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U.S. Department of Health and Human Services

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

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Abbott Medical Kit Implantable Slim Tip Lead, 50cm; DRG LEAD Back to Search Results
Model Number MN10450-50A
Medical Device Problem Code High impedance (1291)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 08/27/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient experienced ineffective therapy following falls.Diagnostics revealed high impedances on the leads.It was also reported that the patient is scheduled for surgery for the ipg for an unknown reason.As a result, surgical intervention may be undertaken to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated.Further information was requested but not yet received.
 
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Brand Name
Kit Implantable 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 Key50893372
Report Number1627487-2026-10292
Device Sequence Number16130389
Product Code PMP
UDI-Device Identifier05415067027153
UDI-Public(01)05415067027153(10)6762429(17)201203
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P150004
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2019
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) 09/24/2026
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 Expiration Date12/03/2020
Device Model NumberMN10450-50A
Device Catalogue NumberMN10450-50A
Device Lot Number6762429
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 08/27/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/04/2018
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 SexFemale
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