FDA Adverse Event Injury Summary report: N

SEEQ

MDR report key: 7101744 · Received December 8, 2017

Report

Report Number
3010824444-2017-00010
Event Type
Injury
Date Received
December 8, 2017
Date of Event
October 7, 2017
Report Date
December 8, 2017
Manufacturer
EPIC TECHNOLOGIES, LLC
Product Code
DSI
PMA / PMN Number
K133701
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO EVAL OTHER DESCRIPTION: PHYSICAL PRODUCT ANALYSIS IS NOT REQUIRED FOR SKIN DISCOMFORT/IRRITATION COMPLAINTS BECAUSE THERE IS NO WAY TO DETERMINE THE LEVEL OF SKIN DISCOMFORT/IRRITATION THROUGH ANALYSIS OF THE PHYSICAL PRODUCT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT REMOVED THE WEARABLE SENSOR AND "EXPERIENCED 3RD DEGREE BURNS FROM METAL." IT IS UNKNOWN IF THE SENSOR WAS REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
880549 SEEQ DETECTOR AND ALARM, ARRHYTHMIA DSI EPIC TECHNOLOGIES, LLC P01575-010

Patients

Seq Age Sex Outcome Treatment
1 64 YR Other