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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) AVEIR¿ DELIVERY CATHETER; Leadless Pacemaker

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ABBOTT MEDICAL (CRM-SYLMAR) AVEIR¿ DELIVERY CATHETER; Leadless Pacemaker Back to Search Results
Model Number LSCD111
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Low Blood Pressure/ Hypotension (1914); Cardiac Perforation (2513); Pericardial Effusion (3271); Syncope/Fainting (4411)
Date of Event 03/03/2026
Type of Reportable Event Death
Event or Problem Description
It was reported that the patient presented in clinic for aveir leadless pacemaker (lp) implant procedure.Upon fixation, it was observed that capture threshold increased and held steady.It was elected to reposition the device.Blood pressure was observed to fall and the patient was syncopal.Echo revealed pericardial effusion resulting from perforation.Pericardiocentesis was performed to drain the effusion, and then aspiration was performed due to declining patient condition.The patient was pronounced deceased.
 
Additional Manufacturer Narrative
A device history record (dhr) review was performed and all required manufacturing processes and inspections steps were confirmed to be completed per the requirements.The device met specifications prior to leaving abbott manufacturing facilities.
 
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Brand Name
AVEIR¿ DELIVERY CATHETER
Common Device Name
Leadless Pacemaker
Manufacturer (Section D)
ABBOTT MEDICAL (CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ABBOTT MEDICAL (CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer Contact
navpreet singh
15900 valley view court
sylmar, CA 91342
MDR Report Key24664701
Report Number2017865-2026-05963
Device Sequence Number9344667
Product Code PNJ
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P150035
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 10/02/2026
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 NumberLSCD111
Device Catalogue NumberLSCD111
Device Lot Number11183403
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer08/20/2026
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 03/03/2026
Supplement Date Received by Manufacturer06/15/2026
10/01/2026
Initial Report FDA Received Date03/23/2026
Supplement Report FDA Received Date06/15/2026
10/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/17/2025
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
Outcome Attributed to Adverse Event Death;
Patient SexUnknown
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