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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL PACEL BIPOLAR PACING CATHETER; ELECTRODE, PACEMAKER, TEMPORARY

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ABBOTT MEDICAL PACEL BIPOLAR PACING CATHETER; ELECTRODE, PACEMAKER, TEMPORARY Back to Search Results
Model Number 401763
Medical Device Problem Codes Inflation Problem (1310); Gas/Air Leak (2946)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/16/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
 
Event or Problem Description
It was reported that during procedure a pacel balloon on the bipolar pacing catheter appeared to be leaking and could not be inflated.
 
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Brand Name
PACEL BIPOLAR PACING CATHETER
Common Device Name
ELECTRODE, PACEMAKER, TEMPORARY
Manufacturer (Section D)
ABBOTT MEDICAL
3200 lakeside drive
santa clara CA 95054 2807
Manufacturer (Section G)
ABBOTT MEDICAL REG# 2135147
5050 nathan ln n
plymouth MN 55442
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key24834870
Report Number3004742232-2026-00087
Device Sequence Number13051205
Product Code LDF
UDI-Device Identifier05414734007856
UDI-Public(01)05414734007856
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K161873
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,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 06/04/2026
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 Number401763
Device Catalogue Number401763
Device Lot Number11125572
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/18/2026
Supplement Date Received by Manufacturer05/27/2026
Initial Report FDA Received Date04/09/2026
Supplement Report FDA Received Date06/04/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/06/2025
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
Patient SexUnknown
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