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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL KIT IMPLANTABLE SLIM TIP LEAD, 50CM; DRG LEAD

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ABBOTT MEDICAL KIT IMPLANTABLE SLIM TIP LEAD, 50CM; DRG LEAD Back to Search Results
Model Number MN10450-50A
Medical Device Problem Code Use of Device Problem (1670)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 04/22/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Date of event and patient's weight is estimated.During processing of this complaint, attempts were made to obtain complete device information.Additional components potentially involved in the event include: common device name: kit implantable slim tip lead, 50 cm, model: mn10450-50a, udi: (b)(4), serial: unk, batch: ab2346.The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported event could not be conclusively determined.
 
Event or Problem Description
It was reported that during a drg system explant surgery, a portion of a lead was left implanted in the patient.As a result, surgical intervention may be undertaken to address the issue.It is unknown which lead was left implanted.
 
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Brand Name
KIT IMPLANTABLE SLIM TIP LEAD, 50CM
Common Device Name
DRG LEAD
Manufacturer (Section D)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer (Section G)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
9723098000
MDR Report Key25149061
Report Number1627487-2026-07808
Device Sequence Number18474984
Product Code PMP
UDI-Device Identifier05415067025531
UDI-Public(01)05415067025531(10)AB2346(17)190621
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
P150004
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2018
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 05/12/2026
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 Expiration Date06/21/2019
Device Model NumberMN10450-50A
Device Catalogue NumberMN10450-50A
Device Lot NumberAB2346
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 04/22/2026
Initial Report FDA Received Date05/12/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
DRG IPG.; DRG LEAD.
Outcome Attributed to Adverse Event Other;
Patient Age46 YR
Patient SexFemale
Patient Weight82 KG
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