FDA Adverse Event Malfunction Summary report: N

MONITORING SERVICE APPLICATION (MSA)

MDR report key: 20514370 · Received October 23, 2024

Report

Report Number
3003584029-2024-00016
Event Type
Malfunction
Date Received
October 23, 2024
Date of Event
August 8, 2023
Report Date
January 19, 2025
Manufacturer
BRAEMAR MANUFACTURING, LLC
Product Code
DQK
Removal / Correction Number
Z-0708-2025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

FAILURE TO INFORM. THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 TRANSMITS ECG TRACING(S) TO A MONITORING APPLICATION FOR PRELIMINARY REVIEW BY A CARDIOLOGY TECHNICIAN AND SUBSEQUENT NOTIFICATION OR REPORTING TO THE TREATING CLINICIAN BASED ON THE TECHNICIAN FINDINGS. THE INVESTIGATION CONCLUDED THAT THE MONITORING APPLICATION DID NOT PRESENT AN ECG TRACING(S) CONTAINING AN ARRHYTHMIC EVENT THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA TO A CARDIOLOGY TECHNICIAN, AND, THEREFORE, THE HEALTHCARE PROVIDER (HCP) WAS NOT NOTIFIED. NO ADDITIONAL INFORMATION REGARDING THIS EVENT IS KNOWN. NEITHER THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 NOR THE MONITORING APPLICATION PROVIDE A DIAGNOSIS OR TREATMENT RECOMMENDATION. INSTEAD, THE HCP DETERMINES A TREATMENT PLAN FOR THE PATIENT BASED ON THE INFORMATION PROVIDED. THIS SYSTEM IS NOT INTENDED FOR USE AS AN EMERGENCY RESPONSE SYSTEM FOR PATIENTS WHO MAY EXPERIENCE SERIOUS OR LIFE-THREATENING ARRHYTHMIAS. THE CAUSE OF THE PATIENT DEATH AND THE ROLE OF THE SYSTEM IN THE PATIENT'S DEATH, IF ANY, IS UNKNOWN. THIS REPORT IS BEING SUBMITTED AS REQUIRED BY FEDERAL REGULATIONS AND DOES NOT CONSTITUTE AN ADMISSION THAT THE SYSTEM, BRAEMAR MANUFACTURING, LLC, OR OUR EMPLOYEES, HAVE CAUSED OR CONTRIBUTED TO THE EVENT. FURTHERMORE, THIS REPORT REFLECTS THE EVENT AS ALLEGED WHEN REPORTED TO BRAEMAR MANUFACTURING, LLC AND DOES NOT IMPLY OR MEAN THAT THE INFORMATION AS REPORTED HEREIN IS ACCURATE OR HAS BEEN CONFIRMED BY BRAEMAR MANUFACTURING, LLC.

Additional Manufacturer Narrative · 0

EMERGENT EVENT FAILURE TO INFORM. THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 TRANSMITS ECG TRACING(S) TO A MONITORING APPLICATION FOR PRELIMINARY REVIEW BY A CARDIOLOGY TECHNICIAN AND SUBSEQUENT NOTIFICATION OR REPORTING TO THE TREATING CLINICIAN BASED ON THE TECHNICIAN FINDINGS. THE INVESTIGATION CONCLUDED THAT THE MONITORING APPLICATION DID NOT PRESENT AN ECG TRACING(S) CONTAINING AN ARRHYTHMIC EVENT THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA TO A CARDIOLOGY TECHNICIAN, AND, THEREFORE, THE HEALTHCARE PROVIDER (HCP) WAS NOT NOTIFIED. NO ADDITIONAL INFORMATION REGARDING THIS EVENT IS KNOWN. NEITHER THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 NOR THE MONITORING APPLICATION PROVIDE A DIAGNOSIS OR TREATMENT RECOMMENDATION. INSTEAD, THE HCP DETERMINES A TREATMENT PLAN FOR THE PATIENT BASED ON THE INFORMATION PROVIDED. THIS SYSTEM IS NOT INTENDED FOR USE AS AN EMERGENCY RESPONSE SYSTEM FOR PATIENTS WHO MAY EXPERIENCE SERIOUS OR LIFE-THREATENING ARRHYTHMIAS. THE CAUSE OF THE PATIENT DEATH AND THE ROLE OF THE SYSTEM IN THE PATIENT'S DEATH, IF ANY, IS UNKNOWN. THIS REPORT IS BEING SUBMITTED AS REQUIRED BY FEDERAL REGULATIONS AND DOES NOT CONSTITUTE AN ADMISSION THAT THE SYSTEM, BRAEMAR MANUFACTURING, LLC, OR OUR EMPLOYEES, HAVE CAUSED OR CONTRIBUTED TO THE EVENT. FURTHERMORE, THIS REPORT REFLECTS THE EVENT AS ALLEGED WHEN REPORTED TO BRAEMAR MANUFACTURING, LLC AND DOES NOT IMPLY OR MEAN THAT THE INFORMATION AS REPORTED HEREIN IS ACCURATE OR HAS BEEN CONFIRMED BY BRAEMAR MANUFACTURING, LLC.

Additional Manufacturer Narrative · 0

FAILURE TO INFORM. THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 TRANSMITS ECG TRACING(S) TO A MONITORING APPLICATION FOR PRELIMINARY REVIEW BY A CARDIOLOGY TECHNICIAN AND SUBSEQUENT NOTIFICATION OR REPORTING TO THE TREATING CLINICIAN BASED ON THE TECHNICIAN FINDINGS. THE INVESTIGATION CONCLUDED THAT THE MONITORING APPLICATION DID NOT PRESENT AN ECG TRACING(S) CONTAINING AN ARRHYTHMIC EVENT THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA TO A CARDIOLOGY TECHNICIAN, AND, THEREFORE, THE HEALTHCARE PROVIDER (HCP) WAS NOT NOTIFIED. NO ADDITIONAL INFORMATION REGARDING THIS EVENT IS KNOWN. NEITHER THE BRAEMAR TELEMETRY PATCH SYSTEM BTPS-1000 NOR THE MONITORING APPLICATION PROVIDE A DIAGNOSIS OR TREATMENT RECOMMENDATION. INSTEAD, THE HCP DETERMINES A TREATMENT PLAN FOR THE PATIENT BASED ON THE INFORMATION PROVIDED. THIS SYSTEM IS NOT INTENDED FOR USE AS AN EMERGENCY RESPONSE SYSTEM FOR PATIENTS WHO MAY EXPERIENCE SERIOUS OR LIFE-THREATENING ARRHYTHMIAS. THE CAUSE OF THE PATIENT DEATH AND THE ROLE OF THE SYSTEM IN THE PATIENT'S DEATH, IF ANY, IS UNKNOWN. THIS REPORT IS BEING SUBMITTED AS REQUIRED BY FEDERAL REGULATIONS AND DOES NOT CONSTITUTE AN ADMISSION THAT THE SYSTEM, BRAEMAR MANUFACTURING, LLC, OR OUR EMPLOYEES, HAVE CAUSED OR CONTRIBUTED TO THE EVENT. FURTHERMORE, THIS REPORT REFLECTS THE EVENT AS ALLEGED WHEN REPORTED TO BRAEMAR MANUFACTURING, LLC AND DOES NOT IMPLY OR MEAN THAT THE INFORMATION AS REPORTED HEREIN IS ACCURATE OR HAS BEEN CONFIRMED BY BRAEMAR MANUFACTURING, LLC.

Description of Event or Problem · 0

FAILURE TO INFORM. THE PATIENT EXPERIENCED AN ARRHYTHMIC EVENT(S) THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA THAT WAS NOT COMMUNICATED DURING THE MONITORING PERIOD. BRAEMAR MANUFACTURING, LLC BECAME AWARE OF THE PATIENT DEATH IN ACCORDANCE WITH STANDARD PRACTICES AT THE END OF THE MONITORING PERIOD.

Description of Event or Problem · 0

EMERGENT EVENT FAILURE TO INFORM THE PATIENT EXPERIENCED AN ARRHYTHMIC EVENT(S) THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA THAT WAS NOT COMMUNICATED DURING THE MONITORING PERIOD. BRAEMAR MANUFACTURING BECAME AWARE OF THE PATIENT DEATH IN ACCORDANCE WITH STANDARD PRACTICES AT THE END OF THE MONITORING PERIOD.

Description of Event or Problem · 0

FAILURE TO INFORM. THE PATIENT EXPERIENCED AN ARRHYTHMIC EVENT(S) THAT MET CLINICIAN-DEFINED NOTIFICATION CRITERIA THAT WAS NOT COMMUNICATED DURING THE MONITORING PERIOD. BRAEMAR MANUFACTURING, LLC BECAME AWARE OF THE PATIENT DEATH IN ACCORDANCE WITH STANDARD PRACTICES AT THE END OF THE MONITORING PERIOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
44866 MONITORING SERVICE APPLICATION (MSA) MONITORING SERVICE APPLICATION (MSA) DQK BRAEMAR MANUFACTURING, LLC

Patients

Seq Age Sex Outcome Treatment
1 88 YR Male