FDA Adverse Event Death Summary report: N

ZIO AT

MDR report key: 18822196 · Received March 1, 2024

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

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. 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