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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL EXCLAIM LEAD, 90 CM; SCS LEAD

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ABBOTT MEDICAL EXCLAIM LEAD, 90 CM; SCS LEAD Back to Search Results
Model Number 3225
Medical Device Problem Code Malposition of Device (2616)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 02/04/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Date of event is estimated.During the process of this complaint attempts were made to obtain complete patient information.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.
 
Event or Problem Description
It was reported that the patient experienced ineffective stimulation due to malposition of the device.As a result, surgical intervention may be undertaken to address the issue.
 
Event or Problem Description
Additional information indicates that surgical intervention took place wherein the lead was explanted and replaced to address the issue.
 
Additional Manufacturer Narrative
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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Brand Name
EXCLAIM LEAD, 90 CM
Common Device Name
SCS 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 Key24445287
Report Number1627487-2026-00935
Device Sequence Number10254534
Product Code LGW
UDI-Device Identifier05414734401883
UDI-Public(01)05414734401883(10)10150139(17)260109
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
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) 05/15/2026
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 Date01/09/2026
Device Model Number3225
Device Catalogue Number3225
Device Lot Number10150139
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 02/04/2026
Supplement Date Received by Manufacturer04/22/2026
Initial Report FDA Received Date02/25/2026
Supplement Report FDA Received Date05/15/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/10/2024
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
SCS IPG
Outcome Attributed to Adverse Event Other;
Patient SexFemale
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