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ATTAIN® PERFORMA™ S 459888Recalls & reported problems

Medtronic, Inc. · LEAD 459888 ATTAIN PERFORMA USA · Class 3 · Implant

Data updated Oct 13, 2026 from official FDA records · Editorial policy

Quick summary

This Medtronic Attain Performa S pacing lead has 247 reports on file, with 1 death and 173 injuries. Many describe the lead needing more energy to pace the heart or failing to pace it, and some patients mention infection or unwanted muscle and nerve stimulation, and some leads were replaced. No recalls name this device, and reports fell to 6 in the latest year from 24 in the year before.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
250
Deaths reported
1
Injuries reported
174
Recalls naming it
0

Summary

The FDA's MAUDE database contains 250 adverse event reports that list this exact device (DI 00643169169081), received between Oct 1, 2015 and Sep 16, 2026 — classified as 1 death, 174 injuries, 75 malfunctions.

The most frequently reported specific device problem is “High Capture Threshold” (67 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 2 reportsJan 2024: 0 reportsFeb 2024: 1 reportsMar 2024: 2 reportsApr 2024: 1 reportsMay 2024: 3 reportsJun 2024: 1 reportsJul 2024: 1 reportsAug 2024: 0 reportsSep 2024: 5 reportsOct 2024: 2 reportsNov 2024: 1 reportsDec 2024: 2 reportsJan 2025: 5 reportsFeb 2025: 5 reportsMar 2025: 0 reportsApr 2025: 1 reportsMay 2025: 1 reportsJun 2025: 1 reportsJul 2025: 3 reportsAug 2025: 3 reportsSep 2025: 2 reportsOct 2025: 0 reportsNov 2025: 1 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 2 reportsMar 2026: 2 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 1 reportsAug 2026: 0 reportsSep 2026: 3 reportsOct 2026: 0 reports2024202520265
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem90
  • High Capture Threshold67
  • High impedance27
  • Appropriate Device Problem Term/Code Not Available23
  • Capturing Problem23
  • Failure to Capture21
  • Device Dislodged or Dislocated17
  • Impedance Problem17

Patient problems

  • No Known Impact Or Consequence To Patient63
  • No Clinical Signs, Symptoms or Conditions55
  • Unspecified Infection54
  • Muscle Stimulation23
  • Undesired Nerve Stimulation14
  • Device Overstimulation of Tissue10
  • Bacteremia9
  • Dyspnea9

Recent adverse event reports

The 25 most recent of 250 reports, in the reporter's own words as published by the FDA.

  • InjurySep 16, 2026Extracardiac stimulation

    It was reported that during use of the Left Ventricular (LV) lead, the patient experienced Diaphragmatic nerve stimulation and discomfort. The LV lead was explanted and replaced. No further patient complications have been reported as a result of this event.

    Patient problems: Device Overstimulation of Tissue; Discomfort

    MAUDE report 50792654 ↗
  • MalfunctionSep 10, 2026Intermittent Capture; High Capture Threshold

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50717737 ↗
  • MalfunctionSep 9, 2026Failure to Capture; High Capture Threshold

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50698957 ↗
  • InjuryJul 9, 2026Impedance Problem

    IT WAS REPORTED BY THE PATIENT THAT FOLLOWING A REVISION PROCEDURE, THEY CALLED AND ASKED WHY A NEW LEAD HAD BEEN IMPLANTED AND WHETHER THE PREVIOUS LEAD WAS DEFECTIVE. THE PATIENT STATED THAT THE PHYSICIAN DISCUSSED HIGH IMPEDANCE, POSSIBLE FIBROSIS, AND THAT THE REPLACEMENT LEAD WAS PLACED IN A DIFFERENT LOCATION. THE LEFT VENTRICULAR (LV) LEAD WAS CAPPED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Fibrosis

    MAUDE report 25770457 ↗
  • InjuryMar 30, 2026Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN INFECTION, AND THE SOURCE OF INFECTION WAS STATED TO BE POSSIBLY FROM THE BLOOD IN ADDITION TO BACTEREMIA. THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS SUBSEQUENTLY EXPLANTED AND REPLACED WITH A LEADLESS PACEMAKER. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacteremia; Sepsis; Unspecified Infection

    MAUDE report 24734443 ↗
  • InjuryMar 3, 2026Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED AND REPLACED WITH A LEADLESS PACEMAKER DUE TO AN INFECTION. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Unspecified Infection

    MAUDE report 24500314 ↗
  • InjuryFeb 24, 2026High impedance

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED UNDERSENSING RESULTING IN FAILURE TO MEET DEVICE CLASSIFIED EPISODE D ETECTION CRITERIA. THE RV UNDERSENSING CAUSED DELAYED DETECTION FOR FAST VENTRICULAR TACHYCARDIA (FVT) AND VENTRICULAR FIBRILLATION (VF). IN ADDITION, THE LEFT VENTRICULAR (LV) LEAD TRIGGERED AN ALERT FOR HIGH UNDEFINED PACING IMPEDANCES. THE LV LEAD HAS BEEN PROGRAMMED OFF. THE RV AND LV LEADS REMAIN IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Tachycardia; Ventricular Fibrillation

    MAUDE report 24430526 ↗
  • InjuryFeb 10, 2026Break; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS REMOVED DUE TO THE PRESENCE OF VEGETATION ON THE RIGHT VENTRICULAR (RV) LEAD. THE PATIENT WAS DIAGNOSED WITH ENDOCARDITIS. DURING THE PROCEDURE, ATTEMPTS TO REMOVE THE LEFT VENTRICULAR (LV) LEAD RESULTED IN ELECTRODE BREAKAGE; THE BROKEN ELECTRODES COULD NOT BE RETRIEVED AND WERE THEREFORE ABANDONED IN THE PATIENT. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Endocarditis

    MAUDE report 24306557 ↗
  • InjuryNov 13, 2025Intermittent Capture; Intermittent Capture

    IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED INTERMITTENT CAPTURE. THE LEAD WAS CAPPED AND REPLACED. NO PATIENT COM PLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23547439 ↗
  • InjurySep 18, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED EXTRACARDIAC STIMULATION FROM THE LEFT VENTRICULAR (LV) LEAD. THE LEAD WAS REPROGRAMMED AND REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Device Overstimulation of Tissue

    MAUDE report 23090276 ↗
  • MalfunctionSep 8, 2025High Capture Threshold; High Capture Threshold

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) EXHIBITED PREMATURE BATTERY DEPLETION DUE TO HIGH THRESHOLDS ON THE LEFT VENTRICULAR (LV) LEAD. THE CRT-D WAS EXPLANTED AND REPLACED, AND THE LV LEAD REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22994386 ↗
  • MalfunctionAug 29, 2025High Capture Threshold; High Capture Threshold

    IT WAS FURTHER REPORTED THAT THE INITIAL ATTEMPT LV LEAD HIGH THRESHOLD WAS DUE TO PATIENT ANATOMY WHILE PLACING THE LEAD.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22929127 ↗
  • MalfunctionAug 27, 2025High Capture Threshold; High Capture Threshold

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED LOW R-WAVES CORRELATING WITH VARYING AND HIGH THRESHOLDS. THE RV LEAD WAS EXPLANTED AND REPLACED. IN ADDITION, THE LEFT VENTRICULAR (LV) LEAD EXHIBITED HIGH THRESHOLDS. THE LV LEAD REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22905255 ↗
  • InjuryAug 22, 2025Capturing Problem; Capturing Problem

    IT WAS REPORTED BY A PATIENT REPRESENTATIVE THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) DEVICE WAS "DEFECTIVE" AND HAD TO BE REPLACED. IT WAS FURTHER REPORTED THAT THE CRTD WAS REPLACED ELECTIVELY DUE TO LOW BATTERY. IT WAS ALSO STATED THE LEFT VENTRICULAR (LV) LEAD EXHIBITED RISING THRESHOLD. THE LEAD WAS DEACTIVATED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22876032 ↗
  • MalfunctionJul 23, 2025High Capture Threshold; High Capture Threshold

    IT WAS REPORTED THAT HIGH LEFT VENTRICULAR (LV) LEAD THRESHOLDS WERE NOTED. IT WAS ALSO REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) INTERROGATION REPORT DISPLAYED QUESTION MARKS INSTEAD OF A THRESHOLD VALUE. THE LV LEAD AND CRT-D REMAIN IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22580358 ↗
  • InjuryJul 16, 2025Failure to Capture; Failure to Capture

    IT WAS FURTHER REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) AND RIGHT VENTRICULAR (RV) LEAD WERE LATER EXPLANTED AND REPLACED WHEN THE PATIENT WAS DOWNGRADED TO A BIVENTRICULAR PACEMAKER SYSTEM, AND THE LEFT VENTRICULAR (LV) LEAD REMA INS IN USE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22522293 ↗
  • MalfunctionJul 1, 2025Failure to Capture; Failure to Capture

    IT WAS REPORTED THAT THE PATIENT PRESENTED WITH SHORTNESS OF BREATH, UPON REVIEW IT WAS NOTED THAT LEFT VENTRICULAR (LV) LEAD CAPTURE COULD NOT BE CONFIRMED DURING STORED EPISODES BUT THRESHOLDS APPEARED STABLE. THE LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Dyspnea

    MAUDE report 22374012 ↗
  • InjuryJun 4, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT APPROXIMATELY ONE MONTH AFTER IMPLANT OF THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) WITH AN TIBACTERIAL ABSORBABLE ENVELOPE, THE PATIENT EXPERIENCED A POCKET INFECTION WITH BACTEREMIA. THE PATIENT RECEIVED ANTIBIOTICS. THE CRT-D SYSTEM WAS EXPLANTED AND REPLACED A FEW DAYS LATER. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacteremia; Medical device site infection

    MAUDE report 22140571 ↗
  • InjuryMay 14, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD, RIGHT VENTRICULAR (RV) LEAD, AND LEFT VENTRICULAR (LV) LEAD WERE EXPLANTED DUE TO A DEVICE POCKET SITE INFECTION AND SWELLING WAS ALSO OBSERVED. IT WAS NOTED THAT A CULTURE WAS TAKEN AND WAS POSITIVE FOR CUTIBACTERIUM ACNES. A LEADLESS IMPLANTABLE PULSE GENERATOR (IPG) WAS PLACED AFTER SYSTEM EXPLANT. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Swelling/ Edema; Unspecified Infection

    MAUDE report 22018713 ↗
  • InjuryApr 16, 2025Difficult to Remove; Material Separation; Difficult to Remove; Material Separation

    IT WAS REPORTED THAT DURING USE OF THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D), THE PATIENT HAD A NECK WOUND. ADDITIONALLY, THE PATIENT EXPERIENCED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) INFECTION AND FEVER. THE CRT-D SYSTEM WAS EXPLANTED. DURING EXTRACTION OF THE LEFT VENTRICULAR (LV) LEAD, PART OF THE LEAD SEPARATED DURING THE EXTRACTION AND PART OF THE INSULATION AND THE FOUR ELECTRODES REMAIN IN THE PATIENT'S BODY. A LEADLESS IMPLANTABLE PULSE GENERATOR (IPG) WAS IMPLANTED. THE PATIENT WAS ADMINISTERED ANTIBIOTIC MEDICATION. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacteremia; Drug Resistant Bacterial Infection; Fever

    MAUDE report 21852772 ↗
  • InjuryFeb 26, 2025High impedance; High Capture Threshold; High impedance; High Capture Threshold

    IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED HIGH IMPEDANCE AND HIGH THRESHOLD. THE LEAD WAS TURNED OFF. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21468521 ↗
  • MalfunctionFeb 25, 2025Failure to Capture; Failure to Capture

    IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD CAPTURE WAS SET TO MONITOR. THE LV LEAD TRENDS SHOWED SOME DAILY MEASUREMENTS AT OR ABOVE CAPTURE, POSSIBLY LEADING TO LOSS OF CAPTURE. THE LEAD REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21464637 ↗
  • InjuryFeb 21, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN INFECTION. IT WAS SUSPECTED THAT THE SOURCE OF THE INFECTION WAS POSSIBLY AN INFECTED TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Unspecified Infection

    MAUDE report 21439150 ↗
  • InjuryFeb 21, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED DUE TO A SUSPECTED POCKET INFECTION AND THE ORGANISM WAS REPORTED AS METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS. ADDITIONALLY, THE PATIENT EXPERIENCED BACTEREMIA WITH DISCOMFORT AND REDNESS. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacteremia; Discomfort; Drug Resistant Bacterial Infection; Erythema; Fluid Discharge; Medical device site infection; Pain; Wound Odor

    MAUDE report 21439116 ↗
  • MalfunctionFeb 18, 2025Failure to Capture; High Capture Threshold; Failure to Capture; High Capture Threshold

    IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED HIGH THRESHOLDS AND CAPTURE COULD NOT BE CONFIRMED. IT WAS NOTED THAT THE PATIENT EXPERIENCED CHEST PAIN AND SHORTNESS OF BREATH. THE LV LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Chest Pain; Dyspnea

    MAUDE report 21403123 ↗

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