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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical Proclaim¿ DRG Implantable Pulse Generator; SCS IPG

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Abbott Medical Proclaim¿ DRG Implantable Pulse Generator; SCS IPG Back to Search Results
Model Number 3664
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient¿s ipg has reached its end of life.It is unknown if this occurred prematurely.As a result, surgical intervention may be undertaken to address the issue.
 
Additional Manufacturer Narrative
E1 - reporter phone number (b)(6).Date of event is estimated.
 
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Brand Name
Proclaim¿ DRG Implantable Pulse Generator
Common Device Name
SCS IPG
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 Key50868230
Report Number1627487-2026-10243
Device Sequence Number18486662
Product Code PMP
UDI-Device Identifier05415067020215
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
P150004
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
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) 09/23/2026
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 Date10/11/2025
Device Model Number3664
Device Catalogue Number3664
Device Lot NumberT00005753
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 09/03/2026
Initial Report FDA Received Date09/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/12/2023
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 Other;
Patient SexUnknown
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