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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT QUADRA ASSURA MP ICD; IMPLANTABLE CARDIOVERTER DEFIBRILLATOR

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ABBOTT QUADRA ASSURA MP ICD; IMPLANTABLE CARDIOVERTER DEFIBRILLATOR Back to Search Results
Model Number CD3371-40C
Device Problem Battery Problem (2885)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/21/2023
Event Type  Injury  
Event Description
It was reported that a low remaining batter longevity was observed on the device following implant.Abbott technical support (ts) was stated the event could be due to a interrogation that was performed a year prior while the device was still in it's packaging.A new interrogation was performed and the longevity increased, however, ts recommended to replaced the device as the longevity could not be trusted.No intervention has been performed at this time to resolve the event.The patient was in stable condition and will continue to be monitored.
 
Event Description
Additional information received indicated the device was explanted and replaced to resolve the event.The patient was in stable condition.
 
Manufacturer Narrative
The reported event of premature battery depletion was confirmed.Interrogation of the device revealed the device was above elective replacement indicator (eri) voltage level when received.A longevity calculation was performed and revealed the battery depletion was premature based on the device usage.Electrical testing was performed and revealed high current drain from the hybrid.An anomalous hybrid was revealed to be the root cause of the high current drain and premature battery depletion.
 
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Brand Name
QUADRA ASSURA MP ICD
Type of Device
IMPLANTABLE CARDIOVERTER DEFIBRILLATOR
Manufacturer (Section D)
ABBOTT
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ABBOTT
15900 valley view court
sylmar CA 91342
Manufacturer Contact
richard williamson
15900 valley view court
sylmar, CA 91342
MDR Report Key16564934
MDR Text Key311499598
Report Number2017865-2023-13997
Device Sequence Number1
Product Code NIK
Combination Product (y/n)N
Reporter Country CodeSZ
PMA/PMN Number
P030054
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date 05/11/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date11/30/2023
Device Model NumberCD3371-40C
Device Lot NumberA000118631
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 02/21/2023
Initial Date FDA Received03/17/2023
Supplement Dates Manufacturer Received03/20/2023
04/28/2023
Supplement Dates FDA Received04/04/2023
05/11/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/30/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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