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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT JOT DX¿ ICM; Recorder, event, implantable cardiac, (without arrhythmia detection)

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ABBOTT JOT DX¿ ICM; Recorder, event, implantable cardiac, (without arrhythmia detection) Back to Search Results
Model Number DM4500
Device Problem Failure to Interrogate (1332)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/11/2023
Event Type  malfunction  
Event Description
It was reported that the device could not be interrogated.Abbott technical support was contacted and recommended reprogramming, which was performed to resolve the event.The patient was stable and there were no adverse consequences.
 
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Brand Name
JOT DX¿ ICM
Type of Device
Recorder, event, implantable cardiac, (without arrhythmia detection)
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 Key18066855
MDR Text Key327306086
Report Number2017865-2023-51599
Device Sequence Number1
Product Code MXC
UDI-Device Identifier05415067040046
UDI-Public05415067040046
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K163407
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 11/03/2023
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 Model NumberDM4500
Device Lot NumberP000169923
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 10/11/2023
Initial Date FDA Received11/03/2023
Was Device Evaluated by Manufacturer? No
Date Device Manufactured05/13/2023
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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