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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device pulse generator, pacemaker, implantable, with cardiac resynchronization (crt-p)
Definition These devices are indicated for patients who have moderate to severe heart failure. These new devices use an additional lead to provide synchronized pacing of the heart, in addition to the regular features of a pacemaker. These products are sought for the treatment of patients who have moderate to severe heart failure.
Product CodeNKE
Device Class 3

Premarket Approvals (PMA)
2021 2022 2023 2024 2025 2026
26 24 27 23 22 11

MDR Year MDR Reports MDR Events
2021 1177 1178
2022 1290 1292
2023 1469 1472
2024 1518 1521
2025 1956 1956
2026 1912 1913

Device Problems MDRs with this Device Problem Events in those MDRs
Premature Discharge of Battery 2359 2361
Adverse Event Without Identified Device or Use Problem 1880 1881
Incorrect, Inadequate or Imprecise Result or Readings 1541 1543
Pacing Problem 971 971
Over-Sensing 961 961
Signal Artifact/Noise 495 495
High impedance 447 449
Interrogation Problem 377 377
Failure to Capture 377 379
Defective Device 305 305
Battery Problem 283 283
Appropriate Device Problem Term/Code Not Available 220 220
Data Problem 187 187
Under-Sensing 179 179
Low impedance 165 167
High Capture Threshold 164 165
Use of Device Problem 152 152
Mechanical Problem 133 134
False Alarm 121 121
Failure to Read Input Signal 103 103
Failure to Interrogate 97 98
Telemetry Discrepancy 87 87
Inappropriate or Unexpected Reset 84 84
Insufficient Device Problem Information 84 84
Unable to Obtain Readings 78 78
Loose or Intermittent Connection 75 75
Impedance Problem 71 72
Connection Problem 65 66
Incorrect Measurement 60 61
Device Sensing Problem 54 54
Off-Label Use 53 53
Extracardiac stimulation 50 50
Capturing Problem 49 49
Electromagnetic Interference 48 48
Migration or Expulsion of Device 42 42
Communication or Transmission Problem 39 39
Pacemaker Found in Back-Up Mode 35 35
Nonstandard Device 35 35
No Pacing 33 33
No Apparent Adverse Event 32 32
Premature Elective Replacement Indicator 31 31
Misconnection 29 29
Unexpected Mode Switch 22 22
Reset Problem 22 22
Failure to Disconnect 20 20
False Positive Result 19 19
Migration 18 18
Unexpected Therapeutic Results 17 17
Inaccurate Synchronization 14 14
Therapy Delivered to Incorrect Body Area 14 14

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 5972 5982
Unspecified Infection 1411 1411
Insufficient Information 287 287
Syncope/Fainting 269 269
Device Overstimulation of Tissue 240 240
Bradycardia 224 224
Pocket Erosion 189 189
Asystole 181 181
Discomfort 157 157
Dizziness 138 138
Sepsis 129 129
Pain 102 102
Erosion 98 98
Bacterial Infection 92 92
Dyspnea 88 88
Hematoma 86 86
Erythema 76 76
Bacteremia 74 74
Swelling/ Edema 73 73
Arrhythmia 73 73
No Code Available 64 64
Fall 62 62
Purulent Discharge 61 61
Wound Dehiscence 57 57
Presyncope 52 52
Medical device site infection 48 48
Chest Pain 48 48
Fever 47 47
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 46 46
Fatigue 44 44
Tachycardia 42 42
Unspecified Heart Problem 39 39
Cardiac Arrest 35 35
Endocarditis 34 34
Loss of consciousness 33 33
Drug Resistant Bacterial Infection 29 29
Heart Failure/Congestive Heart Failure 29 29
No Known Impact Or Consequence To Patient 27 27
Undesired Nerve Stimulation 25 25
Atrial Fibrillation 18 18
Failure of Implant 17 17
Muscle Weakness/Atrophy 17 17
Malaise 16 16
Fluid Discharge 15 15
Anxiety 14 14
Head Injury 13 13
Non specific EKG/ECG Changes 13 13
Palpitations 12 12
Hemorrhage/Blood Loss/Bleeding 11 11
Hypersensitivity/Allergic reaction 11 11

Recalls
Manufacturer Recall Class Date Posted
1 Boston Scientific Corporation I Apr-24-2026
2 Boston Scientific Corporation I Oct-10-2025
3 Boston Scientific Corporation I Jan-10-2025
4 Boston Scientific Corporation I Jul-13-2021
5 Boston Scientific Corporation II Jul-02-2021
6 Medtronic Inc., Cardiac Rhythm and Heart Failure (CRHF) II Apr-30-2021
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