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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT ENTRANT DR; No Match

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ABBOTT ENTRANT DR; No Match Back to Search Results
Model Number CDDRA300Q
Medical Device Problem Codes Environmental Compatibility Problem (2929); Inappropriate or Unexpected Reset (2959)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/20/2026
Type of Reportable Event Malfunction
Event or Problem Description
Following a magnetic resonance imaging (mri), the device as found to be in backup vvi mode (bvvi) resulting in high-voltage (hv) therapy being disabled.It was noted that the device was not programmed to be in mri settings before the mri scan.Technical support was contacted and the device was reprogrammed to resolve the event.The patient was stable.
 
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Brand Name
ENTRANT DR
Common Device Name
No Match
Manufacturer (Section D)
ABBOTT
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ABBOTT MEDICAL
15900 valley view court
sylmar CA 91342
Manufacturer Contact
navpreet singh
15900 valley view court
sylmar, CA 91342
MDR Report Key25481062
Report Number2017865-2026-11515
Device Sequence Number9930328
Product Code NIK
UDI-Device Identifier05415067032843
UDI-Public(01)05415067032843(10)P000166013(17)250228
Combination Product (Y/N)N
Initial Reporter CountryIT
PMA/510(K) Number
P030054
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/11/2026
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 Date02/28/2025
Device Model NumberCDDRA300Q
Device Catalogue NumberCDDRA300Q
Device Lot NumberP000166013
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 05/20/2026
Initial Report FDA Received Date06/11/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/25/2023
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
Patient SexUnknown
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