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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT CONFIRM; RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION)

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ABBOTT CONFIRM; RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION) Back to Search Results
Model Number DM3500
Device Problem Failure to Interrogate (1332)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/01/2024
Event Type  malfunction  
Event Description
During an implant procedure, the device was unable to be interrogated using bluetooth (ble) telemetry.Technical support was contacted and a new device was implanted to resolve the event.The patient was stable and will continue to be monitored.
 
Manufacturer Narrative
The reported event of failure to interrogate was confirmed.As received, the device could not establish telemetry and the device image could not be saved.The device was cut open and high drain current on the hybrid was noted.Further testing was performed and an anomalous integrated circuit (ic) was found to be the cause of failure.A longevity assessment was performed and found that the high current drain on the hybrid would lead to a premature depletion of the battery.
 
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Brand Name
CONFIRM
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 Key18727897
MDR Text Key335691319
Report Number2017865-2024-32929
Device Sequence Number1
Product Code MXC
UDI-Device Identifier05415067027320
UDI-Public05415067027320
Combination Product (y/n)N
Reporter Country CodeIT
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,Followup
Report Date 05/22/2024
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 NumberDM3500
Device Lot NumberP000184454
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 02/01/2024
Initial Date FDA Received02/16/2024
Supplement Dates Manufacturer Received05/15/2024
Supplement Dates FDA Received05/22/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/26/2023
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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