Reported Reactions

Devices › Pulse generator, pacemaker, implantable, with cardiac resynchronization (crt-p)

Device brand name · Pulse generator pacemaker implantable with cardiac resynchronization crt-p

Valitude X4 Crt-P: medical device reports filed with FDA

2,133 reports name it, 2018–2026. Manufacturer given most often on reports: Boston Scientific. Product code NKE.

2,133
device reports naming the brand
0% of all MAUDE reports · about 251 a year
834
reports, 12 months to August 2026
350 in the 12 months before
38.3%
classified as malfunction
43.9% across the product code
0.8%
classified as death, as reported
17 reports · not verified by FDA

FDA's MAUDE database holds 2,133 reports that name the brand "Valitude X4 Crt-P" (pulse generator pacemaker implantable with cardiac resynchronization crt-p), received between January 2018 and August 2026; the manufacturer given most often on reports is Boston Scientific. Spellings of one product vary from report to report.

834 reports arrived in the 12 months to August 2026, up 138% from 350 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 (60.9%), malfunction (38.3%) and death (0.8%); across all pulse generator, pacemaker, implantable, with cardiac resynchronization (crt-p) reports (product code NKE) death is recorded in 1.9% and malfunction in 43.9%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are premature discharge of battery (34%), incorrect, inadequate or imprecise result or readings (20.1%) and over-sensing (13.5%). The patient problems coded most often are sepsis, device overstimulation of tissue and syncope/fainting. 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

04896Sep 2021: 8Oct 2021: 20Nov 2021: 2Dec 2021: 22022Jan 2022: 26Feb 2022: 5Mar 2022: 9Apr 2022: 24May 2022: 15Jun 2022: 7Jul 2022: 13Aug 2022: 17Sep 2022: 8Oct 2022: 14Nov 2022: 16Dec 2022: 92023Jan 2023: 15Feb 2023: 12Mar 2023: 17Apr 2023: 13May 2023: 16Jun 2023: 21Jul 2023: 20Aug 2023: 16Sep 2023: 18Oct 2023: 21Nov 2023: 19Dec 2023: 172024Jan 2024: 31Feb 2024: 20Mar 2024: 28Apr 2024: 13May 2024: 24Jun 2024: 21Jul 2024: 26Aug 2024: 17Sep 2024: 24Oct 2024: 26Nov 2024: 22Dec 2024: 302025Jan 2025: 41Feb 2025: 44Mar 2025: 36Apr 2025: 32May 2025: 23Jun 2025: 25Jul 2025: 21Aug 2025: 26Sep 2025: 35Oct 2025: 73Nov 2025: 69Dec 2025: 962026Jan 2026: 77Feb 2026: 81Mar 2026: 78Apr 2026: 81May 2026: 63Jun 2026: 59Jul 2026: 87Aug 2026: 35

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

02815612018: 2620182019: 12320192020: 12420202021: 12820212022: 16320222023: 20520232024: 28220242025: 52120252026: 5612026

Event type and report source

Event type, as classified on the report

Death0.8%17
Injury60.9%1,300
Malfunction38.3%816
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.2%2,117
Voluntary report0.1%2
User facility report0%0
Distributor report0%0
Not given0.7%14

Grey bar: all 14,671 reports carrying product code NKE. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Premature discharge of battery72634%18.5%
Incorrect, inadequate or imprecise result or readings42820.1%10.9%
Over-sensing28913.5%10.4%
High impedance23310.9%6.2%
Pacing problem2079.7%9%
Interrogation problem1778.3%2.7%
Signal artifact/noise1687.9%4.1%
Defective devicethe device was defective1115.2%2.3%
Battery problema problem with the battery954.5%2.1%
Failure to capture914.3%4.2%
Data problem633%1.6%
Under-sensing432%1.6%
Telemetry discrepancy411.9%1%
High capture threshold401.9%1.5%
Device sensing problem381.8%1.3%
Off-label use281.3%0.6%
Failure to read input signal271.3%0.7%
Nonstandard device221%0.4%
Extracardiac stimulation211%0.6%
Impedance problem180.8%0.9%

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
Sepsisa severe body-wide response to infection823.8%
Device overstimulation of tissue803.8%
Syncope/fainting703.3%
Asystole572.7%
Dizzinesslight-headedness or unsteadiness381.8%
Bradycardiaslow heart rate341.6%
Pocket erosion271.3%
Falla fall241.1%
Discomfortdiscomfort200.9%
Presyncope180.8%
Painpain, site not specified140.7%
Chest painchest pain110.5%
Dyspneashortness of breath110.5%
Bacterial infectiona bacterial infection100.5%
Syncopefainting100.5%

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

In context

MeasureValitude X4 Crt-PProduct code NKEAll MAUDE reports
Reports2,13314,67126,136,888
Share of that pool—14.5%0%
Classified as death, per 1,000 reports8199
Classified as injury60.9%54.1%36.2%
Classified as malfunction38.3%43.9%62.3%
Filed by the manufacturer99.2%98.9%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 NKE

BrandReportsLatest 12 monthsClassified as death
Visionist X4 Crt-P1,7788770.2%
Percepta Quad CRT-P MRI SureScan1,5392612.3%
Quadra Allure MP CRT-P1,2912052.2%
Invive95940.1%
Visionist Crt-P6232780.6%
Valitude Crt-P5952210.3%
Percepta CRT-P MRI SureScan549971.3%
Accolade4,33541.5%
Quadra Allure MP RF CRT-P765176.1%
Contak Renewal Tr48903.5%
Percepta Quad Crtp32900%
Anthem Rf Crt-P30007.3%
Solara Quad CRT-P MRI SureScan273402.2%
Allure Quadra RF CRT-P68065.9%
Intua25350%

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 Valitude X4 Crt-P reports

How many FDA reports name Valitude X4 Crt-P?

2,133 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 834 in the latest 12 months.

What kinds of events are reported?

injury (60.9%), malfunction (38.3%) and death (0.8%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

premature discharge of battery (34%), incorrect, inadequate or imprecise result or readings (20.1%), over-sensing (13.5%), high impedance (10.9%) and pacing problem (9.7%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.2%) 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 Valitude X4 Crt-P 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.