Reported Reactions

Devices › Permanent defibrillator electrodes

Device brand name · Permanent pacemaker electrode

Isoflex Optim Lead: medical device reports filed with FDA

7,889 reports name it, 2009–2026. Manufacturer given most often on reports: St Jude Medical Crm-Sylmar. Product code NVY.

7,889
device reports naming the brand
0% of all MAUDE reports · about 455 a year
437
reports, 12 months to August 2026
579 in the 12 months before
51.8%
classified as malfunction
41.2% across the product code
2%
classified as death, as reported
155 reports · not verified by FDA

7,889 medical device reports received by FDA name the brand "Isoflex Optim Lead" (permanent pacemaker electrode); the manufacturer given most often on reports is St Jude Medical Crm-Sylmar; received from March 2009 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

437 reports arrived in the 12 months to August 2026, down 25% from 579 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (51.8%), injury (46.3%) and death (2%); across all permanent defibrillator electrodes reports (product code NVY) death is recorded in 2.2% and malfunction in 41.2%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are over-sensing (27.2%), device dislodged or dislocated (16.1%) and failure to capture (15.9%). The patient problems coded most often are dizziness, death and discomfort. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

04079Sep 2021: 40Oct 2021: 52Nov 2021: 67Dec 2021: 562022Jan 2022: 45Feb 2022: 38Mar 2022: 47Apr 2022: 43May 2022: 45Jun 2022: 41Jul 2022: 65Aug 2022: 56Sep 2022: 38Oct 2022: 56Nov 2022: 51Dec 2022: 552023Jan 2023: 48Feb 2023: 51Mar 2023: 66Apr 2023: 36May 2023: 62Jun 2023: 53Jul 2023: 35Aug 2023: 56Sep 2023: 51Oct 2023: 63Nov 2023: 48Dec 2023: 452024Jan 2024: 43Feb 2024: 40Mar 2024: 55Apr 2024: 42May 2024: 51Jun 2024: 50Jul 2024: 45Aug 2024: 42Sep 2024: 44Oct 2024: 79Nov 2024: 49Dec 2024: 562025Jan 2025: 53Feb 2025: 35Mar 2025: 56Apr 2025: 49May 2025: 41Jun 2025: 44Jul 2025: 46Aug 2025: 27Sep 2025: 47Oct 2025: 41Nov 2025: 45Dec 2025: 302026Jan 2026: 22Feb 2026: 31Mar 2026: 36Apr 2026: 36May 2026: 34Jun 2026: 47Jul 2026: 35Aug 2026: 33

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

03977932009: 1220092010: 422011: 7220112012: 1072013: 20320132014: 5402015: 52720152016: 4482017: 56020172018: 6952019: 79320192020: 6422021: 67020212022: 5802023: 61420232024: 5962025: 51420252026: 274

Event type and report source

Event type, as classified on the report

Death2%155
Injury46.3%3,650
Malfunction51.8%4,083
Other0%0
Not given0%1

Who filed the report

Manufacturer report100%7,887
Voluntary report0%1
User facility report0%0
Distributor report0%0
Not given0%1

Grey bar: all 138,578 reports carrying product code NVY. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Over-sensing2,14227.2%22.8%
Device dislodged or dislocated1,26916.1%10.9%
Failure to capture1,25415.9%8.1%
Signal artifact/noise1,10114%6.6%
Breakthe device broke95212.1%8.8%
High impedance6818.6%20%
High capture threshold6027.6%8.1%
Capturing problem4726%3.7%
Failure to sense4485.7%0.9%
Device sensing problem3454.4%5%
Low impedance3043.9%6%
Pacing problem2913.7%2.1%
Fracturea broken bone2893.7%5.4%
Under-sensing1782.3%2.5%
Intermittent capture1562%0.6%
Difficult to insertthe device was hard to insert1401.8%0.2%
High sensing threshold1111.4%0.3%
Impedance problem740.9%3.1%
Defective devicethe device was defective670.8%0.8%
Insufficient device problem information640.8%2.1%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Dizzinesslight-headedness or unsteadiness1742.2%
Deaththe patient died; cause not stated by this term1331.7%
Discomfortdiscomfort981.2%
Syncopefainting831.1%
Muscle stimulation751%
Arrhythmia610.8%
Syncope/fainting450.6%
Cardiac perforation350.4%
Undesired nerve stimulation350.4%
Bradycardiaslow heart rate320.4%
Fatiguetiredness310.4%
Twiddlers syndrome280.4%
Pocket erosion270.3%
Perforation220.3%
Cardiac arrestthe heart stopped210.3%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureIsoflex Optim LeadProduct code NVYAll MAUDE reports
Reports7,889138,57826,136,888
Share of that pool—5.7%0%
Classified as death, per 1,000 reports20229
Classified as injury46.3%56.5%36.2%
Classified as malfunction51.8%41.2%62.3%
Filed by the manufacturer100%97.3%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code NVY

BrandReportsLatest 12 monthsClassified as death
Durata Sts Optim Active Fixation Df-4 Connector27,8281,7843.9%
Endotak Reliance25,8972381.2%
Riata Active Fixation13,753961.8%
Sprint Quattro Secure MRI SureScan15,6061,9031.4%
Optisure Active Fixation Df-4 Connector6,5626234.3%
Endotak Reliance Sg8,2881,0830.5%
Sprint Quattro Secure24,23725.2%
Riata St Active Fixation5,416762.2%
Reliance 4-Front9,8522,0240.4%
Durata Sts Optim Active Fixation9,6813015.6%
Riata Passive Fixation4,318321.2%
Endotak Reliance G10,1151,0490.6%
Plexa ProMRI S 652,5212450.6%
Permanent Defibrillator Electrodes2,5242300.6%
Epsila EV MRI SureScan1,8691,0231%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Isoflex Optim Lead reports

How many FDA reports name Isoflex Optim Lead?

7,889 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 437 in the latest 12 months.

What kinds of events are reported?

malfunction (51.8%), injury (46.3%) and death (2%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

over-sensing (27.2%), device dislodged or dislocated (16.1%), failure to capture (15.9%), signal artifact/noise (14%) and break (12.1%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%) and voluntary reports (0%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Isoflex Optim Lead was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.