Cobalt™ HF Quad CRT-D MRI SureScan™ DTPB2QQRecalls & reported problems
Medtronic, Inc. · CRTD DTPB2QQ COBALT HF QUAD MRI DF4 USA · Class 3 · Implant
All models of Cobalt HF Quad CRT-D MRI SureScan (2)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
4 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.
Quick summary
This Medtronic Cobalt HF Quad CRT-D is an implanted heart defibrillator that also paces the heart. Many of the 859 reports describe sensing errors, pacing problems and inappropriate shocks, and some describe infections that led to device removal. The reports include 530 injuries and 20 deaths. 4 open recalls name this device; they cover reduced shock energy during high-voltage therapy, a communication error and a manufacturing problem.
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
- 868
- Deaths reported
- 19
- Injuries reported
- 537
- Recalls naming it
- 4
Summary
The FDA's MAUDE database contains 868 adverse event reports that list this exact device (DI 00763000178178), received between Aug 20, 2020 and Sep 30, 2026 — classified as 19 deaths, 537 injuries, 312 malfunctions.
The most frequently reported specific device problem is “Device Sensing Problem” (145 reports).
4 FDA recall records name this device's identifier, 4 still open.
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
Recalls naming this device
- May 10, 2023Class IOpen, Classified
There is a rare potential for reduced- or no-energy output during high voltage (HV) therapy (typically 0-12J) in implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) manufactured with a specific (glassed) feedthrough, including currently available ICDs and CRT-Ds.
Z-1784-2023 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
- Jun 22, 2022Class IOpen, Classified
There is the potential for reduced shock energy (~79% of programmed energy) during high-voltage (HV) therapy for Cobalt and Crome implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds).
Z-1488-2022 · Root cause: Device Design · Recall details · FDA record ↗
- Apr 12, 2022Class IIOpen, Classified
Telemetry error that may occur with Medtronic Cobalt and Crome implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds).
Z-1267-2022 · Root cause: Software design · Recall details · FDA record ↗
- Nov 5, 2020Class IIOpen, Classified
Manufacturing error that may have resulted in a cathode component being out of specification. All devices met final functional testing requirements.
Z-1480-2022 · Root cause: Process control · Recall details · FDA record ↗
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem249
- Device Sensing Problem145
- Pacing Problem110
- Inappropriate/Inadequate Shock/Stimulation108
- Premature Discharge of Battery69
- Appropriate Device Problem Term/Code Not Available64
- Unable to Obtain Readings64
- Inappropriate or Unexpected Reset63
Patient problems
- No Clinical Signs, Symptoms or Conditions406
- Unspecified Infection175
- Shock from Patient Lead(s)108
- Bradycardia34
- Tachycardia27
- Erythema25
- Bacteremia20
- Bacterial Infection20
Recent adverse event reports
The 25 most recent of 868 reports, in the reporter's own words as published by the FDA.
InjurySep 30, 2026Adverse Event Without Identified Device or Use Problem
Patient problems: Endocarditis; Unspecified Infection
MAUDE report 50953550 ↗MalfunctionSep 30, 2026Electromagnetic Interference; Over-Sensing
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50951224 ↗MalfunctionSep 28, 2026Pacing Problem; Under-Sensing
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50925250 ↗MalfunctionSep 28, 2026Premature Discharge of Battery
It was reported by the patient that experienced symptoms of chest tightness and discomfort since adjustments were made to the Cardiac Resynchronization Therapy Defibrillator (CRT-D) settings. The patient also noted a significant decrease in battery life and expressed feeling unwell, particularly when active. The CRT-D remains in use. No further patient complications have been reported as a result of this event.
Patient problems: Chest Pain; Discomfort
MAUDE report 50920742 ↗InjurySep 25, 2026Adverse Event Without Identified Device or Use Problem
Patient problems: Bacterial Infection; Fungal Infection; Medical device site infection
MAUDE report 50904054 ↗InjurySep 24, 2026Pacing Problem; Inappropriate/Inadequate Shock/Stimulation; Device Sensing Problem
It was reported that the Right Atrial (RA) lead exhibited undersensing of Atrial Fibrillation (AF) noted on a stored episode. The clinician stated that the patient received Anti-Tachycardia Pacing (ATP) and high-voltage therapy for Atrial Fibrillation (AF) with Rapid Ventricular Response that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) classified as Ventricular Tachycardia (VT). The clinician further stated that the patient was experiencing the inappropriate shocks due to AF and undersensing issues. The lead and device remain in use. No further patient complications have been reported as a result of this event.
Patient problems: Shock from Patient Lead(s)
MAUDE report 50889104 ↗InjurySep 24, 2026Adverse Event Without Identified Device or Use Problem
It was reported that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) system was explanted due to a mobile echogenic mass/vegetation attached to the Right Atrial (RA) lead. It was noted that the patient also experienced discomfort. No further patient complications have been reported as a result of this event.
Patient problems: Discomfort; Medical device site infection
MAUDE report 50881989 ↗InjurySep 23, 2026Adverse Event Without Identified Device or Use Problem
Patient problems: Bacteremia
MAUDE report 50868542 ↗InjurySep 17, 2026Failure to Deliver Shock/Stimulation; Device Sensing Problem
It was reported that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) inappropriately withheld therapy for Ventricular Tachycardia (VT) detected as Supra Ventricular Tachycardia (SVT). Reprogramming was done to turn off a discriminator and the CRT-D remains in use. No further patient complications have been reported as a result of this event.
Patient problems: Tachycardia
MAUDE report 50807368 ↗InjurySep 10, 2026Inappropriate/Inadequate Shock/Stimulation; Device Sensing Problem
It was reported that the Right Atrial (RA) lead exhibited undersensing during Atrial Tachycardia/Atrial Fibrillation (AT/AF) stored episodes resulting in termination of AT/AF detected event(s) in progress. It was further reported that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) treated an episode for Atrial Fibrillation (AF) with Rapid Ventricular Response versus Ventricular T achycardia/Ventricular Fibrillation (VT/VF). The RA lead and CRT-D remain in use. No further patient complications have been reported as a result of this event.
Patient problems: Shock from Patient Lead(s)
MAUDE report 50718441 ↗InjurySep 9, 2026Appropriate Device Problem Term/Code Not Available
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50698311 ↗InjurySep 9, 2026Inappropriate/Inadequate Shock/Stimulation; Device Sensing Problem
It was reported that the Right Ventricular (RV) lead exhibited intermittent T-Wave Oversensing (TWOS). Additionally, the patient received inappropriate therapy for Atrial Fibrillation (AF) with Rapid Ventricular Response (RVR) that was detected as Ventricular Fibrillation (VF). The Cardiac Resynchronization Therapy Defibrillator (CRT-D) and RV lead remain in use. No further patient complications have been reported as a result of this event.
Patient problems: Ventricular Fibrillation
MAUDE report 50693326 ↗InjurySep 3, 2026Pacing Problem
It was reported that the patient experienced syncope and bradycardic episodes where their heart rate was below the lower programmed rate of the Cardiac Resynchronization Therapy Defibrillator (CRT-D) on external telemetry, and no pacing spikes were noted. It was noted that the episodes were around the time that the patient was having Premature Ventricular Contractions (PVC), bigeminy, and trigeminy. The CRT-D remains in use. No further patient complications have been reported as a result of this event.
Patient problems: Bradycardia; Syncope/Fainting
MAUDE report 50590538 ↗MalfunctionSep 2, 2026Signal Artifact/Noise; Pacing Problem
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50571670 ↗InjuryAug 31, 2026Appropriate Device Problem Term/Code Not Available
It was reported that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) device system was explanted and replaced die to an unspecified reason. No patient complications have been reported as a result of this event.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50533156 ↗InjuryAug 27, 2026Electromagnetic Interference; Over-Sensing; Inappropriate/Inadequate Shock/Stimulation; Device Sensing Problem
It was reported that the patient received a shock when attempting to start a grill. Upon further review; a Lead Integrity Alert (LIA) was triggered due to Sensing Integrity Counter (SIC) and High-Rate Non-Sustained episodes. The Cardiac Resynchronization Therapy Defibrillator (CRT-D) exhibited Oversensing of Electromagnetic Interference resulting in non-physiologic intervals resulting in arrhythmia misclassification and inappropriate therapies delivered. The CRT-D remains in use. No further patient complications have been reported as a result of this event.
Patient problems: Shock from Patient Lead(s)
MAUDE report 50483108 ↗InjuryAug 27, 2026Device Sensing Problem
It was reported by a patient representative that the patient's Cardiac Resynchronization Therapy Defibrillator (CRT-D) device "started failing" and delivered 16 shocks in a row. The patient was in the Intensive Care Unit (ICU) for 2 weeks. The device remains in use. No further patient complications have been reported as a result of this event.
Patient problems: Shock from Patient Lead(s)
MAUDE report 50482784 ↗InjuryAug 26, 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 infection with bacteremia. The source of the infection was reported as Fungemia & Endocarditis. Additionally, the patient may have been septic. No further patient complications have been reported as a result of this event.
Patient problems: Bacteremia; Endocarditis; Fungal Infection; Sepsis
MAUDE report 50460828 ↗InjuryAug 21, 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 implantable pulse generator (IPG). No additional details were provided. No patient complications have been reported as a result of this event.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50382662 ↗MalfunctionAug 7, 2026Signal Artifact/Noise; Electromagnetic Interference
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50175076 ↗InjuryAug 5, 2026Adverse Event Without Identified Device or Use Problem
It was reported that the Right Atrial (RA) lead exhibited high capture thresholds. When the RA lead was being extracted, purulent fluid and pus was observed. It was decided that the entire Cardiac Resynchronization Therapy Defibrillator (CRT-D) system would be explanted. No further patient complications have been reported as a result of this event.
Patient problems: Purulent Discharge; Unspecified Infection
MAUDE report 50136730 ↗InjuryJul 27, 2026Adverse Event Without Identified Device or Use Problem
It was reported that the Cardiac Resynchronization Therapy Defibrillator (CRT-D) patient was in the hospital for a back fracture and blood infection. It was noted that the device was toning for Out of Range (OOR) low Right Ventricular (RV) lead pacing impedance and high RV lead thresholds were also observed. It was noted that the lead trends appeared stable however the recent decrease in pacing impedance was suspected to be related to the blood infection and medical issues going on. Several days later the CRT-D system was explanted. No further patient complications have been reported as a result of this event.
Patient problems: Unspecified Infection
MAUDE report 50037280 ↗MalfunctionJul 10, 2026Device Sensing Problem
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) RESULTING IN MISCLASSIFICATION OF EPISODES AND UNNECESSARY PACING AT TIMES. THE RA LEAD ALSO EXHIBITED HIGH CAPTURE THRESHOLDS. ADDITIONALLY, THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) DETECTED EPISODES OF SUPRA VENTRICULAR TACHYCARDIA (SVT) AS VENTRICULAR TACHYCARDIA (VT). THE RA 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 25787661 ↗MalfunctionJul 8, 2026Pacing Problem; Device Sensing Problem
IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) DELIVERED ANTI-TACHYCARDIA PACING (ATP) AND SHOCKS THAT INDUCED AN ATRIAL ARRHYTHMIA. THE CRT-D REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Arrhythmia; Atrial Fibrillation; Shock from Patient Lead(s); Tachycardia
MAUDE report 25752778 ↗InjuryJun 29, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED DUE TO INFECTION. IT WAS NOTED THAT THE PATIENT EXPERIENCED EROSION AND WOUND DEHISCENCE. ANTIBIOTICS WERE PROVIDED TO THE PATIENT. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Erosion; Unspecified Infection; Wound Dehiscence
MAUDE report 25661980 ↗
Other Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D) devices
- Gallant™ CDHFA500QSt. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)2 recalls58 deaths8,401 reports
- Quartet™ 1458Q-86St. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)207 deaths6,631 reports
- QUADRA ASSURA MP™ CD3369-40QSt. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)103 deaths6,084 reports
- VIGILANT™ X4 CRT-D G247Boston Scientific Corporation · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)17 deaths2,066 reports
- Quadra Assura™ CD3365-40QSt. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)53 deaths2,056 reports
- Cobalt™ XT HF Quad CRT-D MRI SureScan™ DTPA2QQMedtronic, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)4 recalls40 deaths1,639 reports
- Unify Assura™ CD3357-40QSt. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)54 deaths1,784 reports
- Unify Assura™ CD3357-40CSt. Jude Medical, Inc. · Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)56 deaths1,588 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 · each recall links to the FDA recall notice
- 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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