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