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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Aveir¿ Delivery Catheter; Leadless Pacemaker

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Abbott Medical (CRM-Sylmar) Aveir¿ Delivery Catheter; Leadless Pacemaker Back to Search Results
Model Number LSCD201
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
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¿ Delivery Catheter
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 Key50935828
Report Number2017865-2026-20623
Device Sequence Number16139576
Product Code PNJ
UDI-Device Identifier05415067038487
UDI-Public(01)05415067038487(10)11452990(17)270831
Combination Product (Y/N)N
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? No
Operator of Device Health Professional
Device Model NumberLSCD201
Device Catalogue NumberLSCD201
Device Lot Number11452990
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 Manufactured06/09/2026
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 Life Threatening; Required Intervention;
Patient SexUnknown
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