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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (AF-ST. PAUL); RFA GENERATOR

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ABBOTT MEDICAL (AF-ST. PAUL); RFA GENERATOR Back to Search Results
Model Number RFG-IONIC
Medical Device Problem Code Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/16/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The date of event is estimated.
 
Event or Problem Description
It was reported that during an rfa procedure, the generator unexpectedly shut down, and the procedure was aborted.
 
Additional Manufacturer Narrative
D4- device information was updated in this report.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 incident could not be conclusively determined.
 
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Common Device Name
RFA GENERATOR
Manufacturer (Section D)
ABBOTT MEDICAL (AF-ST. PAUL)
one st. jude medical drive
st. paul MN 55117
Manufacturer (Section G)
ABBOTT MEDICAL (AF-MINNETONKA)
14901 deveau place
minnetonka MN 55345
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
9723098000
MDR Report Key24058958
Report Number2182269-2026-00009
Device Sequence Number13188527
Product Code GXB
UDI-Device Identifier05415067029317
UDI-Public(01)05415067029317(10)7823558
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K201610
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/31/2026
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 Model NumberRFG-IONIC
Device Catalogue NumberRFG-IONIC
Device Lot Number7823558
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/16/2025
Supplement Date Received by Manufacturer03/24/2026
Initial Report FDA Received Date01/13/2026
Supplement Report FDA Received Date03/31/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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