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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) FORTIFY DR, U1.6 SJ4 US; PULSE GENERATOR, PERMANENT, IMPLANTABLE

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ST. JUDE MEDICAL, INC.(CRM-SYLMAR) FORTIFY DR, U1.6 SJ4 US; PULSE GENERATOR, PERMANENT, IMPLANTABLE Back to Search Results
Model Number CD2231-40Q
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/18/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported during in clinic follow up that the implantable cardioverter defibrillator exhibited premature battery depletion.The device was explanted and successfully replaced.The patient was stable.
 
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.
 
Additional Manufacturer Narrative
Reported event of premature discharge of battery was not confirmed.The device voltage was at end of life (eol) upon receipt.A longevity calculation was performed and found the battery depletion was normal based on the device usage.Analysis of device image indicated the device was within normal range of operation.Further analysis of the device¿s telemetry, lead impedance, pacing, sensing, and high voltage functions were found to be normal.
 
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Brand Name
FORTIFY DR, U1.6 SJ4 US
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 Key22571212
Report Number2017865-2025-94701
Device Sequence Number17119706
Product Code NVZ
UDI-Device Identifier05414734504386
UDI-Public(01)05414734504386(10)A000116206(17)230331
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P910023
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2022
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 02/25/2026
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
Operator of Device Health Professional
Device Expiration Date03/31/2023
Device Model NumberCD2231-40Q
Device Catalogue NumberCD2231-40Q
Device Lot NumberA000116206
Was Device Available for Evaluation? Device Returned to Manufacturer
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 07/18/2025
Supplement Date Received by Manufacturer08/11/2025
02/22/2026
Initial Report FDA Received Date07/22/2025
Supplement Report FDA Received Date08/11/2025
02/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/04/2021
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
Patient SexUnknown
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