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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) ENDURITY DR; PULSE GENERATOR, PERMANENT, IMPLANTABLE

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ABBOTT MEDICAL (CRM-SYLMAR) ENDURITY DR; PULSE GENERATOR, PERMANENT, IMPLANTABLE Back to Search Results
Model Number PM2160
Medical Device Problem Codes Loose or Intermittent Connection (1371); Failure to Disconnect (2541)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/31/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a procedure, the set-screw of the pacemaker (pm) was stripped.The physician was unable to successfully loosen the set-screw to remove the lead from the header of the pm.The pm was explanted and replaced on (b)(6) 2026.The patient was stable throughout.
 
Additional Manufacturer Narrative
The reported event of unable to untighten the v-setscrew to remove the ventricular lead was confirmed.Analysis revealed the v-setscrew was stripped by the user/physician while trying to untighten it.No device anomalies were found.This is considered a user related anomaly.
 
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Brand Name
ENDURITY DR
Common Device Name
PULSE GENERATOR, PERMANENT, IMPLANTABLE
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 Key24908859
Report Number2017865-2026-08037
Device Sequence Number15909639
Product Code NVZ
UDI-Device Identifier05414734507059
UDI-Public(01)05414734507059(10)4504183(17)150930
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
P880086
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2014
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 05/19/2026
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 Date09/30/2015
Device Model NumberPM2160
Device Lot Number4504183
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/15/2026
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 03/31/2026
Supplement Date Received by Manufacturer05/14/2026
Initial Report FDA Received Date04/17/2026
Supplement Report FDA Received Date05/19/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/04/2014
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
2088TC/46 TENDRIL STS.; ENDURITY.
Patient Age66 YR
Patient SexFemale
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