| Brand Name | ISOFLEX OPTIM LEAD |
| Common Device Name | PERMANENT DEFIBRILLATOR ELECTRODES |
| 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 Key | 25552701 |
| Report Number | 2017865-2026-12706 |
| Device Sequence Number | 10731629 |
| Product Code |
NVY
|
| UDI-Device Identifier | 05414734502320 |
| UDI-Public | (01)05414734502320(10)P000241891(17)280930 |
| Combination Product (Y/N) | Y |
| Initial Reporter Country | IN |
| PMA/510(K) Number | P960030 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Company Representative,Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/23/2026 |
| 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 Model Number | 1944/52 |
| Device Lot Number | P000241891 |
| Was Device Available for Evaluation? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/31/2026 |
| Supplement Date Received by Manufacturer | 06/23/2026
|
| Initial Report FDA Received Date | 06/18/2026 |
| Supplement Report FDA Received Date | 06/23/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/12/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |