT FOR MORE THAN 10 DAYS WHEN BEGINNING STUDY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1836764 BODYGUARDIAN ONE DETECTOR AND ALARM, ARRHYTHMIA DSI BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC TECHNOLOGIES, INC. 231206

Patients

Seq Age Sex Outcome Treatment
1 57 YR Female METFORMIN.