FDA Adverse Event Injury Summary report: N

KIT IMPLANTABLE SLIM TIP LEAD, 50CM

MDR report key: 23392073 · Received October 27, 2025

Report

Report Number
1627487-2025-05269
Event Type
Injury
Date Received
October 27, 2025
Date of Event
October 9, 2025
Report Date
January 27, 2026
Manufacturer
ABBOTT MEDICAL
Product Code
PMP
UDI-DI
05415067027153
PMA / PMN Number
P150004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE RESULTS OF THE INVESTIGATION ARE INCONCLUSIVE SINCE THE DEVICE WAS NOT RETURNED FOR ANALYSIS. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED EVENT COULD NOT BE CONCLUSIVELY DETERMINED.

Additional Manufacturer Narrative · 0

DATE OF EVENT IS ESTIMATED. ADDITIONAL COMPONENTS POTENTIALLY INVOLVED IN THE EVENT INCLUDE: COMMON DEVICE NAME: KIT IMPLANTABLE SLIM TIP LEAD, 50CM, MODEL: MN10450-50A, UDI: (B)(4), SERIAL: (B)(6), BATCH: 9240021.

Description of Event or Problem · 0

IT WAS REPORTED PATIENT HAD HIGH IMPEDANCES ON ONE LEAD AND THE LEAD HAD MIGRATED. PATIENT LOST EFFECTIVE STIMULATION AS A RESULT. TO ADDRESS THE ISSUES, PATIENT UNDERWENT SURGICAL INTERVENTION ON (B)(6) 2026 WHEREIN BOTH LEADS WERE EXPLANTED AND REPLACED. THERAPY WAS RESTORED POST-OP.

Description of Event or Problem · 0

IT WAS REPORTED PATIENT HAS HIGH IMPEDANCES ON ONE OF THE DRG LEADS. INVESTIGATION WAS UNABLE TO IDENTIFY WHICH LEAD ATTRIBUTED TO THE ISSUE. SURGICAL INTERVENTION MAY BE PENDING TO ADDRESS THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2734064 KIT IMPLANTABLE SLIM TIP LEAD, 50CM DRG LEAD PMP ABBOTT MEDICAL MN10450-50A 9240021 05415067027153

Patients

Seq Age Sex Outcome Treatment
1 NA Male Other DRG IPG.