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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical (CRM-Sylmar) Assert-IQ¿ ICM; Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection)

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Abbott Medical (CRM-Sylmar) Assert-IQ¿ ICM; Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection) Back to Search Results
Model Number DM5000
Medical Device Problem Code Failure to Interrogate (1332)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a patient's insertable cardiac monitor (icm) was unable to be interrogated despite troubleshooting attempts.Extended magnet placement was performed, but the icm was unable to interrogated.The patient condition was not reported.
 
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Brand Name
Assert-IQ¿ ICM
Common Device Name
Recorder, Event, Implantable Cardiac, (Without Arrhythmia Detection)
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 Key50936718
Report Number2017865-2026-19486
Device Sequence Number9598083
Product Code MXC
UDI-Device Identifier05415067047793
UDI-Public(01)05415067047793(10)S000093284(17)250725
Combination Product (Y/N)Y
Initial Reporter CountryUS
PMA/510(K) Number
K230286
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
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? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date07/25/2025
Device Model NumberDM5000
Device Lot NumberS000093284
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/09/2026
Initial Report FDA Received Date09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/01/2024
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 Age76 YR
Patient SexMale
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