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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT CURRENT PLUS VR, DF-4 CONNECTOR; Pulse generator, permanent, implantable

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ABBOTT CURRENT PLUS VR, DF-4 CONNECTOR; Pulse generator, permanent, implantable Back to Search Results
Model Number CD1211-36Q
Device Problem Failure to Charge (1085)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/24/2023
Event Type  Injury  
Event Description
It was reported that during a follow up in clinic, an alert for capacitor charge time limit reach was noted on the device.The device was explanted and replaced to resolve the event.The patient was in stable condition.
 
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Brand Name
CURRENT PLUS VR, DF-4 CONNECTOR
Type of Device
Pulse generator, permanent, implantable
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 Key18452506
MDR Text Key332185563
Report Number2017865-2024-00441
Device Sequence Number1
Product Code NVZ
Combination Product (y/n)N
Reporter Country CodePL
PMA/PMN Number
P910023
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 01/04/2024
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 Date01/31/2018
Device Model NumberCD1211-36Q
Device Lot NumberS000022037
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 01/02/2024
Initial Date FDA Received01/05/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/11/2016
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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