FDA Adverse Event Death Summary report: N

ZIO AT

MDR report key: 18727255 · Received February 16, 2024

Report

Report Number
3007208829-2024-00086
Event Type
Death
Date Received
February 16, 2024
Date of Event
January 24, 2024
Report Date
July 2, 2025
Manufacturer
IRHYTHM TECHNOLOGIES, INC
Product Code
QYX
UDI-DI
00869770000210
PMA / PMN Number
K163512
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED IN RESPONSE TO THE FDA NOTIFICATION RECEIVED ON SEPTEMBER 26, 2024, CONCERNING MISSING UDI NUMBERS IN MDR SUBMISSIONS FROM OCTOBER 2023 THROUGH DECEMBER 2024. IN RESPONSE TO THIS ISSUE, IRHYTHM CONDUCTED AN INVESTIGATION AND IDENTIFIED A SYSTEM PROCESSING ERROR, WHICH HAS NOW BEEN RESOLVED.

Additional Manufacturer Narrative · 0

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO CORRECT THE UDI FROM (B)(4) TO (B)(4). PLEASE SEE THE UPDATE IN SECTION D4.

Description of Event or Problem · 0

THE PATIENT EXPIRED DURING THEIR PRESCRIBED ZIO AT WEAR PERIOD. ACCORDING TO THE FOLLOW-UP WITH THE ACCOUNT, THE PATIENT WENT TO THE EMERGENCY ROOM AND SUBSEQUENTLY PASSED AWAY. HOWEVER, THE ACCOUNT WAS UNABLE TO CONFIRM OR PROVIDE DETAILS ABOUT THE PATIENT'S CAUSE OF DEATH. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
403088 ZIO AT DETECTOR AND ALARM, ARRHYTHMIA QYX IRHYTHM TECHNOLOGIES, INC 00869770000210

Patients

Seq Age Sex Outcome Treatment
1 80 YR Unknown Death