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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (CRM-SYLMAR) ZEPHYR XL SR; Pulse generator, permanent, implantable

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ABBOTT MEDICAL (CRM-SYLMAR) ZEPHYR XL SR; Pulse generator, permanent, implantable Back to Search Results
Model Number 5626
Medical Device Problem Code Unexpected Mode Switch (4076)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/24/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient presented for a follow-up in clinic.Upon interrogation, it was noted that the pacemaker was found in backup vvi.A device restoration was completed successfully.The patient was in stable condition.
 
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Brand Name
ZEPHYR XL SR
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 Key25795309
Report Number2017865-2026-14650
Device Sequence Number5852081
Product Code NVZ
UDI-Device Identifier05414734501712
UDI-Public(01)05414734501712(10)P000032973(17)180228
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P880086
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 07/13/2026
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 Date02/28/2018
Device Model Number5626
Device Lot NumberP000032973
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 06/24/2026
Initial Report FDA Received Date07/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/08/2016
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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