| Brand Name | 8CH Infinity DBS Flex Extn Kit, 60cm, B |
| Common Device Name | Stimulator, Electrical, Implanted, For Parkinsonian Tremor |
| Manufacturer (Section D) |
| Abbott Medical |
| 6901 preston rd |
| plano TX 75024 |
|
| Manufacturer (Section G) |
| Abbott Medical |
| 6901 preston rd |
|
| plano TX 75024 |
|
| Manufacturer Contact |
|
sara
speyerer
|
| 6901 preston road |
| plano, TX 75024
|
|
+1(972)309-8000
|
|
| MDR Report Key | 50041425 |
| Report Number | 1627487-2026-09139 |
| Device Sequence Number | 9853529 |
| Product Code |
MHY
|
| UDI-Device Identifier | 05415067030351 |
| UDI-Public | (01)05415067030351(10)7013177(17)210524 |
| Combination Product (Y/N) | N |
| Initial Reporter State | SD |
| Initial Reporter Country | US |
| PMA/510(K) Number | P140009 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2019 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/11/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 05/24/2021 |
| Device Model Number | 6372 |
| Device Catalogue Number | 6372 |
| Device Lot Number | 7013177 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/30/2026 |
| Supplement Date Received by Manufacturer | 07/29/2026
|
| Initial Report FDA Received Date | 07/27/2026 |
| Supplement Report FDA Received Date | 08/11/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 05/25/2019 |
| 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 |
Concomitant Medical Products and Therapy/Usage Dates | DBS IPG; DBS burr hole cap (x2); DBS extension; DBS lead (x2) |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Male |
| Patient Weight | 180 LB |