ATTAIN STARFIX® 419588Recalls & reported problems
Medtronic, Inc. · LEAD 419588 DEPLOYABLE 88CM EN, US · Class 3 · Implant
Data updated Oct 13, 2026 from official FDA records · Editorial policy
Quick summary
This Medtronic Attain StarFix lead is a wire that delivers pacing signals to the left side of the heart. Many of the 313 reports describe the lead's signals failing to make the heart beat or readings that are out of range, and many mention infection. There were 218 injury reports and 5 deaths, and no recalls name this device. Reports fell to 14 in the latest 12 months from 27 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
- 316
- Deaths reported
- 5
- Injuries reported
- 218
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 316 adverse event reports that list this exact device (DI 00885074511955), received between Oct 10, 2014 and Sep 28, 2026 — classified as 5 deaths, 218 injuries, 93 malfunctions.
The most frequently reported specific device problem is “High Capture Threshold” (91 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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- High Capture Threshold91
- Adverse Event Without Identified Device or Use Problem89
- High impedance45
- Failure to Capture40
- Low impedance37
- Capturing Problem25
- Fracture24
- Impedance Problem23
Patient problems
- No Clinical Signs, Symptoms or Conditions105
- No Known Impact Or Consequence To Patient85
- Unspecified Infection69
- Undesired Nerve Stimulation16
- Erosion13
- Muscle Stimulation13
- Device Overstimulation of Tissue11
- Erythema10
Recent adverse event reports
The 25 most recent of 316 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 28, 2026Capturing Problem; High Capture Threshold
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50926271 ↗MalfunctionSep 16, 2026Failure to Capture
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50793664 ↗MalfunctionSep 1, 2026Signal Artifact/Noise; High impedance; Over-Sensing; Pacing Problem
It was reported that the Right Atrial (RA) lead exhibited Out of Range (OOR) high pacing impedance , oversensing resulting in inhibition of pacing and misclassification of episode type. The lead also exhibited noise. The patient experienced palpitations and shortness of breath. The lead remains in use. No patient complications have been reported as a result of this event.
Patient problems: Dyspnea; Palpitations
MAUDE report 50550578 ↗InjuryAug 20, 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 with sepsis. No further patient complications have been reported as a result of this event.
Patient problems: Sepsis; Unspecified Infection
MAUDE report 50357830 ↗InjuryJun 25, 2026Failure to Capture; Fracture; High impedance
IT WAS REPORTED THAT DURING A GENERATOR CHANGE-OUT, THE LEFT VENTRICULAR (LV) LEAD EXHIBITED HIGH, OUT-OF-RANGE, UNDEFINED PACING IMPEDANCE, A LOSS OF CAPTURE, AND HAD A FRACTURE. THE LEAD WAS LEFT IMPLANTED, BUT IS NOW OUT-OF-SERVICE AND A NEW LV LEAD WAS PLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25621667 ↗MalfunctionJun 12, 2026Low impedance
IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNDERSENSING DURING STORED ATRIAL TACHYCARDIA/ATRIAL FIBRILLATION (AT/AF) EVENTS RESULTING IN UNNECESSARY PACING AT TIMES. THE LEFT VENTRICULAR (LV) LEAD TRIGGERED ALERTS FOR LOW PACING IMPEDANCE, THE MEASUREMENTS WERE CONSISTENT WITH HISTORICAL VALUES. THE RA AND LV 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 25488929 ↗InjuryMay 27, 2026Failure to Capture
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED NON-CAPTURE. THE LV LEAD WAS CAPPED AND REPLACED. NO PATIENT COMPLICAT IONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25301296 ↗MalfunctionMay 14, 2026Low impedance
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED LOW OUT OF RANGE (OOR) PACING 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 25172945 ↗InjuryMay 13, 2026Failure to Capture
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD HAD CHRONICALLY EXHIBITED NO CAPTURE. THE LV LEAD WAS CAPPED, REMAINS IN THE PATIENT OUT OF SERVICE AND A NEW LEAD WAS IMPLANTED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25164604 ↗InjuryApr 23, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT EXPERIENCED FEVER, INFECTION, AND SEPSIS POSSIBLY DUE TO A URINARY TRACT INFECTION APPROXIMATELY FOUR MONTHS PRIOR TO THE EVENT. THE PATIENT EXPERIENCED AN ADDITIONAL URINARY TRACT INFECTION APPROXIMATELY THREE MONTHS PRIOR TO THE EVENT. ADDITIONALLY, VEGETATION WAS NOTED ON THE RIGHT ATRIAL (RA) LEAD. THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED. DURING THE EXPLANT OF THE RIGHT VENTRICULAR (RV) LEAD, THE PATIENT SUSTAINED AN INJURY TO THE RIGHT VENTRICLE REQUIRING A STERNOTOMY AND REPAIR. DURING THE EXPLANT OF THE LEFT VENTRICULAR (LV) LEAD, THE PATIENT SUSTAINED AN INJURY TO THE CORONARY SINUS THAT WAS REPAIRED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Fever; Perforation of Vessels; Sepsis; Unspecified Infection
MAUDE report 24974740 ↗InjuryMar 24, 2026Fracture; High impedance; Impedance Problem; High Capture Threshold
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED A LOW VOLTAGE FRACTURE WITH A LEFT VENTRICULAR (LV) TIP TO RIGHT VENTRICULAR (RV) COIL LEAD PACING IMPEDANCE WARNING AND UNDEFINED HIGH PACING IMPEDANCE. THE LEAD ALSO EXHIBITED PRIOR SPIKE IN PACING IMPEDANCE AND HIGH THRESHOLD. 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 24677058 ↗MalfunctionMar 20, 2026High Capture Threshold
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD EXHIBITED HIGH THRESHOLDS. 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 24653912 ↗MalfunctionMar 20, 2026Low impedance
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD TRIGGERED AN ALERT FOR LOW PACING 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 24652258 ↗MalfunctionFeb 19, 2026Failure to Capture
IT WAS REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD WAS SUSPECTED OF LOSS OF CAPTURE AND THAT THE PATIENT'S EJECTION FRACTION WAS BEING REDUCED. 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 24394902 ↗InjuryFeb 12, 2026High impedance; Extracardiac stimulation
IT WAS REPORTED THAT THE PATIENT PRESENTED WITH DIAPHRAGMATIC STIMULATION. THE LEFT VENTRICULAR (LV) LEAD ALSO EXHIBITED HIGH UNDEFINED PACING IMPEDANCE. REPROGRAMMING WAS PERFORMED AND THE LV LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Device Overstimulation of Tissue
MAUDE report 24319987 ↗MalfunctionJan 30, 2026Low impedance
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD HAD EXHIBITED OUT OF RANGE (OOR) HIGH DEFIBRILLATION IMPEDANCE AND HIGH RV THRESHOLD. THE LEFT VENTRICULAR (LV) LEAD EXHIBITED OUT OF RANGE (OOR) LOW PACING 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 24223850 ↗DeathNov 5, 2025Activation, Positioning or Separation Problem; Adverse Event Without Identified Device or Use Problem; Activation, Positioning or Separation Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT IS DECEASED. IT WAS ALLEGED THAT THE ACTIVE FIXATION LOBES OF THE LEAD PROMOTED AGGRESSIVE SCAR TISSUE GROWTH THAT MADE EXTRACTION UNUSUALLY DIFFICULT AND DANGEROUS. THE LV LEAD LOBES OF THE LEAD DID NOT RETRACT AS DESIGNED. THE LOBES ULTIMATELY CAUSED A CORONARY SINUS TEAR RESULTING IN CARDIAC TAMPONADE, WHICH RESULTED IN EMERGENCY SURGICAL REPAIR VIA STERNOTOMY AND CARDIOPULMONARY BYPASS. THE PATIENT SUFFERED OXYGEN DEPRIVATION FOR APPROXIMATE 25-30 MINUTES, RESULTING IN PERMANENT BRAIN DAMAGE, SHORT TERM MEMORY LOSS, PHYSICAL PAIN, AND OTHER SERIOUS INJURIES. THE LV LEAD WAS IMPLANTED FOR APPROXIMATELY TEN YEARS PRIOR TO EXPLANT. THE LEFT VENTRICULAR (LV) LEAD WAS EXPLANTED APPROXIMATELY TWO YEARS PRIOR TO THE PATIENT'S DEATH.
Patient problems: Brain Injury; Cardiac Tamponade; Hypoxia; Memory Loss/Impairment; Pain; Vascular Dissection
MAUDE report 23478215 ↗MalfunctionOct 27, 2025High impedance; Capturing Problem; High impedance; Capturing Problem
IT WAS REPORTED THAT THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) DEVICE INTERROGATION REPORT DISPLAYED QUESTION MARKS INSTEAD OF THE THRESHOLD VALUE. THE CRT-D REMAINS IN USE. IT WAS ALSO REPORTED THAT THE LEFT VENTRICULAR (LV) LEAD TRIGGERED IMPEDANCE WARNING LVTIP TO RVCOIL FOR HIGH UNDEFINED IMPEDANCE AND POSSIBLE CAPTURE ISSUE NOTED WITH PATIENT EXPERIENCE OF SHORTNESS OF BREATH. THE LV LEAD REMAINS IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Dyspnea; No Clinical Signs, Symptoms or Conditions
MAUDE report 23396971 ↗InjuryOct 15, 2025Extracardiac stimulation; Extracardiac stimulation
IT WAS REPORTED THAT THE PATIENT EXPERIENCED MUSCLE AND POCKET STIMULATION FROM THE LEFT VENTRICULAR (LV) LEAD. THE LV LEAD WAS PROGRAMMED OFF UNTIL IT WAS CAPPED AND REPLACED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Device Overstimulation of Tissue
MAUDE report 23285739 ↗InjurySep 15, 2025Fracture; High impedance; Impedance Problem; Fracture; High impedance; Impedance Problem
IT WAS REPORTED THAT THERE WAS HIGH UNDEFINED LEFT VENTRICULAR (LV) LEAD PACING IMPEDANCE. THE LV 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 23059716 ↗MalfunctionSep 10, 2025Low impedance; High Capture Threshold; Low impedance; High Capture Threshold
IT WAS FURTHER REPORT THAT THE LV LEAD HAD BEEN EXHIBITING OUT OF RANGE (OOR) LOW PACING IMPEDANCE. THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED UNDERSENSING AT TIMES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23016073 ↗InjuryJul 16, 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, AND POSSIBLE VEGETATION WAS OBSERVED ON ALL LEADS. THE CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) SYSTEM WAS EXPLANTED AND A NEW SYSTEM WAS IMPLANTED AT A LATER DATE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Patient problems: Unspecified Infection
MAUDE report 22524409 ↗InjuryJul 2, 2025Low impedance; Capturing Problem; Low impedance; Capturing Problem
IT WAS REPORTED THAT A LEAD IMPEDANCE ALERT TRIGGGERED ON THE LEFT VENTRICULAR (LV) LEAD DUE TO LOW PACING IMPEDANCE. THERE WERE RISING LV CAPTURE THRESHOLDS NOTED. IN ADDITION, THERE WERE HIGH CAPTURE THRESHOLDS ON THE RIGHT VENTRICULAR (RV) LEAD, AND THE RIGHT ATRIAL (RA) LEAD EXHIBITED NOISE WITH A POSITION CHECK FAILURE. REPROGRAMMING WAS PERFORMED FOR THE RV AND LV LEADS. ALL 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 22385474 ↗MalfunctionJun 30, 2025Capturing Problem; Impedance Problem; Capturing Problem; Impedance Problem
IT WAS REPORTED THAT THE RIGHT VENTRICULAR (RV) LEAD WAS EXPLANTED FOR UNKNOWN REASONS. IT WAS FURTHER REPORTED THAT THE RV LEAD WAS FRACTURED. THE RIGHT ATRIAL (RA) LEAD, LEFT VENTRICULAR (LV) LEAD AND THE RV LEAD EXHIBITED INCREASING THRESHOLDS AND THE RV AND THE LV IMPEDANCES WERE INCREASING. THE RA AND LV 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 22366860 ↗MalfunctionJun 20, 2025Impedance Problem; Impedance Problem
IT WAS REPORTED THAT THERE WAS AN IMPEDANCE WARNING ON THE LEFT VENTRICULAR (LV) LEAD. 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 22297192 ↗
Other Drug eluting permanent left ventricular (lv) pacemaker electrode devices
- Attain Stability™ Quad MRI SureScan™ 479888Medtronic, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode28 deaths2,213 reports
- Attain Performa™ Straight MRI SureScan™ 439888Medtronic, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode26 deaths1,595 reports
- Sentus ProMRI OTW QP L-85/49 408719BIOTRONIK SE & Co. KG · Drug eluting permanent left ventricular (lv) pacemaker electrode7 deaths1,385 reports
- Quartet™ 1457Q-86St. Jude Medical, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode21 deaths1,061 reports
- Quickflex™ 1258TSt. Jude Medical, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode26 deaths996 reports
- ATTAIN® BIPOLAR OTW 419488Medtronic, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode15 deaths730 reports
- Attain Ability® Plus 429688Medtronic, Inc. · Drug eluting permanent left ventricular (lv) pacemaker electrode11 deaths529 reports
- Sentus ProMRI OTW QP S-85/49 406082BIOTRONIK SE & Co. KG · Drug eluting permanent left ventricular (lv) pacemaker electrode1 death511 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 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 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