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Optisense™ 1999-40Recalls & reported problems

St. Jude Medical, Inc. · Pacing Lead · Class 3 · Implant

Quick summary

This Optisense 1999-40 is a permanent pacemaker lead (pacing electrode) implanted in the heart's right ventricle or right atrium to keep the heartbeat steady. Most reports describe leads picking up noise or over-sensing, which caused false high heart-rate readings, plus leads breaking or moving out of position, and blood or fluid leaking back through the lead opening. There are 31 reports, including 2 deaths and 17 injuries. 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
31
Deaths reported
2
Injuries reported
17
Recalls naming it
0

Summary

The FDA's MAUDE database contains 31 adverse event reports that list this exact device (DI 05414734502467), received between Jul 25, 2018 and Feb 5, 2026 — classified as 2 deaths, 17 injuries, 12 malfunctions.

The most frequently reported specific device problem is “Over-Sensing” (15 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

Nov 2023: 1 reportsDec 2023: 0 reportsJan 2024: 1 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 1 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 1 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Over-Sensing15
  • Signal Artifact/Noise9
  • Break6
  • Pacing Problem4
  • Capturing Problem3
  • Device Dislodged or Dislocated3
  • High impedance3
  • Low impedance3

Patient problems

  • No Clinical Signs, Symptoms or Conditions19
  • No Known Impact Or Consequence To Patient10
  • Cardiac Perforation1
  • Death1
  • Insufficient Information1
  • No Consequences Or Impact To Patient1
  • Pericardial Effusion1

Recent adverse event reports

The 25 most recent of 31 reports, in the reporter's own words as published by the FDA.

  • InjuryFeb 5, 2026Capturing Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A VALVE REPLACEMENT PROCEDURE. DURING THE PROCEDURE, IT WAS NOTED THAT THE RIGHT VENTRICULAR (RV) LEAD HAD DISLODGED. POST-PROCEDURE, IT WAS ALSO NOTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED UNSPECIFIED CAPTURE ISSUE. THE RV LEAD AND RA LEAD WERE CAPPED ON (B)(6) 2026. THE EXISTING PACEMAKER WAS EXPLANTED AND REPLACED WITH AN AVEIR DR SYSTEM. PATIENT CONDITION WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24271919 ↗
  • InjuryOct 15, 2025Over-Sensing; Over-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED NOISE OVERSENSING THAT CAUSED HIGH ATRIAL RATE EVENTS. THE RA LEAD WAS CAPPED AND REPLACED. THE PATIENT STATUS WAS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23306924 ↗
  • MalfunctionJan 14, 2024Signal Artifact/Noise; Signal Artifact/Noise

    IT WAS REPORTED THAT THE ATRIAL LEAD EXHIBITED NOISE. NO INTERVENTION WAS PERFORMED. THE CONDITION OF THE PATIENT IS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18509916 ↗
  • MalfunctionNov 22, 2023Break; Use of Device Problem; Break; Use of Device Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR AN IMPLANT PROCEDURE. DURING THE PROCEDURE, IT WAS FOUND THAT BLOOD FLOWING BACK OUT OF THE PROXIMAL OPENING OF THE RIGHT ATRIAL (RA) LEAD. THE RA LEAD WAS NOT USED. THE PHYSICIAN CONTINUED WITH SECOND RA LEAD AND COMPLETED THE PROCEDURE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18189272 ↗
  • MalfunctionAug 23, 2023Break; Difficult to Fold, Unfold or Collapse; High impedance; Capturing Problem; Break; Difficult to Fold, Unfold or Collapse; High impedance; Capturing Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A SCHEDULED PROCEDURE. DURING THE IMPLANT IT WAS NOTED THAT THE RIGHT ATRIAL LEAD EXHIBITED HIGH CAPTURE THRESHOLD AND HIGH IMPEDANCE. THE PHYSICIAN DECIDED TO REPOSITION THE LEAD; HOWEVER, THE HELIX WOULD NOT EXTEND. IT WAS SUSPECTED THAT THE LEAD WAS BROKEN CAUSING THE IMPEDANCE TO RISE AND HELIX NOT TO EXTEND. THE LEAD WAS NOT USED, AND A NEW LEAD WAS IMPLANTED. THE PATIENT WAS IN STABLE CONDITION POST-PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17605248 ↗
  • MalfunctionJul 24, 2023Break; Break

    RELATED MANUFACTURER REFERENCE NUMBERS: 2017865-2023-36583. IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR POCKET REVISION. IT WAS NOTED THAT THE PATIENT HAD EXPERIENCED DISCOMFORT DUE TO THE IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD). DURING POCKET REVISION PROCEDURE, IT WAS ALSO FOUND THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED INSULATION BREACH. THE ICD WAS REPOSITIONED, AND THE RA LEAD WAS REPAIRED ON (B)(6) 2023. PATIENT CONDITION WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17385926 ↗
  • InjuryJul 20, 2023Over-Sensing; Pacing Problem; Over-Sensing; Pacing Problem

    NEW INFORMATION RECEIVED NOTED THAT THE RIGHT ATRIAL (RA) LEAD WAS CAPPED AND REPLACED ON (B)(6) 2023. THE PATIENT WAS STABLE THROUGHOUT THE PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17358557 ↗
  • MalfunctionMar 22, 2023Defective Device; Defective Device

    THIS REPORT IS TO ADVISE OF AN EVENT OBSERVED DURING ANALYSIS.

    Patient problems: Insufficient Information

    MAUDE report 16594711 ↗
  • MalfunctionMar 7, 2023Over-Sensing; Over-Sensing

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN THE CLINIC FOR A FOLLOW-UP. UPON INTERROGATION, THE RIGHT ATRIAL LEAD EXHIBITED NOISE THAT WAS OVERSENSED BY THE DEVICE. NO INTERVENTION WAS PERFORMED. THE PATIENT WAS STABLE AND WOULD CONTINUE TO BE MONITORED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16496161 ↗
  • InjuryFeb 2, 2023Signal Artifact/Noise; Break; Low impedance; Signal Artifact/Noise; Break; Low impedance

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA MERLIN.NET. TRANSMISSIONS SHOWED THAT THE RIGHT ATRIAL LEAD EXHIBITED A LOW PACING IMPEDANCE. NO INTERVENTION WAS PERFORMED. THERE WERE NO PATIENT'S CONSEQUENCES REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16281925 ↗
  • MalfunctionJan 5, 2023Break; Over-Sensing; Break; Over-Sensing

    RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2023-00472. IT WAS REPORTED THAT PRIOR TO A GENERATOR CHANGE, OVERSENSING NOISE WAS OBSERVED ON BOTH THE RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEADS. THE NOISE WAS NOT REPRODUCIBLE. DURING THE GENERATOR CHANGE, INSULATION DAMAGE WAS VISIBLY NOTED ON THE RA LEAD. THE PHYSICIAN USED A SUTURE SLEEVE TO PATCH THE DAMAGED INSULATION. THERE WERE NO ADVERSE HEALTH CONSEQUENCES, THE PATIENT WAS STABLE AND WILL CONTINUE TO BE MONITORED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16109262 ↗
  • InjuryOct 6, 2022Fracture; High impedance; Over-Sensing; Fracture; High impedance; Over-Sensing

    RELATED MANUFACTURER REFERENCE NUMBERS: 2017865-2022-40804. IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR FOLLOW-UP. UPON INTERROGATION, IT WAS FOUND THAT THE RIGHT ATRIAL (RA) LEAD EXHIBITED HIGH PACING IMPEDANCE AND PACING INHIBITION DUE TO NOISE OVER-SENSING. IT WAS ALSO FOUND THAT THE RIGHT VENTRICULAR (RV) LEAD EXHIBITED NOISE OVER-SENSING AND HIGH DEFIBRILLATING IMPEDANCE. IT WAS ALLEGED THAT BOTH RV LEAD AND RA LEAD WERE FRACTURED. THE RV LEAD AND RA LEAD WERE BOTH EXPLANTED AND REPLACED. THE PATIENT WAS RECOVERING.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 15555929 ↗
  • MalfunctionMar 31, 2022Over-Sensing; Pacing Problem; Low impedance; Over-Sensing; Pacing Problem; Low impedance

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN THE CLINIC FOR A FOLLOW-UP. UPON INTERROGATION, IT WAS DISCOVERED THAT THE RIGHT ATRIAL LEAD (RA) EXHIBITED NOISE THAT WAS OVERSENSED BY THE DEVICE AND LED TO INAPPROPRIATE MODE SWITCH. THE LEAD ALSO EXHIBITED LOW PACING IMPEDANCE. PROGRAMMING CHANGES WERE DONE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13970642 ↗
  • InjuryFeb 22, 2022Failure to Advance; Device Dislodged or Dislocated; Failure to Advance; Device Dislodged or Dislocated

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC WITH TWIDDLERS SYNDROME. THE RIGHT ATRIAL (RA) LEAD WAS FOUND TO BE DISLODGED. REPOSITIONING OF THE RA LEAD WAS ATTEMPTED, BUT A STYLET FAILED TO BE ADVANCED INTO THE RA LEAD. THE RA LEAD WAS EXPLANTED AND REPLACED. PATIENT CONDITION WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13579045 ↗
  • InjuryDec 3, 2021Over-Sensing; Pacing Problem; Low impedance; Capturing Problem; Over-Sensing; Pacing Problem; Low impedance; Capturing Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA (B)(6). REVIEW OF THE TRANSMISSION REVEALED THAT THE ATRIAL LEAD EXHIBITED LOW IMPEDANCE, HIGH THRESHOLD AND NOISE LEADING TO OVERSENSING AND TRIGGERING AUTO MODE SWITCH EPISODES. PROGRAMMING CHANGES WERE PERFORMED. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 12927205 ↗
  • DeathJul 12, 2021Over-Sensing; Over-Sensing

    NEW INFORMATION RECEIVED NOTES THAT THE PHYSICIAN ALLEGED FIBROUS TISSUE IN-GROWTH ON THE LEAD, NOT THE LEAD ITSELF AS THE PRIMARY CAUSE OF THE REPORTED EVENT.

    Patient problems: Cardiac Perforation; Pericardial Effusion

    MAUDE report 12153902 ↗
  • MalfunctionJul 7, 2021Signal Artifact/Noise; Signal Artifact/Noise

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR AN IMPLANT PROCEDURE. DURING THE PROCEDURE, THE ATRIAL LEAD TO BE IMPLANTED EXHIBITED NOISE. THE ATRIAL LEAD WAS REPLACED DURING THE SAME PROCEDURE ON (B)(6) 2021. NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 12131330 ↗
  • InjuryFeb 15, 2021Signal Artifact/Noise; Signal Artifact/Noise

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR ROUTINE GENERATOR CHANGE WITH THE RIGHT ATRIAL LEAD EXHIBITING NOISE. THE LEAD WAS WAS CAPPED AND REPLACED ON 10 DEC 2020. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 11329511 ↗
  • InjuryFeb 15, 2021Over-Sensing; Pacing Problem; Over-Sensing; Pacing Problem

    IT WAS REPORTED THAT NOISE ON THE ATRIAL LEAD WAS SEEN VIA AUTO MODE SWITCH EGM STORAGE. THE ATRIAL LEAD WAS CAPPED AND REPLACED (B)(6) 2021. THE PATIENT WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 11328071 ↗
  • MalfunctionDec 21, 2020Signal Artifact/Noise; Over-Sensing; Signal Artifact/Noise; Over-Sensing

    NEW INFORMATION NOTED THAT THE ATRIAL LEAD WAS REPROGRAMMED 11 DEC 2020. THE PATIENT EXPERIENCED NO CONSEQUENCES.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 11046813 ↗
  • InjuryOct 19, 2020Signal Artifact/Noise; Over-Sensing; Signal Artifact/Noise; Over-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL LEAD WAS NOTED WITH NOISE. NO SYMPTOMS WERE REPORTED THAT CORRELATED WITH NOISE AND OVERSENSING. THE NOISE WAS REPRODUCIBLE WITH ISOMETRIC ARM MOVEMENTS. THE LEAD WAS CAPPED AND REPLACED ON (B)(6) 2020. THE PATIENT WAS STABLE.

    Patient problems: No Known Impact Or Consequence To Patient

    MAUDE report 10701459 ↗
  • MalfunctionJun 11, 2020Break; Break

    IT WAS REPORTED THAT DURING A DEVICE CHANGING PROCEDURE, EXTERNALIZED CONDUCTOR WAS OBSERVED ON THE ATRIAL LEAD. ATRIAL LEAD INSULATION WAS PULLED BACK TO THE SUTURE SLEEVE AREA, AND THE CONDUCTOR COIL OF THE LEAD WAS EXPOSED. THE LEAD WAS REPAIRED WITH MEDICAL ADHESIVE. THE PATIENT WAS STABLE AND BEING MONITORED.

    Patient problems: No Known Impact Or Consequence To Patient

    MAUDE report 10143480 ↗
  • InjuryMar 30, 2020Signal Artifact/Noise; Signal Artifact/Noise

    NEW INFORMATION RECEIVED NOTED THAT THE ATRIAL LEAD WAS CAPPED AND REPLACED ON (B)(6) 2022. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions; No Known Impact Or Consequence To Patient

    MAUDE report 9898459 ↗
  • InjuryDec 3, 2019Signal Artifact/Noise; Over-Sensing; Signal Artifact/Noise; Over-Sensing

    IT WAS REPORTED THAT THE RIGHT ATRIAL LEAD EXHIBITED NOISE THAT RESULTED IN EPISODES OF ATRIAL OVERSENSING. THE LEAD WAS EXPLANTED AND REPLACED ON (B)(6) 2019. THE PATIENT WAS STABLE.

    Patient problems: No Known Impact Or Consequence To Patient

    MAUDE report 9407027 ↗
  • DeathOct 17, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    RELATED MANUFACTURER REFERENCE NUMBER: 2938836-2019-14995, 2938836-2019-14997. IT WAS REPORTED THAT THE PATIENT EXPIRED. THERE IS NO KNOWN ALLEGATION FROM A HEALTH PROFESSIONAL THAT SUGGESTS THE DEATH WAS RELATED TO THE DEVICE. IT WAS REPORTED THAT THE CAUSE OF DEATH IS UNKNOWN.

    Patient problems: Death

    MAUDE report 9205855 ↗

Other Drug eluting permanent right ventricular (RV) or right atrial (RA) pacemaker electrodes devices

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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.