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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) JOT DX¿ ICM; RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION)

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ABBOTT MEDICAL (CRM-SYLMAR) JOT DX¿ ICM; RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION) Back to Search Results
Model Number DM4500
Medical Device Problem Code Under-Sensing (1661)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/20/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that undersensing was observed on the device.Abbott technical support was contacted and recommended reprogramming, which was anticipated to resolve the event.The patient was stable and there were no adverse consequences.
 
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Brand Name
JOT DX¿ ICM
Common Device Name
RECORDER, EVENT, IMPLANTABLE CARDIAC, (WITHOUT ARRHYTHMIA DETECTION)
Manufacturer (Section D)
ABBOTT MEDICAL (CRM-SYLMAR)
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 Key24848821
Report Number2017865-2026-07539
Device Sequence Number8927038
Product Code MXC
UDI-Device Identifier05415067040046
UDI-Public(01)05415067040046(10)P000195838(17)250906
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K163407
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 07/22/2026
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 Expiration Date09/06/2025
Device Model NumberDM4500
Device Lot NumberP000195838
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 03/22/2026
Supplement Date Received by Manufacturer07/22/2026
Initial Report FDA Received Date04/11/2026
Supplement Report FDA Received Date07/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/09/2024
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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