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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) ENTRANT VR; No Match

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ABBOTT MEDICAL (CRM-SYLMAR) ENTRANT VR; No Match Back to Search Results
Model Number CDVRA300Q
Medical Device Problem Codes Inappropriate or Unexpected Reset (2959); Compatibility Problem (2960)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
Following a magnetic resonance imaging (mri), the device was found to be in backup vvi mode (bvvi) resulting in high-voltage (hv) therapy being disabled.Technical support was contacted, and the device was reprogrammed to resolve the event.The patient was stable with no consequences.
 
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Brand Name
ENTRANT VR
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 Key25647900
Report Number2017865-2026-13322
Device Sequence Number9838920
Product Code NIK
UDI-Device Identifier05415067032836
UDI-Public(01)05415067032836(10)P000170956(17)250531
Combination Product (Y/N)N
Initial Reporter CountrySP
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) 06/28/2026
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 Date05/31/2025
Device Model NumberCDVRA300Q
Device Catalogue NumberCDVRA300Q
Device Lot NumberP000170956
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 06/19/2026
Initial Report FDA Received Date06/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/25/2023
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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