FDA Adverse Event Injury Summary report: N

ATTAIN ABILITY PLUS MRI SURESCAN

MDR report key: 24215049 · Received January 29, 2026

Report

Report Number
2649622-2026-02779
Event Type
Injury
Date Received
January 29, 2026
Date of Event
January 8, 2026
Report Date
January 29, 2026
Manufacturer
MEDTRONIC PUERTO RICO VILLALBA
Product Code
OJX
UDI-DI
00643169860131
PMA / PMN Number
P080006
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONTINUATION OF D10: M7700-29 MECHANICAL VALVE, IMPLANTED: (B)(6) 1989, A7700-21 MECHANICAL VALVE IMPLANTED: (B)(6) 1989. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED BOTH DIAPHRAGMATIC AND PHRENIC NERVE STIMULATION POST IMPLANT PROCEDURE. THE LEFT VENTRICULAR (LV) LEAD WAS EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
278352 ATTAIN ABILITY PLUS MRI SURESCAN DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) P OJX MEDTRONIC PUERTO RICO VILLALBA 429688 00643169860131

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male Hospitalization| R SEE H11