inforMED
InjuryDTB

CAPSUREFIX NOVUS LEAD MRI SURESCAN

Received Jul 15, 2026 · Event occurred Jun 22, 2026

Report 2182208-2026-43833 · MDR key 25830072

Device

Generic name

Permanent Pacemaker Electrode

Manufacturer

Medtronic, Inc.

Model number

5076-52

Catalog number

5076-52

Product problems

  • Pacing Problem
  • Under-Sensing

Patient

90 YR · Male

  • Cardiac Arrest
  • Tachycardia

Narrative

Additional Manufacturer Narrative

CONTINUATION OF D10: 694765 LEAD, IMPLANTED (B)(6) 2008. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

IT WAS REPORTED THAT THAT RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS RESULTING IN UNNECESSARY PACING AT TIMES. ADDITIONALLY, IT WAS NOTED THAT THE PATIENT HAD A CARDIAC ARREST WITH POSSIBLE VENTRICULAR TACHYCARDIA (VT) AND THE PATIENT WAS EXTERNALLY DEFIBRILLATED AT LEAST ONCE. THE RA LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.