CapSure®SP Novus 4592-45Recalls & reported problems
Medtronic, Inc. · LEAD 4592-45 CAPSURE BIP HYB DPLS PAS · Class 3 · Implant
All models of CapSureSP Novus (14)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This Medtronic CapSure SP Novus pacemaker lead is an implanted wire that connects a pacemaker to the heart. The 235 reports mostly describe the lead missing heartbeats or detecting beats that were not there, and some describe electrical noise or high energy needed to pace the heart. The reports include 100 injuries and 2 deaths, with some mentioning infections, chest pain or shortness of breath in patients. No recalls name this device, and reports fell to 7 in the last 12 months from 24 in the 12 months 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
- 237
- Deaths reported
- 2
- Injuries reported
- 100
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 237 adverse event reports that list this exact device (DI 00681490114943), received between Feb 9, 2017 and Sep 11, 2026 — classified as 2 deaths, 100 injuries, 135 malfunctions.
The most frequently reported specific device problem is “Under-Sensing” (80 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 18, 2026.
Reports received per month
Most reported problems
Device problems
- Under-Sensing80
- Over-Sensing68
- Adverse Event Without Identified Device or Use Problem34
- High Capture Threshold32
- Signal Artifact/Noise29
- High impedance15
- Fracture13
- Failure to Capture12
Patient problems
- No Clinical Signs, Symptoms or Conditions108
- No Known Impact Or Consequence To Patient55
- Unspecified Infection28
- No Consequences Or Impact To Patient8
- Chest Pain7
- Dyspnea5
- Erosion4
- Fall4
Recent adverse event reports
The 25 most recent of 237 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 11, 2026Low impedance
It was reported that the Right Atrial (RA) lead exhibited low impedance. 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 50731455 ↗MalfunctionSep 2, 2026Signal Artifact/Noise; Failure to Capture; Over-Sensing; Pacing Problem; Under-Sensing
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50563085 ↗MalfunctionMay 1, 2026Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING ON STORED EPISODES RESULTING IN TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION. 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 25060067 ↗MalfunctionApr 30, 2026Signal Artifact/Noise; Electrical /Electronic Property Problem; Over-Sensing; Capturing Problem
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED OVERSENSING AND RIGHT ATRIAL (RA) LEAD EXHIBITED NOISE, OVERSENSING, ELEVATED THRESHOLDS AND THE ATRIAL LEAD POSITION CHECK FAILED. THE LEADS 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 25042093 ↗MalfunctionApr 21, 2026Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING ON ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EPISODES, RESULTING IN UNNECESSARY PACING AT TIMES AND PRE-TERMINATION OF EVENTS IN PROGRESS. 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 24941020 ↗InjuryMar 3, 2026Failure to Capture
IT WAS REPORTED THAT THE PATIENT EXPERIENCED SYNCOPE. IT WAS ALSO REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED LOSS OF CAPTURE. THE RA LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Syncope/Fainting
MAUDE report 24494687 ↗InjuryJan 23, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE "MAIN UNIT" IS EXPOSED. THE IMPLANTABLE PULSE GENERATOR (IPG) SYSTEM WAS EXPLANTED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Erosion
MAUDE report 24162196 ↗MalfunctionJan 9, 2026Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING RESULTING IN FALSE TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS AT TIMES. 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 24028821 ↗MalfunctionJan 5, 2026Intermittent Capture; Over-Sensing; Unstable Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED VARIABLE THRESHOLDS. IT ALSO REPORTED THAT THE RA LEAD DISPLAYED OVER SENSING AND INTERMITTENT CAPTURE 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 23969274 ↗MalfunctionOct 15, 2025Over-Sensing; High Capture Threshold; Over-Sensing; High Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED POSSIBLE INTERMITTENT OVERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) DETECTION. IT WAS ALSO REPORTED THAT THE RA LEAD EXHIBITED HIGH THRESHOLDS. 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 23299230 ↗MalfunctionSep 15, 2025Intermittent Capture; Electrical /Electronic Property Problem; Intermittent Capture; Electrical /Electronic Property Problem
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED INTERMITTENT LOSS OF CAPTURE ALONG WITH LEAD POSITION CHECK FAILURE. 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 23049462 ↗MalfunctionSep 5, 2025Over-Sensing; High Capture Threshold; Over-Sensing; High Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED CHRONIC OVERSENSING DETECTED AS ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) AND CHRONIC HIGH THRESHOLDS. THESE SHOWED AS NON-PHYSIOLOGIC RATES AND MORPHOLOGIES. THE RIGHT VENTRICULAR (RV) LEAD ALSO EXHIBITED CHRONIC HIGH THRESHOLDS. THE RA AND RV LEADS 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 22976784 ↗MalfunctionSep 4, 2025Pacing Problem; Under-Sensing; Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE PATIENT EXPERIENCED CHEST PAIN. IT WAS FURTHER REPORTED THAT BOTH THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING WHICH APPEARS TO RESULT IN INAPPROPRIATE ATRIAL PACING ON SAVED ELECTROGRAMS (EGM). IT WAS FURTHER REPORTED THAT THE DEVICE ALSO APPEARS TO BE UNDER SENSING ON THE RIGHT VENTRICULAR (RV) LEAD. BOTH LEADS 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 22963343 ↗InjuryJul 18, 2025Signal Artifact/Noise; Pacing Problem; Signal Artifact/Noise; Pacing Problem
IT WAS FURTHER REPORTED THAT THE RA LEAD EXHIBITED PACING INHIBITION AND WAS CAPPED AND REPLACED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22540267 ↗InjuryJul 9, 2025Over-Sensing; Under-Sensing; Over-Sensing; Under-Sensing
IT WAS REPORTED THAT THE PATIENT EXPERIENCED CHEST PAIN. THE RIGHT ATRIAL (RA) LEAD EXHIBITED OVERSENSING FURTHER CAUSING DEVICE CLASSIFIED FALSE DETECTION OF ATRIAL TACHYCARDIA (AT)/ ATRIAL FIBRILLATION (AF). ADDITIONALLY, ATRIAL UNDERSENSING WAS NOTED ON EPISODES. THE RA LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Chest Pain
MAUDE report 22456685 ↗MalfunctionJul 8, 2025Under-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) EVENTS AND LOW P WAVES. 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 22436187 ↗MalfunctionJul 8, 2025Failure to Capture; Fracture; High impedance; Failure to Capture; Fracture; High impedance
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED FRACTURE, NO CAPTURE AND HIGH IMPEDANCE. 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 22434954 ↗InjuryJun 30, 2025Capturing Problem; High Capture Threshold; Capturing Problem; High Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD THRESHOLD INCREASED SIGNIFICANTLY AND SUBSEQUENTLY EXHIBITED HIGH THRESHOLDS. THE RA LEAD WAS CAPPED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22356001 ↗MalfunctionMay 29, 2025Pacing Problem; Under-Sensing; Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING RESULTING IN INAPPROPRIATE ATRIAL PACING. 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 22103441 ↗MalfunctionMay 28, 2025Low impedance; Low impedance
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD AND THE RIGHT ATRIAL (RA) LEAD TRIGGERED ALERTS FOR OUT OF RANGE (OOR) LOW IMPEDANCE. THE LEADS 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 22094202 ↗InjuryMay 23, 2025Failure to Capture; High Capture Threshold; Failure to Capture; High Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED HIGH THRESHOLDS AND NO CAPTURE. THE RA LEAD WAS CAPPED AND REPLACED. THE R IGHT VENTRICULAR (RV) LEAD WAS CAPPED FOR UNKNOWN REASONS. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22078022 ↗InjuryMay 12, 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. THE IMPLANTABLE PULSE GENERATOR (IPG) SYSTEM WAS EXPLANTED AND REPLACED WITH A LEADLESS IPG. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Unspecified Infection
MAUDE report 22000859 ↗MalfunctionMar 26, 2025Under-Sensing; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING RESULTING IN FALSE TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) DETECTION. 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 21698372 ↗MalfunctionMar 10, 2025Under-Sensing; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD DISPLAYED POTENTIAL UNDERSENSING TRIGGERING DEVICE CLASSIFIED FALSE TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS 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 21559867 ↗MalfunctionJan 27, 2025Over-Sensing; Under-Sensing; Over-Sensing; Under-Sensing
IT WAS REPORTED THAT THE PATIENT HAD A FALL. THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDER-SENSING TRIGGERING DEVICE CLASSIFIED FALSE TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENT(S) AT TIMES. INTERMITTENTLY FAR-FIELD OVERSENSING WITH POSSIBLE R AND T WAVES OBSERVED ON THE RA LEAD DURING THE AT/AF. THE LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Fall
MAUDE report 21238921 ↗
Other Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes devices
- Tendril™ STSSt. Jude Medical, Inc. · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes438 deaths19,632 reports
- Tendril™ STSSt. Jude Medical, Inc. · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes200 deaths12,708 reports
- INGEVITY™ MRI 7741Boston Scientific Corporation · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes36 deaths7,874 reports
- INGEVITY™+ 7841Boston Scientific Corporation · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes15 deaths7,419 reports
- Tendril™ STSSt. Jude Medical, Inc. · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes190 deaths6,776 reports
- INGEVITY™+ 7842Boston Scientific Corporation · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes21 deaths5,995 reports
- SelectSecure™ MRI SureScan™ 383069Medtronic, Inc. · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes50 deaths5,027 reports
- CapSureFix Novus MRI™ SureScan® 5076-45Medtronic, Inc. · Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes40 deaths5,000 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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