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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) TENDRIL SDX LEAD; NO MATCH

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ABBOTT MEDICAL (CRM-SYLMAR) TENDRIL SDX LEAD; NO MATCH Back to Search Results
Model Number 1688TC/46
Medical Device Problem Codes Fracture (1260); High impedance (1291)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/04/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the right atrial (ra) lead exhibited a sharp jump in pacing impedance, indicative of potential lead fracture.No intervention was made, and no patient symptoms were reported.
 
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Brand Name
TENDRIL SDX LEAD
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 Key25250821
Report Number2017865-2026-10782
Device Sequence Number16107898
Product Code NVN
UDI-Device Identifier05414734501989
UDI-Public(01)05414734501989(10)3516713(17)141031
Combination Product (Y/N)Y
Initial Reporter StateNV
Initial Reporter CountryUS
PMA/510(K) Number
P960013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2012
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 06/22/2026
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 Date10/31/2014
Device Model Number1688TC/46
Device Lot Number3516713
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 05/04/2026
Supplement Date Received by Manufacturer06/02/2026
Initial Report FDA Received Date05/21/2026
Supplement Report FDA Received Date06/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/07/2011
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
ASSURITY.; TENDRIL RV LEAD.
Patient SexFemale
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