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U.S. Department of Health and Human Services

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

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Abbott Medical (CRM-Sylmar) Aveir¿ Leadless Pacemaker, Right Atrium Back to Search Results
Model Number LSP201A
Medical Device Problem Codes Low impedance (2285); Capturing Problem (2891)
Health Effect - Clinical Codes Low Blood Pressure/ Hypotension (1914); Cardiac Tamponade (2226); Cardiac Perforation (2513)
Date of Event 09/17/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during the implant procedure of a right atrium leadless pacemaker (ralp) that after fixating and transitioning to tether mode that there was low pacing impedance and high capture threshold.Angiography was performed and revealed that the helix of the ralp perforated the right atrial appendage.After some time, the physician elected to unscrew since the threshold was not decreasing, at this time, the patient's blood pressure dropped due to cardiac tamponade.The physician elected to abandon the implant procedure.The physician performed pericardiocentesis and the blood pressure stabilized.After about an hour the patient worsened again, and physician decided to open the chest and perform surgery to repair the wound.The patient was stable following the procedure.
 
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 Atrium
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 Key50935820
Report Number2017865-2026-20622
Device Sequence Number10734846
Product Code PNJ
UDI-Device Identifier05415067040701
UDI-Public(01)05415067040701(10)S000115114(17)280722
Combination Product (Y/N)Y
Initial Reporter CountryCH
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 Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/29/2026
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 Model NumberLSP201A
Device Lot NumberS000115114
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 09/18/2026
Initial Report FDA Received Date09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/22/2026
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
Concomitant Medical Products
and Therapy/Usage Dates
Introducer
Outcome Attributed to Adverse Event Required Intervention; Life Threatening;
Patient SexUnknown
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