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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical Kit Trial Slim Tip Lead, 50cm; DRG LEAD

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Abbott Medical Kit Trial Slim Tip Lead, 50cm; DRG LEAD Back to Search Results
Model Number MN10350-50A
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Muscle Weakness/Atrophy (1967)
Date of Event 08/24/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient experienced leg weakness when their trial leads were explanted on (b)(6) 2026.Symptoms have resolved.It is unknown which lead the allegation is against.
 
Additional Manufacturer Narrative
Date of event is estimated.Additional components potentially involved in the event include: common device name: kit trial slim tip lead, 50cm, model: mn10350-50a, udi:(b)(4), serial: (b)(6), batch: 11047156.Common device name: kit trial slim tip lead, 50cm, model: mn10350-50a, udi: (b)(4), serial: (b)(6), batch: 11284316.Based on the information provided a device problem was not identified, as a result a conclusive cause for the reported patient effect, and the relationship to the product, if any, cannot be determined. .
 
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Brand Name
Kit Trial Slim Tip Lead, 50cm
Common Device Name
DRG LEAD
Manufacturer (Section D)
Abbott Medical
6901 preston rd
plano TX 75024
Manufacturer (Section G)
Abbott Medical
6901 preston rd
plano TX 75024
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
+1(972)309-8000
MDR Report Key50845531
Report Number1627487-2026-10118
Device Sequence Number9901465
Product Code PMP
UDI-Device Identifier05415067027139
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
P150004
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/21/2026
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? No
Operator of Device Health Professional
Device Model NumberMN10350-50A
Device Catalogue NumberMN10350-50A
Device Lot Number11016382
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 08/24/2026
Initial Report FDA Received Date09/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/03/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
DRG LEAD (x2)
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight125 LB
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