Reported Reactions

Devices › Drug eluting permanent right ventricular (rv) or right atrial (ra) pacemaker electrodes

Device brand name · Permanent pacemaker electrode

Isoflex S Lead: medical device reports filed with FDA

1,620 reports name it, 2015–2026. Manufacturer given most often on reports: St Jude Medical Crm-Sylmar. Product code NVN.

1,620
device reports naming the brand
0% of all MAUDE reports · about 145 a year
64
reports, 12 months to August 2026
84 in the 12 months before
47.2%
classified as malfunction
41.6% across the product code
4.4%
classified as death, as reported
71 reports · not verified by FDA

1,620 medical device reports received by FDA name the brand "Isoflex S Lead" (permanent pacemaker electrode); the manufacturer given most often on reports is St Jude Medical Crm-Sylmar; received from May 2015 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

64 reports arrived in the 12 months to August 2026, down 24% from 84 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 injury (48.4%), malfunction (47.2%) and death (4.4%); across all drug eluting permanent right ventricular (rv) or right atrial (ra) pacemaker electrodes reports (product code NVN) death is recorded in 2.2% and malfunction in 41.6%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are over-sensing (27.3%), signal artifact/noise (15%) and high impedance (14.8%). The patient problems coded most often are death, dizziness and syncope. 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

0917Sep 2021: 10Oct 2021: 9Nov 2021: 8Dec 2021: 82022Jan 2022: 2Feb 2022: 9Mar 2022: 17Apr 2022: 13May 2022: 8Jun 2022: 9Jul 2022: 3Aug 2022: 4Sep 2022: 8Oct 2022: 11Nov 2022: 10Dec 2022: 72023Jan 2023: 5Feb 2023: 12Mar 2023: 8Apr 2023: 8May 2023: 3Jun 2023: 5Jul 2023: 8Aug 2023: 8Sep 2023: 9Oct 2023: 10Nov 2023: 12Dec 2023: 82024Jan 2024: 7Feb 2024: 3Mar 2024: 8Apr 2024: 10May 2024: 5Jun 2024: 11Jul 2024: 4Aug 2024: 11Sep 2024: 5Oct 2024: 4Nov 2024: 5Dec 2024: 72025Jan 2025: 6Feb 2025: 10Mar 2025: 9Apr 2025: 10May 2025: 9Jun 2025: 7Jul 2025: 2Aug 2025: 10Sep 2025: 3Oct 2025: 1Nov 2025: 10Dec 2025: 42026Jan 2026: 3Feb 2026: 6Mar 2026: 5Apr 2026: 9May 2026: 6Jun 2026: 7Jul 2026: 5Aug 2026: 5

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

01042072015: 17820152016: 2072017: 19920172018: 2012019: 18020192020: 1392021: 11220212022: 1012023: 9620232024: 802025: 8120252026: 46

Event type and report source

Event type, as classified on the report

Death4.4%71
Injury48.4%784
Malfunction47.2%765
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.9%1,618
Voluntary report0.1%2
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 229,796 reports carrying product code NVN. 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-sensing44227.3%17.9%
Signal artifact/noise24315%9%
High impedance23914.8%9.1%
Failure to capture18811.6%12.6%
High capture threshold16710.3%10.7%
Breakthe device broke1448.9%5.2%
Low impedance1398.6%5.1%
Capturing problem1126.9%4.7%
Fracturea broken bone1096.7%4.7%
Pacing problem472.9%4.4%
Device sensing problem352.2%3.7%
Device dislodged or dislocated342.1%15.8%
Intermittent capture342.1%1.1%
Insufficient device problem information332%2.6%
Impedance problem301.9%2.2%
Failure to sense261.6%2%
Under-sensing251.5%4.5%
Difficult to position161%0.3%
Failure to disconnect161%0.2%
Difficult to insertthe device was hard to insert150.9%0.5%

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
Deaththe patient died; cause not stated by this term603.7%
Dizzinesslight-headedness or unsteadiness372.3%
Syncopefainting362.2%
Discomfortdiscomfort191.2%
Arrhythmia171%
Bradycardiaslow heart rate150.9%
Muscle stimulation120.7%
Pocket erosion110.7%
Syncope/fainting110.7%
Dyspneashortness of breath80.5%
Fatiguetiredness60.4%
Chest painchest pain50.3%
Fever50.3%
Complaint, ill-defined40.2%
Cardiac arrestthe heart stopped30.2%

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

In context

MeasureIsoflex S LeadProduct code NVNAll MAUDE reports
Reports1,620229,79626,136,888
Share of that pool—0.7%0%
Classified as death, per 1,000 reports44229
Classified as injury48.4%56.2%36.2%
Classified as malfunction47.2%41.6%62.3%
Filed by the manufacturer99.9%96.9%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 NVN

BrandReportsLatest 12 monthsClassified as death
Tendril Sts54,0364,3203.1%
SelectSecure MRI SureScan20,9614,9941.3%
Tendril St20,1565475.2%
Ingevity Mri17,1011,7490.3%
Ingevity+15,3402,1500.3%
Tendril Sdx Lead9,3804314.5%
CapSure Fix MRI5,7556000.6%
Solia S 534,9976470.5%
Tendril Mri7,0764224.1%
Drug Eluting Permanent Right Ventricular Rv Or Right Atrial Ra Pacemaker Ele4,4624050.3%
Capsurefix Mri Surescan4,24702.8%
Tendril Sdx8,31632.3%
Ingevity9,0392990.9%
Ingevity +3,0532,2810.6%
Dextrus 41365,69800.8%

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 S Lead reports

How many FDA reports name Isoflex S Lead?

1,620 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 64 in the latest 12 months.

What kinds of events are reported?

injury (48.4%), malfunction (47.2%) and death (4.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

over-sensing (27.3%), signal artifact/noise (15%), high impedance (14.8%), failure to capture (11.6%) and high capture threshold (10.3%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.9%) and voluntary reports (0.1%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Isoflex S 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.