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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL EP-4¿ CARDIAC STIMULATOR; No Match

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ABBOTT MEDICAL EP-4¿ CARDIAC STIMULATOR; No Match Back to Search Results
Model Number H403023
Medical Device Problem Code Pacing Problem (1439)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/28/2026
Type of Reportable Event Malfunction
Event or Problem Description
During an atrial fibrillation procedure using non-abbott pfa (farawave), the procedure was abandoned due to connection and pacing issues.It was noted that there were communication issues with the ep-4 touchscreen and the workmate claris computer and pacing was unable to be completed.A "check output switches/cables" message appeared.The cables were reconnected and exchanged, and the ep-4 cardiac stimulator was replaced, but the issues persisted.It was verified that cables were connected, the channels were turned off and on both physically and on the gui.The procedure was unable to be completed successfully.During further troubleshooting, it was observed that the stim port on the workmate claris computer had collapsed and this damage was preventing the ep-4 touchscreen from connecting to the device.The ep-4 has not been able to properly pace since.It is alleged that both the ep-4 and workmate claris computer contributed to the cancelation of the procedure.
 
Additional Manufacturer Narrative
One ep-4 cardiac stimulator was received for evaluation.Evaluation testing was successful, however when connecting a stimulation cable to the front of the ep-4 it was noted that both stimulus channel 2 and 4 ports were loose to touch.This port looseness does not affect the functionality, except for the useability.These stimulus port connections were determined to be not conclusively related to the reported symptom.Ep-4 functional testing was successful.Based on the information provided to abbott and the investigation performed, the reported event was not able to be confirmed, and the root cause remains undetermined as the returned ep-4 stimulator passed all testing.The batch was reviewed to ensure that each manufacturing and inspection operation was performed.No non-conformances associated with the reported event were identified.
 
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Brand Name
EP-4¿ CARDIAC STIMULATOR
Common Device Name
No Match
Manufacturer (Section D)
ABBOTT MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer (Section G)
ABBOTT MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer Contact
wendy mccarty
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key24462330
Report Number2184149-2026-00049
Device Sequence Number9376245
Product Code JOQ
UDI-Device Identifier05414734030236
UDI-Public(01)05414734030236(10)7587194
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
K092913
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 Physician
Type of Report Initial
Report Date (Section B) 02/26/2026
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 Model NumberH403023
Device Catalogue NumberH403023
Device Lot Number7587194
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/16/2026
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 01/30/2026
Initial Report FDA Received Date02/26/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/27/2020
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
Concomitant Medical Products
and Therapy/Usage Dates
WORKMATE¿ CLARIS¿ COMPUTER.
Patient SexUnknown
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