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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT ISOFLEX OPTIM LEAD; Permanent defibrillator electrodes

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ABBOTT ISOFLEX OPTIM LEAD; Permanent defibrillator electrodes Back to Search Results
Model Number 1944/52
Device Problems Break (1069); Over-Sensing (1438); Pacing Problem (1439)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/06/2023
Event Type  malfunction  
Event Description
During an in clinic follow up, noise resulting in oversensing and inappropriate mode switching was observed on the atrial lead.Lead insulation damage was suspected.No intervention has been performed at this time.The patient was stable and will continue being monitored.
 
Manufacturer Narrative
Further information was requested but not received.
 
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Brand Name
ISOFLEX OPTIM LEAD
Type of Device
Permanent defibrillator electrodes
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 Key17788687
MDR Text Key323926356
Report Number2017865-2023-46656
Device Sequence Number1
Product Code NVY
Combination Product (y/n)Y
Reporter Country CodeIT
PMA/PMN Number
P960030
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
Report Date 09/21/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date11/30/2020
Device Model Number1944/52
Device Lot NumberP000054388
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 09/06/2023
Initial Date FDA Received09/21/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured12/15/2017
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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