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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) TENDRIL ST; No Match

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ST. JUDE MEDICAL, INC.(CRM-SYLMAR) TENDRIL ST; No Match Back to Search Results
Model Number 1882TC/46
Medical Device Problem Code Difficult to Remove (1528)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/15/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient presented for a generator change.During the procedure, it was noted that the right atrial (ra) lead and right ventricular (rv) lead were stuck in the pacemaker header even after the setscrews had been removed.Both leads were separated from the pacemaker with the aid of bone cutters, and the ra lead was successfully removed.The insulation ring of the rv lead was stuck in the header while the rest of the lead was removed.The rv lead was capped and replaced on (b)(6) 2025.The ra lead remained implanted and was connected to the new pacemaker.The patient was in stable condition.
 
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Brand Name
TENDRIL ST
Common Device Name
No Match
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 Key23940841
Report Number2017865-2026-00010
Device Sequence Number10683547
Product Code NVN
UDI-Device Identifier05414734501774
UDI-Public(01)05414734501774(10)A000010410(17)180731
Combination Product (Y/N)Y
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P960013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2016
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 01/02/2026
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 Date07/31/2018
Device Model Number1882TC/46
Device Lot NumberA000010410
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 12/15/2025
Initial Report FDA Received Date01/01/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/19/2015
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 SexFemale
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