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VALITUDE™ X4 CRT-P U128Recalls & reported problems

Boston Scientific Corporation · Cardiac Resynchronization Therapy Pacemaker · Class 3 · Implant

Data updated Oct 18, 2026 from official FDA records · Editorial policy

2 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.

Quick summary

This Boston Scientific Valitude X4 cardiac resynchronization pacemaker helps coordinate heart pumping. Many reports describe the battery running down early, and others describe unreliable readings or infections. The records include 1,986 reports, 1,223 injuries and 26 deaths. There are 2 recalls, both open, about high battery impedance that can make the device enter a protective mode. Reports rose from 280 in the year before to 470 in the most recent year.

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
2,073
Deaths reported
26
Injuries reported
1,231
Recalls naming it
2

Summary

The FDA's MAUDE database contains 2,073 adverse event reports that list this exact device (DI 00802526559402), received between Apr 21, 2016 and Sep 30, 2026 — classified as 26 deaths, 1,231 injuries, 816 malfunctions.

The most frequently reported specific device problem is “Premature Discharge of Battery” (540 reports).

2 FDA recall records name this device's identifier, 2 still open.

18 other recalls cover devices cleared under the same FDA submission (P030005); they may or may not involve this specific model.

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

Nov 2023: 18 reportsDec 2023: 14 reportsJan 2024: 28 reportsFeb 2024: 18 reportsMar 2024: 24 reportsApr 2024: 12 reportsMay 2024: 20 reportsJun 2024: 18 reportsJul 2024: 21 reportsAug 2024: 13 reportsSep 2024: 23 reportsOct 2024: 25 reportsNov 2024: 19 reportsDec 2024: 17 reportsJan 2025: 29 reportsFeb 2025: 32 reportsMar 2025: 25 reportsApr 2025: 27 reportsMay 2025: 19 reportsJun 2025: 21 reportsJul 2025: 17 reportsAug 2025: 21 reportsSep 2025: 22 reportsOct 2025: 31 reportsNov 2025: 52 reportsDec 2025: 67 reportsJan 2026: 63 reportsFeb 2026: 58 reportsMar 2026: 55 reportsApr 2026: 55 reportsMay 2026: 42 reportsJun 2026: 35 reportsJul 2026: 47 reportsAug 2026: 30 reportsSep 2026: 53 reportsOct 2026: 0 reports20242025202667
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. Aug 20, 2025Class IOpen, Classified

    Software to enhance Safety Architecture is available and designed to prevent initiation of Safety Mode in an ambulatory setting due to a high battery impedance state for the ACCOLADE family of devices which includes ACCOLADE, PROPONENT, ESSENTIO, and ALTRUA 2 dual chamber (DR) standard life (SL) and DR extended life (EL) pacemakers; and VISIONIST and VALITUDE cardiac resynchronization therapy pacemakers (CRT-Ps).

    Z-0102-2026 · Root cause: Other · Recall details · FDA record ↗

  2. Dec 12, 2024Class IOpen, Classified

    A subset of devices from the ACCOLADE Family of Pacemakers and CRT-Ps, built before September 2018, have an increased potential to initiate Safety Mode during telemetry or other normal, higher-power operations due to latent high battery impedance.

    Z-0826-2025 · Root cause: Process design · Recall details · FDA record ↗

Most reported problems

Device problems

  • Premature Discharge of Battery540
  • Adverse Event Without Identified Device or Use Problem408
  • Incorrect, Inadequate or Imprecise Result or Readings351
  • Over-Sensing308
  • High impedance291
  • Pacing Problem213
  • Signal Artifact/Noise146
  • Interrogation Problem143

Patient problems

  • No Clinical Signs, Symptoms or Conditions1,090
  • Unspecified Infection347
  • No Known Impact Or Consequence To Patient214
  • Sepsis132
  • Device Overstimulation of Tissue73
  • No Consequences Or Impact To Patient63
  • No Code Available61
  • Syncope/Fainting58

Recent adverse event reports

The 25 most recent of 2,073 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 30, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50948857 ↗
  • MalfunctionSep 30, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50947938 ↗
  • InjurySep 29, 2026Adverse Event Without Identified Device or Use Problem

    Patient problems: Unspecified Infection

    MAUDE report 50941281 ↗
  • InjurySep 29, 2026Incorrect, Inadequate or Imprecise Result or Readings

    Patient problems: Dizziness; Dyspnea

    MAUDE report 50938864 ↗
  • MalfunctionSep 29, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50938655 ↗
  • MalfunctionSep 29, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50935758 ↗
  • InjurySep 29, 2026Over-Sensing; Pacing Problem

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) was explanted due to unknown reasons. No additional adverse patient effects were reported. This CRT-P was returned for analysis.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50934462 ↗
  • InjurySep 29, 2026Incorrect, Inadequate or Imprecise Result or Readings

    It was reported that the patient with this cardiac resynchronization therapy pacemaker (CRT-P) presented to the emergency room (ER) due to chest stimulation. In addition discomfort and pain were mentioned. Device was interrogated and was found to be in safety mode. Subsequently the patient was transfer to another facility were the device was explanted and replaced. The device has not been returned for analysis. No additional adverse patient effects were reported.

    Patient problems: Device Overstimulation of Tissue; Discomfort; Pain

    MAUDE report 50933188 ↗
  • InjurySep 29, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, which states that the voltage is too low for projected remaining capacity. Subsequently, this device was explanted and replaced. This product has not been returned for analysis. No additional adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50928530 ↗
  • MalfunctionSep 28, 2026Use of Device Problem; Interrogation Problem

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50926077 ↗
  • MalfunctionSep 28, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. A request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. No adverse patient effects were reported. This device remains in service at this time.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50920999 ↗
  • MalfunctionSep 28, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, which states that the voltage is too low for projected remaining capacity. It was reported that a request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Device replacement was recommended. This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50920294 ↗
  • MalfunctionSep 28, 2026Premature Discharge of Battery; Data Problem

    It was reported that this device was unable to upload data. Additionally, a Code 1003 was noted. Technical Services (TS) was consulted and determined that the Code occurred last November, with radio frequency (RF) telemtry being disabled in April. due to the patient being dependent, a device replacement procedure has been scheduled. No adverse patient effects were reported. This device remains in service.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50915239 ↗
  • MalfunctionSep 25, 2026Signal Artifact/Noise; Over-Sensing

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) had a false Signal Artifact Monitor (SAM) event due to electrocautery. Noise was noted on the leads for this device. Technical Services (TS) recommended bringing the patient into the clinic to reprogram the device. This CRT-P remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50899536 ↗
  • InjurySep 25, 2026Incorrect, Inadequate or Imprecise Result or Readings

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) was found to be in Safety Mode. Subsequently, this device was explanted and replaced. This CRT-P has not been received for investigation. No additional adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50899534 ↗
  • InjurySep 25, 2026Nonstandard Device; Insufficient Device Problem Information

    It was reported that upon completion of the product analysis, this device was confirmed to have been operating in Safety Mode. The device was confirmed to be able to perform a memory dump, and it never triggered the Elective Replacement Indicator. No additional adverse patient effects were reported. This device is no longer in service.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50899310 ↗
  • MalfunctionSep 25, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. A request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50893883 ↗
  • MalfunctionSep 25, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50892560 ↗
  • MalfunctionSep 24, 2026Premature Discharge of Battery

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50889708 ↗
  • InjurySep 24, 2026Adverse Event Without Identified Device or Use Problem

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) system exhibited infection. Subsequently, the device and leads were explanted. No additional adverse patient effects were reported.

    Patient problems: Unspecified Infection

    MAUDE report 50889244 ↗
  • MalfunctionSep 24, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. A request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. No adverse patient effects were reported. This device remains in service at this time.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50884999 ↗
  • MalfunctionSep 24, 2026Over-Sensing

    It was reported that a request was made to have data from this cardiac resynchronization therapy pacemaker (CRT-P) analyzed. Technical Services (TS) reviewed the data and identified farfield oversensing on the presenting electrogram (EGM). This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50884189 ↗
  • MalfunctionSep 23, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. A request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. No adverse patient effects were reported. This device remains in service at this time.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50869414 ↗
  • MalfunctionSep 18, 2026Premature Discharge of Battery

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. Data analysis identified potential high impedance within the battery. Continued monitoring was recommended. This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50817810 ↗
  • MalfunctionSep 18, 2026Premature Discharge of Battery; Use of Device Problem; Interrogation Problem

    It was reported that this cardiac resynchronization therapy pacemaker (CRT-P) recorded a Code 1003, indicating the voltage is too low for the projected remaining capacity. Additionally, remote monitoring was disabled. A request was made to have data from this device analyzed. Data analysis identified potential high impedance within the battery. Device replacement was recommended. This device remains in service. No adverse patient effects were reported.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50813072 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under P030005. One submission often covers many models, so check the product and lot details in each record.

  • Z-1771-2026 · Mar 19, 2026 · Open, Classified
    Boston Scientific Cardiac Resynchronization Therapy (CRT)labeled as: 1. VALITUDE CRT-P EL, Model Number U125; 2. VALITUDE CRT-P EL MRI, Model Number U128; 3. VISIONIST CRT-P EL
  • Z-0105-2026 · Aug 20, 2025 · Open, Classified
    Model Number U228, VISIONIST CRT-P EL MRI
  • Z-0103-2026 · Aug 20, 2025 · Open, Classified
    Model Number U225 VISIONIST CRT-P EL
  • Z-0101-2026 · Aug 20, 2025 · Open, Classified
    Model Number U125, VALITUDE CRT-P EL
  • Z-0104-2026 · Aug 20, 2025 · Open, Classified
    Model Number U226, VISIONIST CRT-P EL
  • Z-0827-2025 · Dec 12, 2024 · Open, Classified
    VISIONIST CRT-P, EL (Model Number U225 and U226) and EL MRI (Model Number U228)
  • Z-2002-2021 · Jun 3, 2021 · Open, Classified
    VALITUDE CRT-P pacemaker, Models: a) U125 b) U128
  • Z-2020-2021 · Jun 3, 2021 · Open, Classified
    INLIVEN CRT-P, Model Numbers: a) V284 b) V285 c) W274 d) W275 (added 7/15/2021)
  • Z-2019-2021 · Jun 3, 2021 · Open, Classified
    INTUA CRT-P, Model Numbers: a) V272 b) V273 c) W273
  • Z-2003-2021 · Jun 3, 2021 · Open, Classified
    VISIONIST CRT-P pacemaker, Models: a) U225 b) U226 c) U228
  • Z-2018-2021 · Jun 3, 2021 · Open, Classified
    INVIVE CRT-P, Model Numbers: a) V172 b) V173 c) V182 d) V183 e) W172 f) W173
  • Z-3258-2018 · Sep 10, 2018 · Terminated
    VALITUDE X4 CRT-P (Cardiac Resynchronization Therapy Pacemaker)
  • Z-3259-2018 · Sep 10, 2018 · Terminated
    VISIONIST X4 CRT-P (Cardiac Resynchronization Therapy Pacemaker)
  • Z-0361-2018 · Dec 7, 2017 · Open, Classified
    VALITUDE X4 CRT-P Pacemaker
  • Z-0365-2018 · Dec 7, 2017 · Open, Classified
    VISIONIST CRT-P Pacemaker

…and 3 more.

Other Pulse generator, pacemaker, implantable, with cardiac resynchronization (CRT-P) devices

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Sources and updates

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