CapSure®Z Novus 5554-45Recalls & reported problems
Medtronic, Inc. · LEAD 5554-45 STEROID BIP SILICONE ATRL · Class 3 · Implant
All models of CapSureZ Novus (4)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This Medtronic CapSure Z Novus is a pacemaker lead, a wire implanted in the heart to carry pacing signals. Of its 320 reports, 175 are malfunctions and 144 are injuries, mostly describing the lead misreading the heart's electrical signals or noise, and needing more power to pace the heart. The reports include 1 death, and some mention infections. 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
- 320
- Deaths reported
- 1
- Injuries reported
- 145
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 320 adverse event reports that list this exact device (DI 00681490135047), received between Feb 9, 2017 and Sep 8, 2026 — classified as 1 death, 145 injuries, 174 malfunctions.
The most frequently reported specific device problem is “Under-Sensing” (90 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-Sensing90
- Over-Sensing88
- High Capture Threshold60
- Signal Artifact/Noise49
- High impedance37
- Adverse Event Without Identified Device or Use Problem25
- Fracture23
- Low impedance22
Patient problems
- No Clinical Signs, Symptoms or Conditions157
- No Known Impact Or Consequence To Patient81
- Unspecified Infection21
- No Consequences Or Impact To Patient19
- Chest Pain8
- Bradycardia6
- Syncope6
- Dizziness5
Recent adverse event reports
The 25 most recent of 320 reports, in the reporter's own words as published by the FDA.
InjurySep 8, 2026High impedance
It was reported that the patient experienced lethargy. The Right Atrial (RA) lead exhibited high impedance. The Implantable Pulse Generator (IPG) had reached its End of Service (EOS). The RA lead was capped and replaced. No further patient complications have been reported as a result of this event.
Patient problems: Lethargy
MAUDE report 50663384 ↗MalfunctionAug 26, 2026High Capture Threshold
It was reported that the patient experienced chest pain. Upon device assessment it was noted that the Right Ventricular (RV) lead exhibited under sensing resulting in inappropriate pacing. It was also reported that the Right Atrial (RA) lead exhibited high thresholds. Both leads remain in use. No further patient complications have been reported as a result of this event.
Patient problems: Chest Pain
MAUDE report 50449556 ↗MalfunctionAug 10, 2026High impedance; High Capture Threshold
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50191466 ↗MalfunctionJun 19, 2026Over-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED FAR FIELD R-WAVE (FFRW) OVERSENSING TRIGGERING FALSE ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) DETECTIONS. 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 25561070 ↗MalfunctionMay 20, 2026Signal Artifact/Noise; Electrical /Electronic Property Problem; Over-Sensing; Low impedance
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED CHRONIC BIPOLAR AND UNIPOLAR LOW OUT OF RANGE IMPEDANCE WARNINGS ALONG WITH NOISE AND OVERSENSING ON STORED EPISODES RESULTING IN FALSE EPISODE DETECTIONS. ATRIAL LEAD POSITION CHECK FAILURE WAS OBSERVED AS WELL. IT WAS ALSO REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED CHRONIC HIGH THRESHOLDS. BOTH THE RV AND RA 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 25226778 ↗InjuryApr 14, 2026High Capture Threshold
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED HIGH THRESHOLDS AND THE RIGHT VENTRICULAR (RV) LEAD WAS CAPPED PREVIOUSLY FOR AN UNKNOWN REASON. BOTH LEADS WERE 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 24868673 ↗MalfunctionApr 7, 2026Signal Artifact/Noise
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED NOISE. 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 24799331 ↗InjuryApr 3, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT DEVELOPED AN INFECTION. THE IMPLANTABLE PULSE GENERATOR (IPG) SYSTEM WAS EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Unspecified Infection
MAUDE report 24773684 ↗MalfunctionMar 5, 2026Signal Artifact/Noise; Fracture
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD AND RIGHT VENTRICULAR (RV) LEAD HAD SUSPECTED FRACTURES AND EXHIBITED NOISE. 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 24518460 ↗MalfunctionFeb 24, 2026Electrical /Electronic Property Problem; High impedance; Over-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDEFINED HIGH IMPEDANCE WITH POLARITY SWITCH. IT ALSO NOTED OVERSENSING AND INAPPROPRIATE MODE SWITCHING .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 24429461 ↗MalfunctionFeb 5, 2026Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA (AT) / ATRIAL FIBRILLATION (AF) STORED EPISODES RESULTING IN TERMINATION OF AT/AF DETECTED EVENT(S) 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 24269203 ↗InjuryFeb 3, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN INFECTION. THE IMPLANTABLE PULSE GENERATOR (IPG) SYSTEM REMAINS IN USE. NO FURTHER P ATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Unspecified Infection
MAUDE report 24243702 ↗MalfunctionJan 27, 2026Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING TRIGGERING DEVICE CLASSIFIED FALSE TERMINATION OF ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENT(S) AND UNNECESSARY PACING 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 24190595 ↗InjuryJan 23, 2026Fracture
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) EPICARDIAL LEAD HAD FRACTURED. THE RV 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 24159408 ↗MalfunctionJan 23, 2026Failure to Capture; Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD AND RIGHT VENTRICULAR (RV) LEAD EXHIBITED NO CAPTURE. IT WAS FURTHER NOTED THAT THE RA LEAD EXHIBITED UNDERSENSING, RESULTING IN UNNECESSARY PACING. 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 24159144 ↗MalfunctionJan 19, 2026Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE PATIENT EXPERIENCED CONGESTIVE HEART FAILURE. IT WAS NOTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING ON THE ATRIAL LEAD DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS CAUSING INAPPROPRIATE ATRIAL PACING, DEVICE CLASSIFIED FALSE TERMINATION OF AT/AF AND MISCLASSIFICATION OF VENTRICULAR TACHYCARDIA (VT) EPISODES. IT WAS FURTHER NOTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED FLUCTUATING IMPEDANCE. THE RA AND RV LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Heart Failure/Congestive Heart Failure
MAUDE report 24108702 ↗InjuryNov 27, 2025High impedance; Device Dislodged or Dislocated; High impedance; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD DISLODGED. IT WAS FURTHER REPORTED THAT THE RA LEAD EXHIBITED HIGH IMPEDANCE. THE 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 23665511 ↗MalfunctionNov 19, 2025Under-Sensing; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING. 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 23597844 ↗MalfunctionNov 12, 2025Electrical /Electronic Property Problem; Over-Sensing; Electrical /Electronic Property Problem; Over-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED OVERSENSING ON STORED ELECTROGRAMS (EGM) RESULTING IN INAPPROPRIATE ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) DETECTION. IT WAS ALSO REPORTED THAT THE RA LEAD EXHIBITED FAR FIELD R-WAVE (FFRW) OVERSENSING AND AN ATRIAL 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 23531236 ↗MalfunctionOct 17, 2025Pacing Problem; Under-Sensing; Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD APPEARED TO INTERMITTENTLY UNDERSENSE, WHICH WAS SUSPECTED TO HAVE RESULTED IN INAPP ROPRIATE ATRIAL PACING. IT WAS FURTHER REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) DELIVERED ANTI-TACHYCARDIA PACING (ATP) FOR EPISODES DETECTED AS VENTRICULAR FIBRILLATION (VF) AND FAST VENTRICULAR TACHYCARDIA (FVT) THAT WERE POSSIBLY ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF). OF NOTE, THE ATRIAL ARRHYTHMIA WAS NOTED DURING THESE EPISODES AND SUSPECTED TO BE ASSOCIATED WITH ATRIAL UNDERSENSING. THE RA LEAD AND CRT-D REMAIN IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23325389 ↗MalfunctionOct 15, 2025Electrical /Electronic Property Problem; High Capture Threshold; Electrical /Electronic Property Problem; High Capture Threshold
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED OVERSENSING ON CURRENT AND STORED ELECTROGRAMS (EGM) AND SHORT V-V IN TERVALS. THE RIGHT ATRIAL (RA) LEAD EXHIBITED ATRIAL LEAD POSITION CHECK FAILURE AND HIGH THRESHOLDS. 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 23299280 ↗MalfunctionSep 10, 2025Pacing Problem; Under-Sensing; Pacing Problem; Under-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING RESULTING IN INAPPROPRIATE PACING AND FALLING IN BLANKING AT TIMES, POSSIBLY TRIGGERING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) DEVICE CLASSIFIED TERMINATION OF AT/AF DETECTED EVENT(S). 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 23016281 ↗MalfunctionAug 29, 2025Over-Sensing; Over-Sensing
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED OVERSENSING. 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 22920824 ↗MalfunctionJul 30, 2025High impedance; High Capture Threshold; High impedance; High Capture Threshold
IT WAS REPORTED THAT THE PATIENT EXPERIENCED PAIN AROUND THE PACER SITE AND PAIN DOWN THE LEFT ARM. IT WAS ALSO REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED HIGH THRESHOLDS, TRIGGERED AN ALERT FOR OUT OF RANGE (OOR) HIGH IMPEDANCE AND WAS UNABLE TO CONFIRM LEAD FUNCTION. THE LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Chest Pain; Pain
MAUDE report 22662480 ↗InjuryJul 29, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A CARDIAC TRANSPLANTATION. IT WAS NOTED THAT THERE WAS SOME SUSPICION PREOPERATIVELY THAT THE PATIENT HAD LEAD RELATED ENDOCARDITIS. IT WAS REPORTED THAT PORTIONS OF THE RIGHT VENTRICULAR (RV) LEAD AND CORONARY SINUS LEFT VENTRICULAR (LV) LEAD HAD SOME THROMBUS OR VEGETATION ON THEM. THE ENTIRE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS REMOVED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Endocarditis; Medical device site infection
MAUDE report 22649682 ↗
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.
How reports and recalls are matched · Editorial policy · Report an error on this page