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SELECTSECURE™ 383049 (UDI 00643169535848)Recalls & reported problems

Medtronic, Inc. · LEAD 383049 SELECTSECURE US DIR DISP · Class 3 · Implant

All models of SELECTSECURE (12)

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Quick summary

This is a Medtronic SelectSecure 383049 lead, a drug-eluting wire implanted in the heart's right ventricle or right atrium to keep the heartbeat steady. The 45 reports mostly describe the lead moving out of position, missing or falsely picking up the heart's signals so pacing is missed or triggered needlessly, and needing more energy to capture a beat. Twenty-eight reports involve injury and 17 describe malfunctions; no deaths. Some patients reported dizziness, skin erosion or infection, and a few leads were removed and replaced. No recalls name this device.

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
45
Deaths reported
0
Injuries reported
28
Recalls naming it
0

Summary

The FDA's MAUDE database contains 45 adverse event reports that list this exact device (DI 00643169535848), received between Oct 2, 2017 and May 18, 2026 — classified as 28 injuries, 17 malfunctions.

The most frequently reported specific device problem is “Device Dislodged or Dislocated” (12 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. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 1 reportsJan 2024: 0 reportsFeb 2024: 1 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 3 reportsAug 2024: 1 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 1 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 1 reportsJun 2025: 1 reportsJul 2025: 2 reportsAug 2025: 0 reportsSep 2025: 1 reportsOct 2025: 0 reportsNov 2025: 3 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 1 reportsApr 2026: 0 reportsMay 2026: 2 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520263
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Device Dislodged or Dislocated12
  • Adverse Event Without Identified Device or Use Problem9
  • Under-Sensing9
  • High Capture Threshold7
  • Over-Sensing4
  • Pacing Problem4
  • Failure to Capture3
  • Low impedance3

Patient problems

  • No Clinical Signs, Symptoms or Conditions20
  • No Known Impact Or Consequence To Patient6
  • No Consequences Or Impact To Patient4
  • Dizziness3
  • Erosion3
  • Bacterial Infection2
  • Cardiac Tamponade2
  • Fever2

Recent adverse event reports

The 25 most recent of 45 reports, in the reporter's own words as published by the FDA.

  • InjuryMay 18, 2026Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P) SYSTEM WAS EXPLANTED DUE TO A SYSTEMIC INFECTION WITH BACTEREMIA PRESENT. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacteremia; Unspecified Infection

    MAUDE report 25211362 ↗
  • MalfunctionMay 6, 2026Over-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED FAR FIELD R-WAVE (FFRW) OVERSENSING. THE LEAD REMAINS IN USE. NO PATIENT C OMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25092369 ↗
  • MalfunctionMar 19, 2026Pacing Problem; Under-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING RESULTING IN UNNECESSARY PACING AT TIMES. 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 24638960 ↗
  • MalfunctionNov 21, 2025Under-Sensing; Low impedance; Decreased Sensitivity; Under-Sensing; Low impedance; Decreased Sensitivity

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION STORED EPISODES RESULTING IN TERMINATION OF (AT/AF) DETECTED EVENT(S) IN PROGRESS. IT WAS FURTHER REPORTED THAT THE RA LEAD EXHIBITED A LOW UNIPOLAR IMPEDANCE WARNING AND A LOW P WAVE MEASUREMENT. THE RA 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 23617056 ↗
  • InjuryNov 6, 2025Over-Sensing; Under-Sensing; Over-Sensing; Under-Sensing

    IT WAS FURTHER REPORTED THAT THE RA LEAD WAS EXPLANTED AND REPLACED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23486646 ↗
  • MalfunctionNov 4, 2025Pacing Problem; Under-Sensing; Pacing Problem; Under-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS RESULTING IN UNNECESSARY PACING AT TIMES AND FALSE TERMINATION OF AT/AF DETECTED EVENT(S) IN PROGRESS ALONG WITH THE LEFT BUNDLE BRANCH RIGHT VENTRICULAR (RV-LBB) LEAD EXHIBITING UNDERSENSING RESULTING IN TERMINATION OF ARRHYTHMIA EVENT IN PROGRESS ON STORED EPIS ODES. BOTH THE RA AND RV 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 23461958 ↗
  • InjurySep 11, 2025Adverse Event Without Identified Device or Use Problem; High Capture Threshold; Adverse Event Without Identified Device or Use Problem; High Capture Threshold

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) HIS LEAD EXHIBITED HIGH THRESHOLDS. THE RV HIS LEAD WAS REMOVED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23031108 ↗
  • InjuryJul 15, 2025Adverse Event Without Identified Device or Use Problem; Appropriate Device Problem Term/Code Not Available; Adverse Event Without Identified Device or Use Problem; Appropriate Device Problem Term/Code Not Available

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED INCREASE IN THRESHOLD, HIGH THRESHOLD AND INTERMITTENT LOSS OF CAPTURE. THE RV LEAD WAS REPROGRAMMED. LATER, WHEN THE PATIENT WENT HOME AND PICKED UP SOMETHING, IT WAS REPORTED THAT THEY FELT SOMETHING IN THEIR ABDOMEN. IT WAS NOTED THAT THE PATIENT HAD A VERY LARGE HEMATOMA WHICH WAS ACTIVELY BLEEDING AND THE PATIENT EXPERIENCED CARDIAC TAMPONADE. BOTH THE RV AND LEFT VENTRICULAR (LV) LEAD WERE EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Cardiac Tamponade; Hematoma

    MAUDE report 22507886 ↗
  • InjuryJul 15, 2025Intermittent Capture; Failure to Capture; Capturing Problem; High Capture Threshold; Intermittent Capture; Failure to Capture; Capturing Problem; High Capture Threshold

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED INCREASE IN THRESHOLD, HIGH THRESHOLD AND INTERMITTENT LOSS OF CAPTURE. THE RV LEAD WAS REPROGRAMMED. LATER, WHEN THE PATIENT WENT HOME AND PICKED UP SOMETHING, IT WAS REPORTED THAT THEY FELT SOMETHING IN THEIR ABDOMEN. IT WAS NOTED THAT THE PATIENT HAD A VERY LARGE HEMATOMA WHICH WAS ACTIVELY BLEEDING AND THE PATIENT EXPERIENCED CARDIAC TAMPONADE. BOTH THE RV AND LEFT VENTRICULAR (LV) LEAD WERE EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Cardiac Tamponade; Hematoma

    MAUDE report 22507745 ↗
  • InjuryJun 19, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P) SYSTEM WAS EXPLANTED DUE TO A POCKET INFECTION. EROSION AND FEVER WERE ALSO NOTED. THE CRT-P SYSTEM WAS SUBSEQUENTLY REPLACED SIX DAYS LATER. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Erosion; Fever; Medical device site infection

    MAUDE report 22292396 ↗
  • MalfunctionMay 14, 2025Electrical /Electronic Property Problem; Under-Sensing; Electrical /Electronic Property Problem; Under-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED ATRIAL LEAD POSITION CHECK FAILURE. IT WAS ALSO REPORTED THAT THE LEAD EXHIBITED RARE OCCURRENCE OF FUNCTIONAL ATRIAL UNDERSENSING. 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 22017682 ↗
  • InjuryNov 12, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED POCKET INFECTION, EROSION AND FEVER. THE IMPLANTABLE PULSE GENERATOR (IPG) AND RIGHT VENTRICULAR (RV) LEAD WERE EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Erosion; Fever; Unspecified Infection

    MAUDE report 20662745 ↗
  • MalfunctionOct 18, 2024Failure to Capture; Failure to Capture

    IT WAS REPORTED THAT THERE WAS A POSSIBLE LOSS OF CAPTURE NOTED FROM THE RIGHT ATRIAL (RA) LEAD ON THE CURRENT ELECTROGRAMS (EGM). THE RA 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 20485508 ↗
  • InjuryAug 7, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated

    IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED A MICRODISLODGEMENT. THE RV LEAD WAS REMOVED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19926855 ↗
  • InjuryJul 23, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) SYSTEM WAS EXPLANTED DUE TO AN ENDOCARDITIS INFECTION. A NEW SYSTEM WAS IMPLANTED NINE DAYS LATER. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Endocarditis

    MAUDE report 19806223 ↗
  • InjuryJul 8, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED DIZZINESS. IT WAS FURTHER REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD DISLODGED. THE RV LEAD WAS EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Dizziness

    MAUDE report 19687372 ↗
  • MalfunctionJul 4, 2024Under-Sensing; Decreased Sensitivity; Under-Sensing; Decreased Sensitivity

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) ON CURR ENT ELECTROGRAMS (EGM). LOW P WAVES MEASURED. 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 19673135 ↗
  • InjuryFeb 21, 2024Over-Sensing; Under-Sensing; Over-Sensing; Under-Sensing

    IT WAS FURTHER REPORTED THAT ELECTROGRAMS (EGM)S APPEAR TO SHOW UPPER RATE BEHAVIOUR.

    Patient problems: Tachycardia

    MAUDE report 18746384 ↗
  • InjuryDec 14, 2023Capturing Problem; Capturing Problem

    IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) EXHIBITED EARLY BATTERY DEPLETION. THE RIGHT VENTRICULAR (RV) LEAD AND RIGHT ATRIAL (RA) LEAD THRESHOLDS WERE INCREASED. THE IPG SYSTEM 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 18324347 ↗
  • InjuryOct 31, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD ERODED. THE RA LEAD WAS EXPLANTED AND REPLACED DUE TO EROSION. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Erosion

    MAUDE report 18037669 ↗
  • InjurySep 1, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated

    IT WAS REPORTED THAT, DURING AN ABLATION PROCEDURE, THE RIGHT ATRIAL (RA) LEAD DISLODGED. THE LEAD WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17668105 ↗
  • InjuryAug 18, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD HAD DISLODGED. THE RA LEAD WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17570341 ↗
  • MalfunctionFeb 24, 2023Under-Sensing; Under-Sensing

    IT WAS REPORTED POST-OPERATIVE THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDER-SENSING ON STORED ELECTROGRAMS (EGM). THE RA 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 16434516 ↗
  • InjuryJan 11, 2023Signal Artifact/Noise; Failure to Capture; Electrical /Electronic Property Problem; Fracture; Under-Sensing; Device Dislodged or Dislocated; Signal Artifact/Noise; Failure to Capture; Electrical /Electronic Property Problem; Fracture; Under-Sensing; Device Dislodged or Dislocated

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED ATRIAL TACHYCARDIA. IT WAS FURTHER REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED INABILITY TO CONFIRM CAPTURE, NOISE AND NOT SENSING P WAVES APPROPRIATELY. IT WAS ALSO REPORTED THAT THE RA LEAD HAD POSSIBLY DISLODGED AND THAT A POSSIBLE FRACTURE MAY HAVE OCCURRED. THE RA LEAD WAS REPROGRAMMED OFF AND REMAINS IN PATIENT. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Tachycardia

    MAUDE report 16136477 ↗
  • InjuryNov 17, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THE CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P) SYSTEM WAS EXPLANTED DUE TO INFECTION. THE ORGANISM WAS IDENTIFIED AS METHICILLIN SENSITIVE STAPH AUREUS. THE IPG SYSTEM WAS EXPLANTED, AND EXISTING LEADLESS IMPLANTABLE PULSE GENERATOR (IPG) RE-ACTIVATED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Patient problems: Bacterial Infection

    MAUDE report 15816527 ↗

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Sources and updates

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