FDA Adverse Event Malfunction Summary report: N

CARDIOMEMS¿ HOSPITAL SYSTEM

MDR report key: 21928922 · Received April 29, 2025

Report

Report Number
3004936110-2025-00763
Event Type
Malfunction
Date Received
April 29, 2025
Report Date
August 25, 2025
Manufacturer
ABBOTT MEDICAL
Product Code
MOM
UDI-DI
05415067034724
PMA / PMN Number
P100045
Removal / Correction Number
FA-Q325-HF-1
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION CODES ALONG WITH INVESTIGATION RESULTS WILL BE PROVIDED IN A SUBSEQUENT SUBMISSION.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SENT TO CORRECT THE MISSING INFORMATION IN SECTION G3 FROM MDR-2025-18000-02 - DATE RECEIVED BY MANUFACTURER.

Additional Manufacturer Narrative · 0

FA-Q325-HF-1 CARDIOMEMS DUPLICATE PATIENT PROFILE ADVISORY NOTICE ISSUED BY ABBOTT ON 20 AUG 2025.

Additional Manufacturer Narrative · 0

CAPA 139725 HAS BEEN INITIATED TO INVESTIGATE THIS ISSUE. THE DEVICE HISTORY RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED. THE REVIEW DETERMINED THAT NO NON-CONFORMANCES WERE IDENTIFIED THAT ARE RELATED TO THE REPORTED EVENT.

Description of Event or Problem · 0

ABBOTT R&D INTERNAL TESTING AND CODE REVIEW IDENTIFIED AN ISSUE WHERE THE READINGS FROM ONE CM3100 SYSTEM SESSION FOR ONE PATIENT (PATIENT A) WERE INCORRECTLY REPORTED UNDER A DIFFERENT PATIENT (PATIENT B). NO PATIENT INJURY WAS REPORTED. THE ISSUE IS CURRENTLY UNDER INVESTIGATION. MDR-2025-18003 WAS CREATED FOR THE SECOND PATIENT (PATIENT B).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1222301 CARDIOMEMS¿ HOSPITAL SYSTEM SYSTEM, HEMODYNAMIC, IMPLANTABLE MOM ABBOTT MEDICAL CM3100 8955182 05415067034724

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown