Reported Reactions

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

Device brand name · Implantable cardioverter defibrillator

Unify Assura ICD: medical device reports filed with FDA

4,511 reports name it, 2015–2026. Manufacturer given most often on reports: St Jude Medical. Product code NIK.

4,511
device reports naming the brand
0% of all MAUDE reports · about 401 a year
127
reports, 12 months to August 2026
169 in the 12 months before
47%
classified as malfunction
47.2% across the product code
1.6%
classified as death, as reported
72 reports · not verified by FDA

FDA's MAUDE database holds 4,511 reports that name the brand "Unify Assura ICD" (implantable cardioverter defibrillator), received between April 2015 and August 2026; the manufacturer given most often on reports is St Jude Medical. Spellings of one product vary from report to report.

127 reports arrived in the 12 months to August 2026, down 25% from 169 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 (51.3%), malfunction (47%) and death (1.6%); 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 (35.3%), inappropriate or unexpected reset (6.4%) and battery problem (4.3%). The patient problems coded most often are death, arrhythmia and therapeutic effects, unexpected. 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

01326Sep 2021: 17Oct 2021: 21Nov 2021: 14Dec 2021: 162022Jan 2022: 18Feb 2022: 19Mar 2022: 24Apr 2022: 16May 2022: 21Jun 2022: 15Jul 2022: 15Aug 2022: 20Sep 2022: 20Oct 2022: 13Nov 2022: 19Dec 2022: 172023Jan 2023: 17Feb 2023: 11Mar 2023: 21Apr 2023: 14May 2023: 14Jun 2023: 14Jul 2023: 15Aug 2023: 18Sep 2023: 13Oct 2023: 11Nov 2023: 13Dec 2023: 172024Jan 2024: 15Feb 2024: 12Mar 2024: 11Apr 2024: 11May 2024: 26Jun 2024: 21Jul 2024: 16Aug 2024: 14Sep 2024: 9Oct 2024: 18Nov 2024: 11Dec 2024: 242025Jan 2025: 13Feb 2025: 17Mar 2025: 13Apr 2025: 15May 2025: 9Jun 2025: 16Jul 2025: 16Aug 2025: 8Sep 2025: 11Oct 2025: 13Nov 2025: 7Dec 2025: 112026Jan 2026: 15Feb 2026: 6Mar 2026: 9Apr 2026: 10May 2026: 17Jun 2026: 11Jul 2026: 7Aug 2026: 10

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

06511,3022015: 21120152016: 9572017: 1,30220172018: 4332019: 30320192020: 2642021: 22420212022: 2172023: 17820232024: 1882025: 14920252026: 85

Event type and report source

Event type, as classified on the report

Death1.6%72
Injury51.3%2,315
Malfunction47%2,122
Other0%0
Not given0%2

Who filed the report

Manufacturer report100%4,510
Voluntary report0%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-sensing1,59235.3%22.3%
Inappropriate or unexpected reset2876.4%2.4%
Battery problema problem with the battery1924.3%1.8%
Premature discharge of battery1904.2%11%
Inappropriate/inadequate shock/stimulation1292.9%5.2%
Pacing problem811.8%4.9%
Signal artifact/noise791.8%1.9%
Failure to interrogate741.6%2.3%
Under-sensing741.6%1.6%
High impedance551.2%5.6%
No pacing521.2%0.2%
Environmental compatibility problem511.1%0.4%
Failure to capture501.1%4.1%
Incorrect interpretation of signal461%0.7%
Pacing asynchronously441%0.4%
Device operates differently than expectedthe device behaved unexpectedly410.9%1.5%
Failure to convert rhythm250.6%0.5%
Communication or transmission problemthe device could not communicate or transmit240.5%0.5%
Connection problema connection problem220.5%0.9%
Incorrect measurementthe device measured wrongly220.5%0.8%

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
Deaththe patient died; cause not stated by this term641.4%
Arrhythmia571.3%
Therapeutic effects, unexpected320.7%
Pocket erosion260.6%
Shock from patient lead(s)250.6%
Discomfortdiscomfort220.5%
Syncopefainting190.4%
Dizzinesslight-headedness or unsteadiness170.4%
Device overstimulation of tissue120.3%
Ventricular tachycardiaa fast rhythm from the lower heart chambers110.2%
Syncope/fainting100.2%
Hematomaa collection of blood under the skin or in tissue80.2%
Cardiac arrestthe heart stopped70.2%
Erosion70.2%
No patient involvement70.2%

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

In context

MeasureUnify Assura ICDProduct code NIKAll MAUDE reports
Reports4,511170,40426,136,888
Share of that pool—2.6%0%
Classified as death, per 1,000 reports16289
Classified as injury51.3%49.8%36.2%
Classified as malfunction47%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 Assura CRT-D RF HV6,7311863.7%
Unify Crt-D5,907103.4%
Consulta Crt-D4,62305.9%
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 ICD reports

How many FDA reports name Unify Assura ICD?

4,511 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 127 in the latest 12 months.

What kinds of events are reported?

injury (51.3%), malfunction (47%) and death (1.6%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

over-sensing (35.3%), inappropriate or unexpected reset (6.4%), battery problem (4.3%), premature discharge of battery (4.2%) and inappropriate/inadequate shock/stimulation (2.9%). 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 Unify Assura ICD 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.