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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) ISOFLEX OPTIM LEAD; Permanent Defibrillator Electrodes

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Abbott Medical (CRM-Sylmar) ISOFLEX OPTIM LEAD; Permanent Defibrillator Electrodes Back to Search Results
Model Number 1944/52
Medical Device Problem Codes Fracture (1260); Over-Sensing (1438)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
During remote follow-up, noise which resulted in oversensing was observed on the atrial lead.The suspected cause of the event is a lead fracture; however this has not been confirmed.No intervention has been performed at this time.The patient was stable and will continue to be monitored.
 
Event or Problem Description
Additional information received indicates that the noise was successfully reproduced with provocative testing.Diagnostic imaging was also performed to assess alleged lead damage on the rv and a leads, but the results are unavailable.
 
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Brand Name
ISOFLEX OPTIM LEAD
Common Device Name
Permanent Defibrillator Electrodes
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 Key50884236
Report Number2017865-2026-20026
Device Sequence Number10667623
Product Code NVY
UDI-Device Identifier05414734502320
UDI-Public(01)05414734502320(10)P000009191(17)180430
Combination Product (Y/N)Y
Initial Reporter CountryUK
PMA/510(K) Number
P960030
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2016
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
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? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date04/30/2018
Device Model Number1944/52
Device Lot NumberP000009191
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 09/07/2026
Initial Report FDA Received Date09/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/22/2015
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
Patient SexUnknown
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