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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CVRX, INC BAROSTIM NEO2; CAROTID SINUS LEAD

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CVRX, INC BAROSTIM NEO2; CAROTID SINUS LEAD Back to Search Results
Model Number 1036
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Bacterial Infection (1735); Discomfort (2330); Swelling/ Edema (4577)
Date of Event 04/18/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
While analysis was unable to be performed as the device was not returned, per the opinion of the physician, the root cause of the infection was unknown.The device history and sterilization record for this device serial number has been reviewed.No issues or discrepancies were noted during this review that would have contributed to the reported event.Bioburden, pyrogen, lal, and cleanroom cae testing results were below control limits for the quarter the csl was manufactured.The device met material, assembly, and quality control requirements.Cvrx id# (b)(4).
 
Event or Problem Description
A barostim system was implanted on (b)(6) 2026.On (b)(6) 2026, following a long day of increased activity, the patient experienced redness, tenderness, warmth and swelling near and above the chest incision as well as chest discomfort.On (b)(6) 2026 they presented to the emergency room where they were admitted.Labs and an ekg were done and intravenous antibiotics were administered.It was reported that cellulitis was found on the lead attached to the right carotid and on (b)(6) 2026, the lead was explanted.Per the opinion of the physician, the root cause of the infection was unknown.The patient was discharged on (b)(6) 2026, the infection resolved.
 
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Brand Name
BAROSTIM NEO2
Common Device Name
CAROTID SINUS LEAD
Manufacturer (Section D)
CVRX, INC
9201west broadway avenue
suite 650
minneapolis MN 55445
Manufacturer (Section G)
CVRX, INC
9201west broadway avenue
suite 650
minneapolis MN 55445
Manufacturer Contact
vincent mbibi
9201west broadway avenue
suite 650
minneapolis, MN 55445
7634162856
MDR Report Key25218238
Report Number3007972010-2026-00059
Device Sequence Number21276728
Product Code DSR
UDI-Device Identifier00859144004463
UDI-Public(01)00859144004463(17)271201
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
P180050
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted Year2026
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) 05/19/2026
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 Lay User/Patient
Device Model Number1036
Device Catalogue Number100063-212
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 04/22/2026
Initial Report FDA Received Date05/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/01/2025
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
Outcome Attributed to Adverse Event Hospitalization; Other;
Patient Age64 YR
Patient SexFemale
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