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U.S. Department of Health and Human Services

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

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Abbott Medical (CRM-Sylmar) Aveir¿ Leadless Pacemaker, Right Ventricle Back to Search Results
Model Number LSP202V
Medical Device Problem Codes Stretched (1601); Use of Device Problem (1670); Low impedance (2285)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/14/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the patient presented for an implant procedure.During the procedure, low pacing impedance and inadequate current of injury was observed after device fixation.Re-positioning was attempted; however, the device helix was sprung in the process.The device was not used, and a new one was implanted.There were no patient consequences.
 
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Brand Name
Aveir¿ Leadless Pacemaker, Right Ventricle
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 Key50949037
Report Number2017865-2026-20722
Device Sequence Number9534347
Product Code PNJ
UDI-Device Identifier05415067040725
UDI-Public(01)05415067040725(10)S000114951(17)280712
Combination Product (Y/N)Y
Initial Reporter CountryJA
PMA/510(K) Number
P150035
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted Year2026
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) 09/30/2026
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 NumberLSP202V
Device Lot NumberS000114951
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 09/14/2026
Initial Report FDA Received Date09/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/12/2026
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
Patient Age80 YR
Patient SexMale
Patient Weight85 LB
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