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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL GUARDIAN¿ CRANIAL BURR HOLE COVER SYSTEM; DBS BURR HOLE CAP

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ABBOTT MEDICAL GUARDIAN¿ CRANIAL BURR HOLE COVER SYSTEM; DBS BURR HOLE CAP Back to Search Results
Model Number 6010
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Wound Dehiscence (1154); Post Operative Wound Infection (2446)
Date of Event 02/13/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Date of event and patient's weight is estimated.
 
Event or Problem Description
It was reported that patient experienced an infection at the right lead and burr hole cap site and was hospitalized.As a result, surgical intervention was undertaken on (b)(6) 2026 wherein the right lead and burr hole cap was explanted to address the issue.The patient was administered iv antibiotics to address the issue.
 
Additional Manufacturer Narrative
A device history record was performed to review and confirm the sterility of devices.Based on the documents reviewed, the source of the infection remains unknown.
 
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Brand Name
GUARDIAN¿ CRANIAL BURR HOLE COVER SYSTEM
Common Device Name
DBS BURR HOLE CAP
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 Key24519984
Report Number1627487-2026-01067
Device Sequence Number21271956
Product Code MHY
UDI-Device Identifier05415067030283
UDI-Public(01)05415067030283(10)11005230(17)270820
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
P140009
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
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) 05/22/2026
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 Number6010
Device Catalogue Number6010
Device Lot Number11005230
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 02/13/2026
Supplement Date Received by Manufacturer05/21/2026
Initial Report FDA Received Date03/05/2026
Supplement Report FDA Received Date05/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/20/2025
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
DBS BURR HOLE CAP; DBS EXTENSION (X2); DBS IPG; DBS LEAD
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight45 KG
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