ZIO AT
Report
- Report Number
- 3007208829-2024-00094
- Event Type
- Death
- Date Received
- March 1, 2024
- Date of Event
- January 31, 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 Location
- NC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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.
THE PATIENT EXPIRED DURING THEIR PRESCRIBED ZIO AT WEAR PERIOD. FOLLOW-UP WITH THE PATIENT'S HEALTHCARE PROVIDER REVEALED THAT THE PATIENT HAD EXPERIENCED A VASOVAGAL RESPONSE LEADING TO CARDIAC AND RESPIRATORY ARREST. DESPITE THE NURSING STAFF'S EFFORTS TO REVIVE HER, THEY WERE UNSUCCESSFUL. BASED ON THE AVAILABLE DATA THERE WAS NO EVIDENCE THAT THE DEVICE CAUSED THE PATIENT'S DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 227988 | ZIO AT | DETECTOR AND ALARM, ARRHYTHMIA | QYX | IRHYTHM TECHNOLOGIES, INC | 00869770000210 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Unknown | Death |