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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 Post Operative Wound Infection (2446)
Date of Event 11/25/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that a patient experienced infection at the lead/extension site.As a result, surgical intervention was undertaken on (b)(6) 2025, wherein the entire system was explanted to address the issue.Patient was administered iv and oral antibiotics and the infection has resolved.
 
Additional Manufacturer Narrative
Date of event is estimated.
 
Additional Manufacturer Narrative
A review of the lot history record identified no manufacturing nonconformities issued to the reported device that would have contributed to this event.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.
 
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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 Key23854375
Report Number1627487-2025-06279
Device Sequence Number5128622
Product Code MHY
UDI-Device Identifier05415067030337
UDI-Public(01)05415067030337(10)10419055(17)260709
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
PMA/510(K) Number
P140009
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted 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) 01/16/2026
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 Date07/09/2026
Device Model Number6173
Device Catalogue Number6173
Device Lot Number10419055
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 11/25/2025
Supplement Date Received by Manufacturer01/09/2026
Initial Report FDA Received Date12/19/2025
Supplement Report FDA Received Date01/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/09/2024
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
DBS BURR HOLE CAP COVERS (X2).; DBS IPG.
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight107 KG
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