Reported Reactions

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

Device brand name · Implantable cardioverter defibrillator

Unify Assura CRT-D RF HV: medical device reports filed with FDA

6,731 reports name it, 2015–2026. Manufacturer given most often on reports: St Jude Medical Crm-Sylmar. Product code NIK.

6,731
device reports naming the brand
0% of all MAUDE reports · about 603 a year
186
reports, 12 months to August 2026
281 in the 12 months before
51.2%
classified as malfunction
47.2% across the product code
3.7%
classified as death, as reported
250 reports · not verified by FDA

FDA's MAUDE database holds 6,731 reports that name the brand "Unify Assura CRT-D RF HV" (implantable cardioverter defibrillator), received between May 2015 and August 2026; the manufacturer given most often on reports is St Jude Medical Crm-Sylmar. Spellings of one product vary from report to report.

186 reports arrived in the 12 months to August 2026, down 34% from 281 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 (51.2%), injury (45.1%) and death (3.7%); 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 (40%), inappropriate or unexpected reset (5.4%) and inappropriate/inadequate shock/stimulation (3.6%). The patient problems coded most often are death, pocket erosion 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

02244Sep 2021: 39Oct 2021: 38Nov 2021: 44Dec 2021: 252022Jan 2022: 25Feb 2022: 31Mar 2022: 42Apr 2022: 20May 2022: 25Jun 2022: 22Jul 2022: 24Aug 2022: 32Sep 2022: 31Oct 2022: 30Nov 2022: 31Dec 2022: 282023Jan 2023: 29Feb 2023: 23Mar 2023: 36Apr 2023: 30May 2023: 24Jun 2023: 23Jul 2023: 19Aug 2023: 34Sep 2023: 21Oct 2023: 33Nov 2023: 24Dec 2023: 172024Jan 2024: 34Feb 2024: 32Mar 2024: 35Apr 2024: 26May 2024: 31Jun 2024: 18Jul 2024: 30Aug 2024: 39Sep 2024: 18Oct 2024: 19Nov 2024: 21Dec 2024: 282025Jan 2025: 23Feb 2025: 33Mar 2025: 25Apr 2025: 33May 2025: 19Jun 2025: 20Jul 2025: 22Aug 2025: 20Sep 2025: 16Oct 2025: 17Nov 2025: 21Dec 2025: 152026Jan 2026: 13Feb 2026: 22Mar 2026: 12Apr 2026: 8May 2026: 17Jun 2026: 17Jul 2026: 10Aug 2026: 18

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

08151,6302015: 29820152016: 1,0992017: 1,63020172018: 6352019: 70920192020: 5202021: 47420212022: 3412023: 31320232024: 3312025: 26420252026: 117

Event type and report source

Event type, as classified on the report

Death3.7%250
Injury45.1%3,034
Malfunction51.2%3,447
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%6,731
Voluntary report0%0
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-sensing2,69540%22.3%
Inappropriate or unexpected reset3615.4%2.4%
Inappropriate/inadequate shock/stimulation2423.6%5.2%
Battery problema problem with the battery2053%1.8%
Under-sensing1682.5%1.6%
Premature discharge of battery1642.4%11%
Failure to capture1141.7%4.1%
Pacing problem1141.7%4.9%
Signal artifact/noise1131.7%1.9%
Incorrect interpretation of signal841.2%0.7%
Device operates differently than expectedthe device behaved unexpectedly831.2%1.5%
High impedance821.2%5.6%
Failure to interrogate771.1%2.3%
Failure to deliver shock/stimulation490.7%0.6%
Communication or transmission problemthe device could not communicate or transmit470.7%0.5%
Connection problema connection problem370.5%0.9%
Low impedance300.4%1%
Data problem290.4%0.5%
Failure to convert rhythm270.4%0.5%
Loose or intermittent connection270.4%0.6%

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 term2223.3%
Pocket erosion1151.7%
Discomfortdiscomfort841.2%
Arrhythmia811.2%
Therapeutic effects, unexpected801.2%
Shock from patient lead(s)470.7%
Dizzinesslight-headedness or unsteadiness390.6%
Syncopefainting360.5%
Fatiguetiredness330.5%
Dyspneashortness of breath310.5%
Ventricular tachycardiaa fast rhythm from the lower heart chambers280.4%
Ventricular fibrillationa chaotic rhythm from the lower heart chambers270.4%
Hematomaa collection of blood under the skin or in tissue260.4%
Complaint, ill-defined240.4%
Erosion230.3%

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

In context

MeasureUnify Assura CRT-D RF HVProduct code NIKAll MAUDE reports
Reports6,731170,40426,136,888
Share of that pool—4%0%
Classified as death, per 1,000 reports37289
Classified as injury45.1%49.8%36.2%
Classified as malfunction51.2%47.2%62.3%
Filed by the manufacturer100%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 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%
Vigilant X4 Crt-D2,2754820.9%

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 Unify Assura CRT-D RF HV reports

How many FDA reports name Unify Assura CRT-D RF HV?

6,731 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 186 in the latest 12 months.

What kinds of events are reported?

malfunction (51.2%), injury (45.1%) and death (3.7%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

over-sensing (40%), inappropriate or unexpected reset (5.4%), inappropriate/inadequate shock/stimulation (3.6%), battery problem (3%) and under-sensing (2.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

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

Do these reports show that Unify Assura CRT-D RF HV 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.