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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 Codes High impedance (1291); Over-Sensing (1438); Capturing Problem (2891)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported through a remote transmission that noise over-sensing and high capture threshold were noted on the patient's pacemaker and the right atrial (ra) lead.Meanwhile, high pacing impedance measurements were noted on the patient's pacemaker, the left ventricular (lv) and the right ventricular (rv) leads from the same remote transmission.The patient was in stable condition.
 
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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 Key50314716
Report Number2017865-2026-17395
Device Sequence Number9873705
Product Code NKE
UDI-Device Identifier05414734510097
UDI-Public(01)05414734510097(10)P000163936(17)240831
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
P030035
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
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) 08/19/2026
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 Date08/31/2024
Device Model NumberPM3562
Device Lot NumberP000163936
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 Not provided
Initial Report FDA Received Date08/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/23/2023
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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