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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) ISOFLEX OPTIM LEAD; Permanent Defibrillator Electrodes

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Abbott Medical (CRM-Sylmar) ISOFLEX OPTIM LEAD; Permanent Defibrillator Electrodes Back to Search Results
Model Number 1948/58
Medical Device Problem Code No Apparent Adverse Event (3189)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 08/05/2026
Type of Reportable Event Malfunction
Event or Problem Description
This report is to advise of an event observed during analysis.
 
Additional Manufacturer Narrative
No complaint was received with the return of the device.Failure event observed during analysis.All tines were intact, and no anomalies were noted.Visual inspection of the lead found an external insulation abrasion exposing the outer coil consistent with friction to the device can, located in the proximal region of the lead.All other damages were found consistent with procedural damage.
 
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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 Key50181918
Report Number2017865-2026-16616
Device Sequence Number21297181
Product Code NVY
UDI-Device Identifier05414734502351
UDI-Public(01)05414734502351(10)A000016030(17)181130
Combination Product (Y/N)Y
Initial Reporter CountryUS
PMA/510(K) Number
P960030
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2017
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 08/07/2026
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 Other
Device Expiration Date11/30/2018
Device Model Number1948/58
Device Lot NumberA000016030
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/11/2026
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 08/05/2026
Initial Report FDA Received Date08/07/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/16/2015
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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