Reported Reactions

Devices › Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (crt-d)

Device brand name · Defibrillator automatic implantable cardioverter with crt-d

Momentum X4 Crt-D: medical device reports filed with FDA

626 reports name it, 2019–2026. Manufacturer given most often on reports: Boston Scientific. Product code NIK.

626
device reports naming the brand
0% of all MAUDE reports · about 84 a year
138
reports, 12 months to August 2026
138 in the 12 months before
50.2%
classified as malfunction
47.2% across the product code
1.3%
classified as death, as reported
8 reports · not verified by FDA

FDA's MAUDE database holds 626 reports that name the brand "Momentum X4 Crt-D" (defibrillator automatic implantable cardioverter with crt-d), received between January 2019 and August 2026; the manufacturer given most often on reports is Boston Scientific. Spellings of one product vary from report to report.

138 reports arrived in the 12 months to August 2026, close to the 138 of 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 (50.2%), injury (48.6%) and death (1.3%); across all defibrillator, automatic implantable cardioverter, with cardiac resynchronization (crt-d) reports (product code NIK) death is recorded in 2.8% and malfunction in 47.2%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are over-sensing (23.5%), pacing problem (22.4%) and high impedance (20.6%). The patient problems coded most often are shock from patient lead(s), electric shock and asystole. 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

01019Sep 2021: 4Oct 2021: 7Nov 2021: 1Dec 2021: 12022Jan 2022: 2Feb 2022: 2Mar 2022: 1Apr 2022: 10May 2022: 5Jun 2022: 8Jul 2022: 3Aug 2022: 8Sep 2022: 6Oct 2022: 2Nov 2022: 3Dec 2022: 22023Jan 2023: 4Feb 2023: 4Mar 2023: 8Apr 2023: 8May 2023: 15Jun 2023: 10Jul 2023: 9Aug 2023: 11Sep 2023: 4Oct 2023: 9Nov 2023: 14Dec 2023: 132024Jan 2024: 16Feb 2024: 15Mar 2024: 11Apr 2024: 9May 2024: 8Jun 2024: 11Jul 2024: 14Aug 2024: 6Sep 2024: 11Oct 2024: 15Nov 2024: 9Dec 2024: 162025Jan 2025: 15Feb 2025: 12Mar 2025: 9Apr 2025: 19May 2025: 4Jun 2025: 10Jul 2025: 10Aug 2025: 8Sep 2025: 8Oct 2025: 12Nov 2025: 12Dec 2025: 122026Jan 2026: 15Feb 2026: 12Mar 2026: 11Apr 2026: 10May 2026: 17Jun 2026: 8Jul 2026: 10Aug 2026: 11

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

0711412019: 1720192020: 3520202021: 4720212022: 5220222023: 10920232024: 14120242025: 13120252026: 942026

Event type and report source

Event type, as classified on the report

Death1.3%8
Injury48.6%304
Malfunction50.2%314
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.8%625
Voluntary report0.2%1
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 170,404 reports carrying product code NIK. 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-sensing14723.5%22.3%
Pacing problem14022.4%4.9%
High impedance12920.6%5.6%
Signal artifact/noise9515.2%1.9%
Inappropriate/inadequate shock/stimulation7512%5.2%
Failure to capture548.6%4.1%
Under-sensing447%1.6%
Incorrect, inadequate or imprecise result or readings386.1%0.5%
Inaccurate synchronization325.1%0.2%
Failure to read input signal315%0.3%
Failure to convert rhythm264.2%0.5%
Low impedance254%1%
High capture threshold233.7%1%
Defibrillation/stimulation problem193%0.7%
Defective devicethe device was defective182.9%0.7%
Connection problema connection problem172.7%0.9%
Unexpected therapeutic results121.9%0.2%
Data problem101.6%0.5%
Premature discharge of battery91.4%11%
Battery problema problem with the battery71.1%1.8%

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
Shock from patient lead(s)467.3%
Electric shockan electric shock294.6%
Asystole243.8%
Ventricular fibrillationa chaotic rhythm from the lower heart chambers243.8%
Sepsisa severe body-wide response to infection203.2%
Arrhythmia172.7%
Pocket erosion162.6%
Syncope/fainting132.1%
Cardiac arrestthe heart stopped101.6%
Bradycardiaslow heart rate71.1%
Discomfortdiscomfort71.1%
Hematomaa collection of blood under the skin or in tissue71.1%
Anxietyanxiety40.6%
Atrial fibrillationan irregular heart rhythm40.6%
Bacterial infectiona bacterial infection30.5%

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

In context

MeasureMomentum X4 Crt-DProduct code NIKAll MAUDE reports
Reports626170,40426,136,888
Share of that pool—0.4%0%
Classified as death, per 1,000 reports13289
Classified as injury48.6%49.8%36.2%
Classified as malfunction50.2%47.2%62.3%
Filed by the manufacturer99.8%99.2%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 NIK

BrandReportsLatest 12 monthsClassified as death
Quadra Assura MP ICD14,8975072.1%
Gallant HF8,9711,9180.7%
Quadra Assura Crt-D Quad Rf Hv7,971142.5%
Quartet14,1498485.2%
Unify Assura CRT-D RF HV6,7311863.7%
Unify Crt-D5,907103.4%
Consulta Crt-D4,62305.9%
Unify Assura ICD4,5111271.6%
Claria MRI Quad CRT-D SureScan3,7752742.2%
Cognis8,69461.5%
Protecta Xt Crt-D3,54134.5%
Quadra Assura Ddqp+3,34902.3%
Contak Renewal3,74504.8%
Cobalt XT HF Quad CRT-D MRI SureScan2,5817913%
Quadra Assura ICD2,526670.8%

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 Momentum X4 Crt-D reports

How many FDA reports name Momentum X4 Crt-D?

626 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 138 in the latest 12 months.

What kinds of events are reported?

malfunction (50.2%), injury (48.6%) and death (1.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

over-sensing (23.5%), pacing problem (22.4%), high impedance (20.6%), signal artifact/noise (15.2%) and inappropriate/inadequate shock/stimulation (12%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.8%) and voluntary reports (0.2%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Momentum X4 Crt-D 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.