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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) TENDRIL MRI; No Match

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ABBOTT MEDICAL (CRM-SYLMAR) TENDRIL MRI; No Match Back to Search Results
Model Number LPA1200M/46
Medical Device Problem Code Over-Sensing (1438)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 02/07/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Further information was requested but not received.
 
Event or Problem Description
It was reported that the patient was monitored via merlin.Net.The transmissions showed that the right atrial lead exhibited noise oversensing.No intervention was performed.
 
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Brand Name
TENDRIL MRI
Common Device Name
No Match
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 Key25157153
Report Number2017865-2026-09962
Device Sequence Number9316165
Product Code NVN
UDI-Device Identifier05414734504683
UDI-Public(01)05414734504683(10)A000049806(17)180621
Combination Product (Y/N)Y
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
P140033
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,User Facility
Initial Reporter Occupation Nurse
Type of Report Initial
Report Date (Section B) 05/13/2026
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 Date06/21/2018
Device Model NumberLPA1200M/46
Device Lot NumberA000049806
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 04/23/2026
Initial Report FDA Received Date05/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/21/2017
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
FORTIFY ASSURA DR ICD.; OPTISURETACHY MRI LEAD.
Patient Age76 YR
Patient SexFemale
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