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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION INTUA?; CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P)

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BOSTON SCIENTIFIC CORPORATION INTUA?; CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P) Back to Search Results
Model Number V273
Medical Device Problem Codes Pacing Problem (1439); Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code Asystole (4442)
Date of Event 08/21/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that this cardiac resynchronization therapy pacemaker (crt-p) entered safety mode, with a pause in pacing between 2-3 seconds that resulted in asystole, with the patient asymptomatic.This device was subsequently explanted.A new device was implanted.No additional adverse patient effects were reported.
 
Additional Manufacturer Narrative
A good faith effort was performed to obtain additional information.At this time, no further information is available.Should additional information become available this report will be updated.
 
Additional Manufacturer Narrative
A good faith effort was performed to obtain additional information.At this time, no further information is available.Should additional information become available this report will be updated.Corrected fields: impact codes field (h6) in section h, device manufacturers only.
 
Event or Problem Description
It was reported that this cardiac resynchronization therapy pacemaker (crt-p) entered safety mode, with a pause in pacing between 2-3 seconds that resulted in asystole, with the patient asymptomatic.This device was subsequently explanted.A new device was implanted.No additional adverse patient effects were reported.
 
Additional Manufacturer Narrative
A good faith effort was performed to obtain additional information.At this time, no further information is available.Should additional information become available this report will be updated.Corrected fields: impact codes field (h6) in section h, device manufacturers only.
 
Event or Problem Description
It was reported that this cardiac resynchronization therapy pacemaker (crt-p) entered safety mode, with a pause in pacing between 2-3 seconds that resulted in asystole, with the patient asymptomatic.This device was subsequently explanted.A new device was implanted.No additional adverse patient effects were reported.
 
Additional Manufacturer Narrative
A good faith effort was performed to obtain additional information.At this time, no further information is available.Should additional information become available this report will be updated.Corrected fields: impact codes field (h6) in section h, device manufacturers only.Upon receipt at our post market quality assurance laboratory, this device was thoroughly inspected and analyzed.Interrogation of the device confirmed it was operating in safety mode and that bradycardia therapy remained available.Engineers determined that this device was demonstrating behavior consistent with a high internal cell impedance within the battery.The high internal impedance resulted in the system resets due to temporary high-power consumption (during telemetry or other higher power device operations) and subsequent reversion to safety mode operation.Boston scientific has issued a field safety notice regarding ingenio extended life (el) and cardiac resynchronization therapy pacemaker (crt-p) devices that may exhibit this behavior.This particular device is included in the high impedance in ingenio extended life (el) pacemaker and crt-p advisory population.
 
Event or Problem Description
It was reported that this cardiac resynchronization therapy pacemaker (crt-p) entered safety mode, with a pause in pacing between 2-3 seconds that resulted in asystole, with the patient asymptomatic.This device was subsequently explanted.A new device was implanted.No additional adverse patient effects were reported.This device has been returned and analyzed.
 
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Brand Name
INTUA?
Common Device Name
CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P)
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
4100 hamline avenue north
saint paul MN 55112
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
cashel road
clonmel
EI  
Manufacturer Contact
timothy degroot
4100 hamline avenue north
saint paul, MN 55112
6515826168
MDR Report Key23027447
Report Number2124215-2025-63931
Device Sequence Number18443444
Product Code NKE
UDI-Device Identifier00802526536670
UDI-Public(01)00802526536670(17)160823
Combination Product (Y/N)N
Initial Reporter StateOR
Initial Reporter CountryUS
PMA/510(K) Number
P030005
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2015
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Remedial Action Notification,Recall
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 12/15/2025
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 Lay User/Patient
Device Expiration Date08/23/2016
Device Model NumberV273
Device Catalogue NumberV273
Device Lot Number101306
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/28/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/22/2025
Supplement Date Received by Manufacturer09/12/2025
09/15/2025
12/11/2025
Initial Report FDA Received Date09/11/2025
Supplement Report FDA Received Date09/12/2025
09/16/2025
12/15/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/28/2014
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
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
Z-2016-2021
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age88 YR
Patient SexFemale
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