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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/52
Medical Device Problem Codes Over-Sensing (1438); Pacing Problem (1439)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/26/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient presented for a follow-up in clinic.Interrogation revealed that the right atrial (ra) lead exhibited two episodes of noise over-sensing which resulted in inappropriate mode switching.The noise on the ra lead was not reproducible.No intervention or changes were performed, and the ra lead will continue to be monitored.The patient was asymptomatic and remained in a stable condition.
 
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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 Key50490895
Report Number2017865-2026-18130
Device Sequence Number18757475
Product Code NVN
UDI-Device Identifier05414734501859
UDI-Public(01)05414734501859(10)2115094(17)100930
Combination Product (Y/N)Y
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
P960013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2007
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) 08/28/2026
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 Date09/30/2010
Device Model Number1688TC/52
Device Lot Number0002115094
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 08/26/2026
Initial Report FDA Received Date08/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/27/2007
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
Ellipse DR; Optisure MRI
Patient Age84 YR
Patient SexMale
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