FDA Adverse Event Injury Summary report: N

HF SENSOR DELIVERY SYSTEM

MDR report key: 22701464 · Received August 4, 2025

Report

Report Number
3004936110-2025-01521
Event Type
Injury
Date Received
August 4, 2025
Date of Event
July 29, 2025
Report Date
September 7, 2025
Manufacturer
ABBOTT MEDICAL
Product Code
MOM
UDI-DI
05414734509237
PMA / PMN Number
P100045
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF THE INFORMATION PROVIDED WAS PERFORMED, AND THE SENSOR WAS WITHIN THE TOLERANCE FOR CM MEAN; THEREFORE, THE REPORTED EVENT IS UNCONFIRMED. THIS REPORTED EVENT WAS INVESTIGATED FOR POSSIBLE INACCURATE READING. BASED ON A BACKEND LOG ANALYSIS, IT WAS CONFIRMED THAT THE SENSOR WAS OPERATING WITHIN THE EXPECTED FREQUENCY RANGE OF 30-37.5 MHZ THE SENSOR WAS OPERATING AT 34.07 MHZ, 34.08 MHZ AND 34.54 MHZ DURING THE REVIEW OF THE APPLICABLE READING(S). A REVIEW OF THE DEVICE HISTORY RECORD WAS PERFORMED 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. A LOT REVIEW WAS PERFORMED VIA COMPLAINT HANDLING SYSTEM (EPIQ) USING A SEARCH ON THE BATCH NUMBER. CONCLUSIVELY, THERE ARE NO ADDITIONAL COMPLAINT(S) RELATED TO THE ASSOCIATED BATCH, AND THE REPORTED ISSUE.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED FROM THE CLINIC REPORTED THE PATIENT WAS ADMITTED TO THE HOSPITAL FROM (B)(6) 2025, WAS TREATED WITH DIURETICS AND DOBUTAMINE, AND DISCHARGED. THE PATIENT CONTINUES TO USE THE CARDIOMEMS AND IS MONITORED BY THE CLINIC.

Description of Event or Problem · 0

A RIGHT HEART CATHETERIZATION WAS PERFORMED TO CONFIRM THE VALIDITY OF THE PRESSURE SENSOR READINGS. THE SENSOR WAS RECALIBRATED AND THE MEAN WAS DECREASED BY 2.5 MMHG. READINGS WERE OBSERVED UNDER THE MANUFACTURER'S PATIENT CARE NETWORK DATABASE. ADDITIONALLY, THE PATIENT WAS REPORTED TO HAVE BEEN HOSPITALIZED DUE TO HYPOVOLEMIA WHILE EXPERIENCING SHORTNESS OF BREATH AND INCREASING KIDNEY FUNCTION. PENDING FURTHER INFORMATION FROM THE CLINIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
202498 HF SENSOR DELIVERY SYSTEM SYSTEM, HEMODYNAMIC, IMPLANTABLE MOM ABBOTT MEDICAL CM2000 10388378 05414734509237

Patients

Seq Age Sex Outcome Treatment
1 72 YR Male Required Intervention| H