FDA Adverse Event
Death
Summary report: N
ZIO AT
MDR report key: 18982392
·
Received March 26, 2024
Report
- Report Number
- 3007208829-2024-00139
- Event Type
- Death
- Date Received
- March 26, 2024
- Date of Event
- February 24, 2024
- Report Date
- June 25, 2025
- Manufacturer
- IRHYTHM TECHNOLOGIES, INC
- Product Code
- QYX
- UDI-DI
- 00869770000210
- PMA / PMN Number
- K163512
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
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 ACCOUNT REVEALED THE PATIENT EXPERIENCED A FALL AND SUSTAINED A SEVERE HEAD INJURY AND SUBSEQUENTLY EXPIRED. NO FURTHER INFORMATION WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 494127 | ZIO AT | DETECTOR AND ALARM, ARRHYTHMIA | QYX | IRHYTHM TECHNOLOGIES, INC | 00869770000210 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 86 YR | Unknown | Death |