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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)
2020 2021 2022 2023 2024 2025
30 26 24 27 23 18

MDR Year MDR Reports MDR Events
2020 806 806
2021 1177 1177
2022 1290 1290
2023 1469 1469
2024 1518 1518
2025 1457 1457

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1893 1893
Incorrect, Inadequate or Imprecise Result or Readings 1386 1386
Premature Discharge of Battery 1158 1158
Over-Sensing 914 914
Pacing Problem 878 878
Signal Artifact/Noise 473 473
High impedance 471 471
Failure to Capture 320 320
Defective Device 317 317
Battery Problem 226 226
Appropriate Term/Code Not Available 207 207
Low impedance 177 177
Unable to Obtain Readings 155 155
Under-Sensing 151 151
High Capture Threshold 148 148
Mechanical Problem 132 132
Failure to Interrogate 104 104
False Alarm 98 98
Interrogation Problem 97 97
Inappropriate or Unexpected Reset 92 92
Data Problem 90 90
Failure to Read Input Signal 81 81
Telemetry Discrepancy 77 77
Impedance Problem 77 77
Incorrect Measurement 68 68
Connection Problem 67 67
Loose or Intermittent Connection 66 66
Off-Label Use 62 62
Pocket Stimulation 52 52
Capturing Problem 51 51
Insufficient Information 47 47
Device Sensing Problem 45 45
Migration or Expulsion of Device 45 45
Pacemaker Found in Back-Up Mode 43 43
Electromagnetic Interference 39 39
Communication or Transmission Problem 35 35
Use of Device Problem 34 34
Premature Elective Replacement Indicator 31 31
No Pacing 30 30
Misconnection 29 29
Reset Problem 24 24
Migration 21 21
False Positive Result 20 20
Unexpected Therapeutic Results 16 16
Wireless Communication Problem 14 14
Inaccurate Synchronization 14 14
Therapy Delivered to Incorrect Body Area 14 14
Electrical /Electronic Property Problem 13 13
No Apparent Adverse Event 13 13
Failure to Disconnect 12 12

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 4085 4085
Unspecified Infection 1454 1454
Insufficient Information 269 269
No Known Impact Or Consequence To Patient 263 263
Syncope/Fainting 243 243
Device Overstimulation of Tissue 217 217
Bradycardia 201 201
Pocket Erosion 200 200
No Code Available 191 191
Sepsis 165 165
Asystole 161 161
No Consequences Or Impact To Patient 144 144
Discomfort 143 143
Dizziness 130 130
Bacterial Infection 89 89
Hematoma 88 88
Pain 86 86
Erosion 85 85
Dyspnea 78 78
Arrhythmia 65 65
Erythema 64 64
Swelling/ Edema 55 55
Purulent Discharge 53 53
Fall 51 51
Wound Dehiscence 49 49
Presyncope 47 47
Fever 46 46
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 44 44
Chest Pain 40 40
Fatigue 40 40
Endocarditis 37 37
Tachycardia 32 32
Unspecified Heart Problem 32 32
Loss of consciousness 27 27
Cardiac Arrest 27 27
Undesired Nerve Stimulation 26 26
Drug Resistant Bacterial Infection 26 26
Syncope 22 22
Heart Failure/Congestive Heart Failure 20 20
Atrial Fibrillation 18 18
Malaise 17 17
Muscle Stimulation 16 16
Fluid Discharge 15 15
Failure of Implant 15 15
Death 14 14
Anxiety 13 13
Muscle Weakness 12 12
Head Injury 11 11
Non specific EKG/ECG Changes 11 11
Hemorrhage/Bleeding 10 10

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