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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) TENDRIL SDX LEAD; Drug Eluting Permanent Right Ventricular (Rv) Or Right Atrial (Ra) Pacemaker Electrodes

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Abbott Medical (CRM-Sylmar) TENDRIL SDX LEAD; Drug Eluting Permanent Right Ventricular (Rv) Or Right Atrial (Ra) Pacemaker Electrodes Back to Search Results
Model Number 1688TC/58
Medical Device Problem Codes Break (1069); Failure to Capture (1081); Low impedance (2285)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/13/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient presented for an atrioventricular (av) node ablation procedure on (b)(6) 2026.Interrogation before the procedure revealed that the right ventricular (rv) lead exhibited a positional complete loss of capture.The rv lead was also noted to have low pacing impedance and a breached insulation.The rv lead was capped and replaced on (b)(6) 2026.The patient remained stable throughout the procedure.
 
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Brand Name
TENDRIL SDX LEAD
Common Device Name
Drug Eluting Permanent Right Ventricular (Rv) Or Right Atrial (Ra) Pacemaker 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 Key50360204
Report Number2017865-2026-17606
Device Sequence Number12277733
Product Code NVN
UDI-Device Identifier05414734501996
UDI-Public(01)05414734501996(10)2113639(17)090331
Combination Product (Y/N)Y
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P960013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2006
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) 08/21/2026
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? Yes
Operator of Device Health Professional
Device Expiration Date03/31/2009
Device Model Number1688TC/58
Device Lot Number0002113639
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 Date08/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/26/2006
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
Assurity MRI; Tendril SDX
Outcome Attributed to Adverse Event Required Intervention;
Patient Age66 YR
Patient SexFemale
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