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Accent™ SR RFRecalls & reported problems

St. Jude Medical, Inc. · Pulse Generator SSIR · Class 3 · Implant

Data updated Oct 13, 2026 from official FDA records · Editorial policy

Quick summary

This St. Jude Medical Accent SR pacemaker is an implanted pulse generator that paces the heart. Of its 164 adverse event reports, 37 are injuries and 115 are malfunctions, with 12 deaths. Many describe the pacemaker switching into back-up mode and sensing problems, and some describe infections. Reports fell from 7 in the prior 12 months to 2 in the last 12 months. 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
164
Deaths reported
12
Injuries reported
37
Recalls naming it
0

Summary

The FDA's MAUDE database contains 164 adverse event reports that list this exact device (DI 05414734502757), received between Jun 12, 2018 and Apr 23, 2026 — classified as 12 deaths, 37 injuries, 115 malfunctions.

The most frequently reported specific device problem is “Pacemaker Found in Back-Up Mode” (43 reports).

9 other recalls cover devices cleared under the same FDA submission (P880086); 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. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 1 reportsDec 2023: 0 reportsJan 2024: 2 reportsFeb 2024: 2 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 1 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 2 reportsNov 2024: 2 reportsDec 2024: 0 reportsJan 2025: 1 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 1 reportsMay 2025: 1 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 1 reportsSep 2025: 1 reportsOct 2025: 0 reportsNov 2025: 1 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 1 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Pacemaker Found in Back-Up Mode43
  • Adverse Event Without Identified Device or Use Problem33
  • Signal Artifact/Noise14
  • Over-Sensing13
  • Incorrect Measurement11
  • Data Problem9
  • Premature Discharge of Battery9
  • Under-Sensing9

Patient problems

  • No Known Impact Or Consequence To Patient64
  • No Clinical Signs, Symptoms or Conditions43
  • Unspecified Infection16
  • Death9
  • No Consequences Or Impact To Patient8
  • Insufficient Information5
  • Arrhythmia3
  • Discomfort3

Recent adverse event reports

The 25 most recent of 164 reports, in the reporter's own words as published by the FDA.

  • MalfunctionApr 23, 2026Unexpected Mode Switch

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR A FOLLOW-UP. DURING THE FOLLOW-UP, THE PATIENT'S PACEMAKER WENT INTO BACKUP VVI MODE DURING A CYBERSECURITY UPDATE. THE DEVICE WAS SUCCESSFULLY RESTORED TO NOMINAL SETTINGS, AND THE PATIENT DID NOT EXPERIENCE ANY CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24971190 ↗
  • MalfunctionNov 28, 2025Loose or Intermittent Connection; Failure to Disconnect; Loose or Intermittent Connection; Failure to Disconnect

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A GENERATOR CHANGE PROCEDURE. DURING THE PROCEDURE, IT WAS NOTED THAT THE SET SCREW OF THE PACEMAKER WAS STRIPPED AND RIGHT VENTRICULAR (RV) LEAD COULD NOT BE REMOVED FROM THE PACEMAKER HEADER. THE PHYSICIAN USED ORTHOPEDIC BONE CRUSHER TOOL TO CRUSH THE PACEMAKER AND REMOVED THE RV LEAD. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23669337 ↗
  • MalfunctionSep 15, 2025Unexpected Mode Switch; Unexpected Mode Switch

    IT WAS REPORTED THAT DURING AN IN-CLINIC FOLLOW-UP, BACK-UP VVI WAS NOTED ON A PATIENT'S PACEMAKER (PM). DEVICE RESTORATION WAS SUCCESSFULLY PERFORMED, AND THE PM REMAINS IMPLANTED. THERE WERE NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23053787 ↗
  • MalfunctionAug 12, 2025Under-Sensing; Under-Sensing

    IT WAS REPORTED THAT THE PATIENT PRESENTED WITH A PACEMAKER THAT EXHIBITED UNDER-SENSING. NO INTERVENTION WAS PERFORMED. THERE WERE NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22790499 ↗
  • InjuryMay 30, 2025Insufficient Device Problem Information; Insufficient Device Problem Information

    IT WAS REPORTED THAT THE RIGHT VENTRICLE (RV) LEAD AND THE PACEMAKER (PM) HAD UNKNOWN MALFUNCTIONS. BOTH RV LEAD AND PM WERE EXPLANTED AND REPLACED WITH NEW LEAD AND NEW PM. NO PATIENT CONDITION WAS REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22112338 ↗
  • MalfunctionApr 17, 2025Unexpected Mode Switch; Unexpected Mode Switch

    IT WAS REPORTED THAT THE PATIENT PRESENTED TO THE CLINIC FOR A SCHEDULED FOLLOW UP. INTERROGATION OF THE PATIENT¿S PACEMAKER REVEALED THE DEVICE WAS IN A BACK UP MODE. THE PACEMAKER WAS REMOTELY RESTORED TO IT'S NORMAL STATE AND THE PATIENT IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21855858 ↗
  • MalfunctionJan 23, 2025Incorrect, Inadequate or Imprecise Result or Readings; Under-Sensing; Incorrect, Inadequate or Imprecise Result or Readings; Under-Sensing

    IT WAS REPORTED THAT THE PATIENT PRESENTED TO THE HOSPITAL FOR AN UNRELATED PROCEDURE. THE PACEMAKER EXHIBITED UNDER-SENSING AND A VOLTAGE MARKER ANOMALY. NO INTERVENTION WAS PERFORMED AND THE PATIENT IS BEING MONITORED. THE PATIENT IS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21214707 ↗
  • InjuryNov 29, 2024Premature Discharge of Battery; Failure to Sense; Low impedance; Capturing Problem; Premature Discharge of Battery; Failure to Sense; Low impedance; Capturing Problem

    IT WAS REPORTED A PATIENT'S PACEMAKER PRESENTED WITH ABNORMAL BATTERY CONSUMPTION. AN EXAMINATION IN CLINIC FOUND THE LOW PACING IMPEDANCE. LOSS OF SENSING, AND HIGH CAPTURE THRESHOLDS. THE PACEMAKER WAS EXPLANTED AND REPLACED ON (B)(6)2024. POST-PROCEDURE THE PATIENT WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20811134 ↗
  • MalfunctionNov 17, 2024Incorrect Measurement; Incorrect Measurement

    IT WAS REPORTED DURING IN CLINIC FOLLOW UP THAT THE PACEMAKER FAILED TO DISPLAY A LONGEVITY ESTIMATE AND INSTEAD EXHIBIT A PRE-IMPLANT ALERT DUE TO THE BATTERY BEING IN A PERIOD OF RELAXATION. NO INTERVENTION WAS REPORTED. THERE WERE NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20702490 ↗
  • MalfunctionOct 31, 2024Unexpected Mode Switch; Unexpected Mode Switch

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR A FOLLOW-UP. UPON INTERROGATION, IT WAS NOTED THAT THE PACEMAKER WAS IN BACKUP VVI MODE. PROGRAMMING CHANGES WERE MADE. THE PATIENT CONDITION WAS NOT KNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20584862 ↗
  • InjuryOct 3, 2024Failure to Interrogate; Pacing Problem; Failure to Interrogate; Pacing Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A FOLLOW-UP IN CLINIC WITH A DECLINED VENTRICULAR RATE. IT WAS NOTED THAT THE PACEMAKER HAD NO MAGNET RESPONSE. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT WAS STABLE.

    Patient problems: Arrhythmia

    MAUDE report 20356981 ↗
  • MalfunctionJul 10, 2024Unexpected Mode Switch; Unexpected Mode Switch

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR A FOLLOW-UP. UPON INTERROGATION, THE PACEMAKER WAS FOUND TO BE IN BACKUP MODE DUE TO ELECTROMAGNETIC INTERFERENCE (EMI). PROGRAMMING CHANGES WERE MADE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19716091 ↗
  • MalfunctionFeb 26, 2024Pacing Problem; Therapy Delivered to Incorrect Body Area; Pacing Problem; Therapy Delivered to Incorrect Body Area

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A REGULAR DEVICE CHANGE OUT. IT WAS REPORTED THAT AFTER INITIAL USE OF CAUTERIZATION IN THE POCKET OF THE DEVICE, PULSING IN THE POCKET WAS OBSERVED. ONCE CAUTERIZATION STOPPED, THE POCKET STIMULATION DISSIPATED. THIS CONTINUED TO OCCUR AS CAUTERIZATION WAS USED TO OPEN THE POCKET. LARGE PULSE DEFLECTIONS WERE NOTED ON ELECTROCARDIOGRAM (EKG) WITH POCKET STIMULATION APPEARING TO INDICATE UNIPOLAR PACING. THE DEVICE WAS INTERROGATED AGAIN OUTSIDE THE POCKET AND SETTINGS WERE CONFIRMED AS AT PRE-OP TO BE IN BIPOLAR CONFIGURATION. AUTO CAPTURE WAS PROGRAMMED OFF AND THE POLARITY SWITCHED TO MONITOR. NO OTHER ISSUES WERE OBSERVED. THE PACEMAKER WAS REPLACED SUCCESSFULLY. THE ISSUE COULD NOT BE REPRODUCED WITH THE REPLACEMENT DEVICE. THE PHYSICIAN COMMENTED ON A POSSIBLE ZENER DIODE FUNCTION IN RELATION TO ELECTROMAGNETIC FUNCTION POST PROCEDURE. THERE WERE NO PATIENT CONSEQUENCES.

    Patient problems: Discomfort

    MAUDE report 18784715 ↗
  • InjuryFeb 12, 2024Premature Discharge of Battery; Failure to Interrogate; Premature Discharge of Battery; Failure to Interrogate

    IT WAS REPORTED THAT THE PACING DEPENDENT PATIENT PRESENTED FOR ROUTINE IN-CLINIC FOLLOW UP. DURING THE FOLLOW UP THE PULSE GENERATOR WAS UNABLE TO BE INTERROGATED. SUDDEN PREMATURE BATTERY DEPLETION WAS SUSPECTED. THE PATIENT WAS SCHEDULED FOR EXPLANT AND THE DEVICE WAS REPLACED. THE PATIENT WAS STABLE.

    Patient problems: Arrhythmia; No Clinical Signs, Symptoms or Conditions

    MAUDE report 18691102 ↗
  • MalfunctionJan 31, 2024Pacemaker Found in Back-Up Mode; Pacemaker Found in Back-Up Mode

    IT WAS REPORTED THAT THE PATIENT PRESENTED TO THE CLINIC FOR A SCHEDULED FOLLOW-UP. INTERROGATION OF THE PULSE GENERATOR REVEALED THAT THE PULSE GENERATOR WAS IN BACKUP VVI (BVVI) MODE. PROGRAMMING CHANGES WERE MADE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18612684 ↗
  • MalfunctionJan 17, 2024Failure to Disconnect; Contamination of Device Ingredient or Reagent; Failure to Disconnect; Contamination of Device Ingredient or Reagent

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR AN IMPLANT PROCEDURE. DURING THE PROCEDURE, IT WAS NOTED THAT THE PACEMAKER WAS UNABLE TO REMOVE THE SETSCREW FROM THE HEADER DUE TO THE FOREIGN MATERIAL WAS NOTED. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT WAS IN STABLE CONDITION THROUGHOUT THE PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18523488 ↗
  • InjuryNov 29, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2023-93450. IT WAS REPORTED THAT THE PATIENT PRESENTED WITH INFECTION. THE PACEMAKER AND THE RIGHT VENTRICULAR LEAD WERE EXPLANTED AND WAS REPLACED WITH A LEADLESS PACEMAKER. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: Unspecified Infection

    MAUDE report 18225292 ↗
  • MalfunctionOct 18, 2023Failure to Disconnect; Failure to Disconnect

    RELATED MANUFACTURER REFERENCE NUMBERS: 2017865-2023-50053. IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR GENERATOR CHANGEOUT PROCEDURE. DURING PROCEDURE, IT WAS FOUND THAT THE PACEMAKER SETSCREW CANNOT BE LOOSENED. THE CHRONIC RIGHT VENTRICULAR (RV) LEAD WAS CUT AND CAPPED, SO THAT THE PACEMAKER COULD BE EXPLANTED AND REPLACED. THE REPLACEMENT RV LEAD EXHIBITED LOW OUT-OF-RANGE PACING IMPEDANCE AFTER PLACEMENT, SO THE REPLACEMENT RV LEAD WAS NOT IMPLANTED AND AN ALTERNATE NEAR AT HAND WAS IMPLANTED INSTEAD ON (B)(6) 2023. THE PACEMAKER WAS EXPLANTED AND REPLACED. THERE WERE NO PATIENT CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17955139 ↗
  • MalfunctionOct 2, 2023Incorrect Measurement; Incorrect Measurement

    IT WAS REPORTED THAT THE PATIENT PRESENT FOR FOLLOW UP WITH THE PULSE GENERATOR THAT EXHIBITED A BATTERY LONGEVITY OVER-ESTIMATION. FURTHER INFORMATION WAS REQUESTED BUT NOT RECEIVED .

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17850817 ↗
  • MalfunctionJul 17, 2023Communication or Transmission Problem; Data Problem; Communication or Transmission Problem; Data Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A FOLLOW-UP IN CLINIC. IT WAS NOTED THAT THE PACEMAKER HAD AN ERROR MESSAGE. IT WAS ALSO NOTED THAT THE MERLIN ON DEMAND WAS NOT ABLE TO SEND TRANSMISSION. THE ISSUE WAS RESOLVE BY CLEARING OUT THE CHARACTERS IN THE PATIENTS INFORMATION. THE PATIENT WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17331040 ↗
  • MalfunctionJun 21, 2023Insufficient Device Problem Information; Data Problem; Insufficient Device Problem Information; Data Problem

    NEW INFORMATION RECEIVED NOTED THAT THE ERROR MESSAGE WAS DISCOVERED DURING FOLLOW-UP IN THE CLINIC. PROGRAMMING CHANGES WERE MADE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: Insufficient Information; No Clinical Signs, Symptoms or Conditions

    MAUDE report 17168289 ↗
  • MalfunctionMay 16, 2023Failure to Disconnect; Failure to Disconnect

    IT WAS REPORTED THAT THE PATIENT PRESENTED DURING GENERATOR EXCHANGE. DURING THE PROCEDURE, IT WAS NOTED THAT THE PHYSICIAN FAILED TO REMOVE SETSCREW AND LEAD FROM THE PACEMAKER. THE HEADER WAS CUT FREE AND THE DEVICE WAS REMOVED. A NEW PACEMAKER WAS IMPLANTED DURING THE SAME PROCEDURE ON (B)(6) 2023. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16940485 ↗
  • MalfunctionApr 18, 2023Pacemaker Found in Back-Up Mode; Interrogation Problem; Pacemaker Found in Back-Up Mode; Interrogation Problem

    IT WAS REPORTED THAT A PATIENT PRESENTED WITH THEIR PACEMAKER (PM) IN BACKUP MODE. PROGRAMMING CHANGES WERE PERFORMED TO RESOLVE THE ISSUE. THE PATIENT CONDITION WAS STABLE BEFORE, DURING, AND AFTER.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16762006 ↗
  • MalfunctionApr 10, 2023Over-Sensing; Over-Sensing

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA MERLIN.NET. UPON REVIEW OF THE TRANSMISSION, IT WAS NOTED THAT THE PACEMAKER EXHIBITED NOISE OVERSENSING. NO INTERVENTION WAS PERFORMED AND THE PATIENT EXPERIENCED NO CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16706956 ↗
  • MalfunctionFeb 2, 2023Failure to Disconnect; Failure to Disconnect

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A DEVICE REPLACEMENT PROCEDURE. DURING THE PROCEDURE, THE PHYSICIAN WAS UNABLE TO REMOVE THE LEAD FROM THE HEADER OF THE PACEMAKER. THE LEAD WAS CUT AND THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16287801 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under P880086. One submission often covers many models, so check the product and lot details in each record.

  • Z-1497-2022 · Jun 17, 2022 · Open, Classified
    Merlin.net model MN5000 Software
  • Z-1496-2022 · Jun 17, 2022 · Open, Classified
    Merlin 2 PCS MER37000 programmer Model MER3400 software
  • Z-1495-2022 · Jun 17, 2022 · Open, Classified
    Merlin PCS 3650 programmer Model 3330 software
  • Z-0429-2012 · Sep 23, 2011 · Terminated
    Implantable Pacemaker Accent DR models PM2110 and PM2210 St. Jude Medical pacemakers monitor and regulate a patient's heart rate with pacing therapy.
  • Z-0430-2012 · Sep 23, 2011 · Terminated
    Anthem CRT-P models PM3110 and PM3210 St. Jude Medical pacemakers monitor and regulate a patient's heart rate with pacing therapy.
  • Z-0296-2007 · Oct 6, 2006 · Terminated
    St. Jude Medical APS III Programmer, used in combination with St. Jude Medical bradycardia and tachycardia devices. Model 3500/3510
  • Z-0297-2007 · Oct 6, 2006 · Terminated
    St. Jude Medical Merlin PCS Programmer, used in combination with St. Jude Medical bradycardia and tachycardia devices. Model 3650
  • Z-0298-2007 · Oct 6, 2006 · Terminated
    St. Jude Medical Identity SR Model 5172, Identity DR Model 5370, & Identity XL DR Model 5376; Pulse Generators (pacemakers)
  • Z-0052-04 · Jul 31, 2003 · Terminated
    Pulse Generator

Other Pulse generator, permanent, implantable devices

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Sources and updates

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