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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Quadra Allure MP CRT-P; Pulse Generator, Pacemaker, Implantable, With Cardiac Resynchronization (Crt-P)

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Abbott Medical (CRM-Sylmar) Quadra Allure MP CRT-P; Pulse Generator, Pacemaker, Implantable, With Cardiac Resynchronization (Crt-P) Back to Search Results
Model Number PM3562
Medical Device Problem Code Therapy Delivered to Incorrect Body Area (1508)
Health Effect - Clinical Code Discomfort (2330)
Type of Reportable Event Malfunction
Event or Problem Description
The patient reported experiencing muscle stimulation in the pocket of the device.Additional information was requested but not yet received.The patient is stable.
 
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Brand Name
Quadra Allure MP CRT-P
Common Device Name
Pulse Generator, Pacemaker, Implantable, With Cardiac Resynchronization (Crt-P)
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 Key50221352
Report Number2017865-2026-16894
Device Sequence Number18786075
Product Code NKE
UDI-Device Identifier05414734510097
UDI-Public(01)05414734510097
Combination Product (Y/N)N
Initial Reporter CountryFI
PMA/510(K) Number
P030035
Number of Events Summarized1
Summary Report (Y/N)N
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,Followup
Report Date (Section B) 08/12/2026
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 Date01/31/2026
Device Model NumberPM3562
Device Lot NumberP000206151
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 07/24/2026
Supplement Date Received by Manufacturer08/12/2026
Initial Report FDA Received Date08/12/2026
Supplement Report FDA Received Date08/12/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/19/2024
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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