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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Jot Dx¿ ICM; Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection)

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Abbott Medical (CRM-Sylmar) Jot Dx¿ ICM; Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection) Back to Search Results
Model Number DM4500
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code Discomfort (2330)
Date of Event 07/14/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Further information was requested but not received.
 
Event or Problem Description
It was reported that the patient experienced discomfort due to the insertable cardiac monitor (icm).Additionally, the insertable cardiac monitor (icm) battery was depleted.The physician explanted the icm.There were no patient complications reported.
 
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Brand Name
Jot Dx¿ ICM
Common Device Name
Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection)
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 Key50547380
Report Number2017865-2026-18373
Device Sequence Number16046334
Product Code MXC
UDI-Device Identifier05415067040046
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
PMA/510(K) Number
K163407
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
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/01/2026
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 Date06/20/2025
Device Model NumberDM4500
Device Lot NumberP000189664
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer08/13/2026
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 Date09/01/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/23/2023
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;
Patient Age71 YR
Patient SexFemale
Patient Weight151 LB
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