| Brand Name | Current¿ PFA Generator |
| Common Device Name | Percutaneous Cardiac Ablation Catheter For Treatment Of Atrial Fibrillation With Irreversible Electroporation |
| Manufacturer (Section D) |
| Abbott Medical |
| one st. jude medical drive |
| st. paul MN 55117 |
|
| Manufacturer (Section G) |
| Abbott Medical |
| one st. jude medical drive |
|
| st. paul MN 55117 |
|
| Manufacturer Contact |
|
wendy
mccarty
|
| 5050 nathan lane north |
| plymouth, MN 55442
|
|
+1(651)756-5400
|
|
| MDR Report Key | 50917650 |
| Report Number | 2184149-2026-00256 |
| Device Sequence Number | 5777024 |
| Product Code |
QZI
|
| UDI-Device Identifier | 05415067051516 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | MY |
| PMA/510(K) Number | P250022 |
| Number of Events Summarized | 1 |
| Summary Report (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) |
09/28/2026 |
| 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 Model Number | PFA-GEN-01 |
| Device Catalogue Number | PFA-GEN-01 |
| Device Lot Number | 11016790 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/27/2026 |
| 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 | 09/04/2026 |
| Initial Report FDA Received Date | 09/28/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/29/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |