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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL 8CH INFINITY DBS LEAD KIT, 40CM, 1.5, B

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ABBOTT MEDICAL 8CH INFINITY DBS LEAD KIT, 40CM, 1.5, B Back to Search Results
Model Number 6173
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Erosion (1750)
Date of Event 10/18/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Date of event is estimated.Based on the information provided a device problem was not identified, as a result a conclusive cause for the reported patient effect, and the relationship to the product, if any, cannot be determined.
 
Event or Problem Description
It was reported the patient's right lead was exposed.In turn, surgical intervention was undertaken on (b)(6) 2025 wherein the surgeon opened a new skin flap to tuck the lead under to address the issue.There was no infection.
 
Additional Manufacturer Narrative
A patient's right lead was exposed was reported to abbott.Surgical intervention was undertaken wherein the surgeon opened a new skin flap to tuck the lead under to address the issue.There was no infection.The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported event could not be conclusively determined.
 
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Brand Name
8CH INFINITY DBS LEAD KIT, 40CM, 1.5, B
Common Device Name
DBS LEAD
Manufacturer (Section D)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer (Section G)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
9723098000
MDR Report Key23523910
Report Number1627487-2025-05532
Device Sequence Number9704519
Product Code MHY
UDI-Device Identifier05415067030337
UDI-Public(01)05415067030337(10)10520209(17)260917
Combination Product (Y/N)N
Initial Reporter StateVA
Initial Reporter CountryUS
PMA/510(K) Number
P140009
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 11/25/2025
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? No
Operator of Device Health Professional
Device Expiration Date09/17/2026
Device Model Number6173
Device Catalogue Number6173
Device Lot Number10520209
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 10/18/2025
Supplement Date Received by Manufacturer11/18/2025
Initial Report FDA Received Date11/11/2025
Supplement Report FDA Received Date11/25/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/17/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
DBA LEAD; DBS BURR HOLE CAPX2; DBS EXTENSIONX2; DBS IPG
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight62 KG
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