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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 Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Unspecified Infection (1930); Pocket Erosion (2013)
Date of Event 08/17/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient presented to hospital with infection and skin erosion at device pocket.The information received indicates that the infection was determined not to be associated with any abbott product or procedure.The pacemaker, right atrial lead, right ventricular lead and left ventricular lead were explanted and replaced.The patient was in stable condition throughout the procedure.
 
Additional Manufacturer Narrative
A device history record (dhr) review was performed and review of the sterilization records confirmed normal sterilization cycles for the products.The device met specifications prior to leaving abbott manufacturing facilities.The results of the investigation are inconclusive since the device was not returned for analysis.
 
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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 Key50337898
Report Number2017865-2026-17529
Device Sequence Number5431474
Product Code NKE
UDI-Device Identifier05414734510097
UDI-Public(01)05414734510097(10)A000154465(17)250731
Combination Product (Y/N)N
Initial Reporter StateKY
Initial Reporter CountryUS
PMA/510(K) Number
P030035
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/20/2026
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 Date07/31/2025
Device Model NumberPM3562
Device Lot NumberA000154465
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 Date08/20/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/04/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
Left ventricular lead; Right atrial lead; Right ventricular lead
Outcome Attributed to Adverse Event Required Intervention;
Patient Age80 YR
Patient SexFemale
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