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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT AVEIR¿ DELIVERY CATHETER; Leadless pacemaker

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ABBOTT 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)
Date of Event 03/06/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during initial implant procedure, patient experienced a decrease in blood pressure and contrast revealed pericardial effusion.The physician suspected the pericardial effusion due to cardiac perforation occurred while repositioning the delivery catheter without re-engaging the protective sleeve during the mapping of the right ventricle (rv) leadless pacemaker (lp).The pericardial effusion was drained and the rv lp remains implanted.The patient was in stable condition.
 
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
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 Key24772569
Report Number2017865-2026-06040
Device Sequence Number9888705
Product Code PNJ
UDI-Device Identifier05415067036384
UDI-Public(01)05415067036384(10)11084875(17)261231
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
P150035
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 04/02/2026
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 Number11084875
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 03/06/2026
Initial Report FDA Received Date04/02/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/10/2025
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 Other; Required Intervention;
Patient SexUnknown
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