| Brand Name | SUSTAIN XL DR |
| Common Device Name | PULSE GENERATOR, PERMANENT, IMPLANTABLE |
| Manufacturer (Section D) |
| ABBOTT |
| 15900 valley view court |
| sylmar CA 91342 |
|
| Manufacturer (Section G) |
| ABBOTT |
| 15900 valley view court |
|
| sylmar CA 91342 |
|
| Manufacturer Contact |
|
navpreet
singh
|
| 15900 valley view court |
| sylmar, CA 91342
|
|
| MDR Report Key | 24335302 |
| Report Number | 2017865-2026-03071 |
| Device Sequence Number | 9781543 |
| Product Code |
NVZ
|
| UDI-Device Identifier | 05414734504713 |
| UDI-Public | (01)05414734504713(10)S000026157(17)180430 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | P880086 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
04/29/2026 |
| 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 Date | 04/30/2018 |
| Device Model Number | PM2136 |
| Device Lot Number | S000026157 |
| 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 | 01/20/2026 |
| Supplement Date Received by Manufacturer | 04/29/2026
|
| Initial Report FDA Received Date | 02/13/2026 |
| Supplement Report FDA Received Date | 04/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/25/2016 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|