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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Entrant¿ HF; Defibrillator, Automatic Implantable Cardioverter, With Cardiac Resynchronization (Crt-D)

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Abbott Medical (CRM-Sylmar) Entrant¿ HF; Defibrillator, Automatic Implantable Cardioverter, With Cardiac Resynchronization (Crt-D) Back to Search Results
Model Number CDHFA300T
Medical Device Problem Codes High impedance (1291); Over-Sensing (1438)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/30/2026
Type of Reportable Event Death
Event or Problem Description
It was reported that increased pacing impedance was observed on the left ventricular (lv) and right ventricular (rv) channels of the device.Additionally, episodes of noise resulting in oversensing were observed on the rv channel.The cause of the event was not alleged.While attempting to gather additional information, it was found that the patient passed away.The circumstances of the patient death are not known.Additional information as requested but not yet received.
 
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Brand Name
Entrant¿ HF
Common Device Name
Defibrillator, Automatic Implantable Cardioverter, With Cardiac Resynchronization (Crt-D)
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 Key50457288
Report Number2017865-2026-17961
Device Sequence Number21426779
Product Code NIK
UDI-Device Identifier05415067049513
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
P030054
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
Report Date (Section B) 08/26/2026
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 Model NumberCDHFA300T
Device Catalogue NumberCDHFA300T
Device Lot NumberA000180630
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 08/17/2026
Initial Report FDA Received Date08/26/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/11/2025
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
Outcome Attributed to Adverse Event Death;
Patient SexUnknown
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