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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Aveir¿ Delivery Catheter; Leadless Pacemaker

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Abbott Medical (CRM-Sylmar) Aveir¿ Delivery Catheter; Leadless Pacemaker Back to Search Results
Model Number LSCD201
Medical Device Problem Code Connection Problem (2900)
Health Effect - Clinical Codes Cardiac Perforation (2513); Pericardial Effusion (3271)
Date of Event 08/13/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient presented in clinic for initial implant procedure on (b)(6) 2026.Upon fixation during procedure, the right atrial (ra) leadless pacemaker (lp) exhibited intermittent high threshold, low sensing of p-wave, and decreased pacing impedance.Repositioning was attempted, but the ralp was difficult to be re-docked to the delivery catheter.Eventually, the ralp was able to be re-docked, and repositioned.Ralp helix was visually examined outside of the body, and no issue was noted.The ralp was implanted as a result.Upon cardiac ultra-sound imaging post-procedure, it was found that the patient had developed a pericardial effusion due to a cardiac perforation.The patient was transferred to an intensive care unit with a chest tube inserted for the effusion.No further intervention was performed.Patient condition was stable.
 
Additional Manufacturer Narrative
A device history record (dhr) review was performed and all required manufacturing processes and inspections steps were confirmed to be completed per the requirements.The device met specifications prior to leaving abbott manufacturing facilities.
 
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Brand Name
Aveir¿ Delivery Catheter
Common Device Name
Leadless Pacemaker
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 Key50510036
Report Number2017865-2026-18236
Device Sequence Number10709593
Product Code PNJ
UDI-Device Identifier05415067038487
UDI-Public(01)05415067038487(10)11429216(17)270731
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
P150035
Number of Events Summarized1
Summary Report (Y/N)N
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) 08/28/2026
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 NumberLSCD201
Device Catalogue NumberLSCD201
Device Lot Number11429216
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 08/13/2026
Initial Report FDA Received Date08/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/26/2026
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 Required Intervention; Hospitalization; Life Threatening;
Patient SexUnknown
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