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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) ELLIPSE DR; Pulse generator, permanent, implantable

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ABBOTT MEDICAL (CRM-SYLMAR) ELLIPSE DR; Pulse generator, permanent, implantable Back to Search Results
Model Number CD2411-36Q
Medical Device Problem Code Over-Sensing (1438)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/18/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient presented remotely via merlin.Net.It was discovered that the patient's implantable cardioverter defibrillator (icd) exhibited post-paced t-wave oversensing.Programming changes were made, and the patient did not experience any consequences.
 
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Brand Name
ELLIPSE DR
Common Device Name
Pulse generator, permanent, implantable
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 Key25725406
Report Number2017865-2026-14194
Device Sequence Number5737947
Product Code NVZ
UDI-Device Identifier05414734507615
UDI-Public(01)05414734507615(10)A000111804(17)230630
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
P910023
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Nurse
Type of Report Initial
Report Date (Section B) 07/06/2026
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 Date06/30/2023
Device Model NumberCD2411-36Q
Device Catalogue NumberCD2411-36Q
Device Lot NumberA000111804
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 06/18/2026
Initial Report FDA Received Date07/06/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/25/2021
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
DURATA.; TENDRIL.
Patient Age57 YR
Patient SexFemale
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