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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ENDURITY DR; Pulse generator, permanent, implantable

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ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ENDURITY DR; Pulse generator, permanent, implantable Back to Search Results
Model Number PM2160
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/19/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
A device history record (dhr) review was performed and all required manufacturing processes and inspections steps were confirmed to be completed per the requirements.The device met specifications prior to leaving abbott manufacturing facilities.
 
Event or Problem Description
Related manufacturer reference number: 2017865-2025-16867.It was reported that premature battery depletion was noted on the implantable cardioverter defibrillator (icd).The physician elected to explant and replace the icd.During the procedure, the left ventricular (lv) lead failed to be separated from the guidewire.The physician elected to not use the lead, and a new one was implanted.The patient condition was stable.
 
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Brand Name
ENDURITY DR
Common Device Name
Pulse generator, permanent, implantable
Manufacturer (Section D)
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer Contact
navpreet singh
15900 valley view court
sylmar, CA 91342
MDR Report Key21574078
Report Number2017865-2025-16868
Device Sequence Number8940935
Product Code NVZ
UDI-Device Identifier05414734507059
UDI-Public(01)05414734507059(10)P000150311(17)240131
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P880086
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Device Explanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/11/2025
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
Operator of Device Health Professional
Device Expiration Date01/31/2024
Device Model NumberPM2160
Device Lot NumberP000150311
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/19/2025
Initial Report FDA Received Date03/11/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/04/2022
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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