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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ZEPHYR XL DR; PULSE GENERATOR, PERMANENT, IMPLANTABLE

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ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ZEPHYR XL DR; PULSE GENERATOR, PERMANENT, IMPLANTABLE Back to Search Results
Model Number 5826
Medical Device Problem Codes Premature Discharge of Battery (1057); Failure to Interrogate (1332); Insufficient Device Problem Information (3190)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient presented in-clinic as the pacemaker exhibited premature battery depletion.During the follow-up the pacemaker failed to be interrogated and found to be in unipolar mode.As a resolution the pacemaker was explanted and replaced.The patient condition was stable.
 
Additional Manufacturer Narrative
The reported events of premature discharge of battery and failure to interrogate were unconfirmed.The device was received in backup mode.The product code was reloaded to enable further testing.Post-reload analysis, including telemetry and pacing output, indicated that the pacer exhibited normal device characteristics.Analysis of the device image revealed that the backup mode was triggered by exposure to cold temperature post explant.A longevity assessment was performed, and battery depletion was found to be normal based on device usage.
 
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Brand Name
ZEPHYR XL DR
Common Device Name
PULSE GENERATOR, PERMANENT, IMPLANTABLE
Manufacturer (Section D)
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
15900 valley view court
sylmar CA 91342
Manufacturer Contact
navpreet singh
15900 valley view court
sylmar, CA 91342
MDR Report Key22986970
Report Number2017865-2025-99208
Device Sequence Number15840075
Product Code NVZ
UDI-Device Identifier05414734501620
UDI-Public(01)05414734501620(10)4317972(17)150430
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
P880086
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2014
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 11/17/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date04/30/2015
Device Model Number5826
Device Lot Number4317972
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/19/2025
Supplement Date Received by Manufacturer11/16/2025
Initial Report FDA Received Date09/05/2025
Supplement Report FDA Received Date11/17/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/26/2013
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
TENDRIL SDX.; TENDRIL SDX.
Outcome Attributed to Adverse Event Required Intervention;
Patient Age88 YR
Patient SexFemale
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