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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ISOFLEX OPTIM LEAD; PERMANENT DEFIBRILLATOR ELECTRODES

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ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ISOFLEX OPTIM LEAD; PERMANENT DEFIBRILLATOR ELECTRODES Back to Search Results
Model Number 1948/52
Medical Device Problem Code High impedance (1291)
Health Effect - Clinical Codes Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/06/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Further information was requested but not received.
 
Event or Problem Description
It was reported that the patient's right ventricular (rv) lead exhibited high pacing impedance.No changes or intervention were reported.The patient condition was not known.
 
Event or Problem Description
New information received notes that the high pacing impedance issue was initially discovered during an in-clinic device check.During that visit, the right ventricular (rv) lead pacing configuration was reprogrammed from bipolar to unipolar with good electrical measurements obtained.The physician subsequently scheduled an rv lead revision on (b)(6) 2026.On the day of planned procedure, the physician elected to abandon the lead revision and keep the rv lead in unipolar configuration; the lead will continue to be monitored.There were no patient consequences.
 
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Brand Name
ISOFLEX OPTIM LEAD
Common Device Name
PERMANENT DEFIBRILLATOR ELECTRODES
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 Key24530326
Report Number2017865-2026-04683
Device Sequence Number10372141
Product Code NVY
UDI-Device Identifier05414734502344
UDI-Public(01)05414734502344(10)A000095078(17)230228
Combination Product (Y/N)Y
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P960030
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2020
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) 03/11/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date02/28/2023
Device Model Number1948/52
Device Lot NumberA000095078
Was Device Available for Evaluation? No
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 02/17/2026
Supplement Date Received by Manufacturer03/10/2026
Initial Report FDA Received Date03/06/2026
Supplement Report FDA Received Date03/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/21/2020
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
ASSURITY MRI.; TENDRIL STS.
Patient Age77 YR
Patient SexFemale
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