FDA Adverse Event Injury Summary report: N

KIT IMPLANTABLE SLIM TIP LEAD, 50CM

MDR report key: 23783060 · Received December 11, 2025

Report

Report Number
1627487-2025-06114
Event Type
Injury
Date Received
December 11, 2025
Date of Event
November 18, 2025
Report Date
March 12, 2026
Manufacturer
ABBOTT MEDICAL
Product Code
PMP
UDI-DI
05415067027153
PMA / PMN Number
P150004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL COMPONENTS POTENTIALLY INVOLVED IN THE EVENT INCLUDE: COMMON DEVICE NAME: KIT IMPLANTABLE SLIM TIP LEAD, 50CM, 60CM LENGTH, MODEL: MN10450-50A, UDI: (B)(4), SERIAL: (B)(6), BATCH: 7221395.

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 INCIDENT COULD NOT BE CONCLUSIVELY DETERMINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ELECTIVE PROCEDURE TO EXPLANT THE PATIENT'S DRG SYSTEM, ONE OF THE LEADS FRAYED AND PART OF IT WAS LEFT IMPLANTED. AS A RESULT, SURGICAL INTERVENTION MAY BE UNDERTAKEN TO ADDRESS THE ISSUE. IT IS UNKNOWN WHICH LEAD FRAYED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2626943 KIT IMPLANTABLE SLIM TIP LEAD, 50CM DRG LEAD PMP ABBOTT MEDICAL MN10450-50A 7221395 05415067027153

Patients

Seq Age Sex Outcome Treatment
1 41 YR Female Other DRG IPG| DRG LEAD