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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Aveir¿ Leadless Pacemaker, Right Ventricle

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Abbott Medical (CRM-Sylmar) Aveir¿ Leadless Pacemaker, Right Ventricle Back to Search Results
Model Number LSP202V
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Low Blood Pressure/ Hypotension (1914); Dizziness (2194); Cardiac Perforation (2513); Pericardial Effusion (3271)
Date of Event 09/09/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient presented for an initial implant procedure of an aveir leadless system on (b)(6) 2026.The ventricular leadless pacemaker (vlp) was implanted uneventfully.Upon fixating the atrial leadless pacemaker (alp), it was noted the capture thresholds were high, the pacing impedance was low, and there was no change in the current of injury.The alp was repositioned with similar measurements noted with the added side effect of no capture due to the high thresholds.The physician opted for ventricular pacing only and elected to abandon the alp.Post-procedure the patient reported symptoms of nausea, dizziness, and low blood pressure.Transthoracic echocardiogram (tte) revealed pericardial effusion in the atria with blood being localized to the area indicating a cardiac perforation.A pericardiocentesis was performed to remove the blood and the patient stabilized.No further intervention is planned.
 
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¿ Leadless Pacemaker, Right Ventricle
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 Key50883327
Report Number2017865-2026-20280
Device Sequence Number9826621
Product Code PNJ
UDI-Device Identifier05415067040725
UDI-Public(01)05415067040725(10)S000114032(17)280521
Combination Product (Y/N)Y
Initial Reporter StateWI
Initial Reporter CountryUS
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 Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/24/2026
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 NumberLSP202V
Device Lot NumberS000114032
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 09/09/2026
Initial Report FDA Received Date09/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/21/2026
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; Other;
Patient SexFemale
Patient RaceWhite
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