FDA Adverse Event
Death
Summary report: N
ZIO AT
MDR report key: 18727275
·
Received February 16, 2024
Report
- Report Number
- 3007208829-2024-00088
- Event Type
- Death
- Date Received
- February 16, 2024
- Date of Event
- January 1, 2024
- Report Date
- June 24, 2025
- Manufacturer
- IRHYTHM TECHNOLOGIES, INC
- Product Code
- QYX
- UDI-DI
- 00869770000210
- PMA / PMN Number
- K163512
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- 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. PLEASE SEE THE UPDATE IN SECTION D4.
Description of Event or Problem · 0
THE PATIENT EXPIRED DURING THEIR PRESCRIBED ZIO AT WEAR PERIOD. IRHYTHM ATTEMPTED TO GATHER MORE INFORMATION ABOUT THE CAUSE OF DEATH FROM THE ACCOUNT, BUT NO FURTHER DETAILS WERE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 432790 | ZIO AT | DETECTOR AND ALARM, ARRHYTHMIA | QYX | IRHYTHM TECHNOLOGIES, INC | 00869770000210 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Unknown | Death |