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Accent™ DRRecalls & reported problems

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

Quick summary

This St. Jude Accent DR pacemaker is implanted under the skin of the chest to help regulate the heartbeat. Its 214 reports include 20 deaths and 86 injuries. Many describe the device sensing heartbeats incorrectly, giving wrong measurements, draining its battery early or switching to backup mode, and some end with the pacemaker being replaced. 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
214
Deaths reported
20
Injuries reported
86
Recalls naming it
0

Summary

The FDA's MAUDE database contains 214 adverse event reports that list this exact device (DI 05414734503600), received between Jun 19, 2018 and Jul 3, 2026 — classified as 20 deaths, 86 injuries, 108 malfunctions.

The most frequently reported specific device problem is “Over-Sensing” (29 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: 1 reportsJan 2024: 2 reportsFeb 2024: 1 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 1 reportsJun 2024: 0 reportsJul 2024: 1 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 1 reportsFeb 2025: 1 reportsMar 2025: 1 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 2 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 1 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 1 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

  • Adverse Event Without Identified Device or Use Problem48
  • Over-Sensing29
  • Incorrect Measurement27
  • Signal Artifact/Noise25
  • Premature Discharge of Battery14
  • Pacemaker Found in Back-Up Mode13
  • Data Problem12
  • Under-Sensing9

Patient problems

  • No Known Impact Or Consequence To Patient77
  • No Clinical Signs, Symptoms or Conditions75
  • Death14
  • Unspecified Infection14
  • No Consequences Or Impact To Patient10
  • Pocket Erosion10
  • Discomfort6
  • Insufficient Information5

Recent adverse event reports

The 25 most recent of 214 reports, in the reporter's own words as published by the FDA.

  • InjuryJul 3, 2026Wireless Communication Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR A FOLLOW-UP IN CLINIC. REMOTE CARE TECHNICAL SERVICES WAS CONTACTED TO ASSIST WITH A MERLIN ON DEMAND (MOD) TRANSMISSION. THE MOD TRANSMISSION WAS SENT SUCCESSFULLY BUT IT WAS NOTED THAT THE PACEMAKER EXHIBITED TELEMETRY LOCKOUT. THE PACEMAKER WAS SUBSEQUENTLY EXPLANTED AND REPLACED. THE PATIENT REMAINED STABLE BEFORE, DURING AND AFTER PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25701961 ↗
  • InjuryNov 30, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT WAS SYMPTOMATIC DUE TO PACEMAKER'S AUTO CAPTURE FEATURE. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT CONDITION WAS UNKNOWN.

    Patient problems: Insufficient Information

    MAUDE report 23677423 ↗
  • InjuryJun 30, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED AT THE HOSPITAL FOR A POCKET REVISION. THE PATIENT'S PACEMAKER WAS FOUND ABOUT TO ERODE THROUGH THE SKIN AND THE TISSUE APPEARED ISCHEMIC LIKELY FROM THE PRESSURE OF DEVICE POSITIONING. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT HAD NO COMPLICATIONS AND WAS IN STABLE CONDITION.

    Patient problems: Pocket Erosion

    MAUDE report 22367678 ↗
  • MalfunctionJun 13, 2025Premature Discharge of Battery; Failure to Interrogate; Inappropriate or Unexpected Reset; Premature Discharge of Battery; Failure to Interrogate; Inappropriate or Unexpected Reset

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN-CLINIC FOR A ROUTINE CHECK-UP. UPON INTERROGATION IT WAS NOTED THAT THE PACEMAKER EXHIBITED PREMATURE BATTERY DEPLETION, AND THE RIGHT-ATRIAL (RA) LEAD AND THE RIGHT-VENTRICULAR (RV) BOTH EXHIBITED LOSS OF CAPTURE AND LOW PACING IMPEDANCE. PROGRAMMING CHANGES WERE PERFORMED, BUT BOTH LEADS PACING IMPEDANCES REMAINED UNCHANGED. THEN, THE PACEMAKER SPONTANEOUSLY WENT INTO BACKUP OPERATION AND FAILED TO BE INTERROGATED. NO FURTHER INTERVENTION WAS PERFORMED. THE PATIENT CONDITION WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22207801 ↗
  • MalfunctionMar 25, 2025Under-Sensing; Under-Sensing

    IT WAS REPORTED THAT THE PACEMAKER EXHIBITED AN UNDERSENSING ISSUE. NO INTERVENTION WAS PERFORMED AND THE PATIENT EXPERIENCED NO CONSEQUENCES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21685070 ↗
  • DeathFeb 4, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    RELATED MFR REPORT NUMBER: 2017865-2025-12285. RELATED MFR REPORT NUMBER: 2017865-2025-12286. IT WAS REPORTED THAT A PATIENT PASSED AWAY. THE CAUSE OF DEATH IS NOT KNOWN. THE PACEMAKER, ATRIAL LEAD, AND RIGHT VENTRICULAR LEAD WERE EXPLANTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21308619 ↗
  • MalfunctionJan 2, 2025Unexpected Mode Switch; Unexpected Mode Switch

    IT WAS REPORTED A PATIENT'S PACEMAKER PRESENTED IN BACKUP VVI MODE. PROGRAMMING CHANGES WERE MADE TO RESTORE NORMAL PARAMETERS. THE PATIENT STATUS WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21060211 ↗
  • InjuryOct 29, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED TO THE CLINIC WITH SWELLING DUE TO INFECTION AND EROSION AT THE DEVICE SITE. THE PACEMAKER, RIGHT ATRIAL LEAD AND RIGHT VENTRICULAR LEAD WERE EXPLANTED. THE PATIENT WAS IN STABLE CONDITION THROUGHOUT THE PROCEDURE.

    Patient problems: Pocket Erosion; Unspecified Infection

    MAUDE report 20554737 ↗
  • MalfunctionJul 22, 2024Insufficient Device Problem Information; Insufficient Device Problem Information

    IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC FOR DIZZINESS. DEVICE INTERROGATION REVEALED NOISE OVERSENSING ON THE IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD). PROGRAMMING CHANGES WERE PERFORMED TO RESOLVE THE ISSUE. THE PATIENT CONDITION WAS UNKNOWN.

    Patient problems: Dizziness

    MAUDE report 19801973 ↗
  • InjuryMay 24, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT'S PACEMAKER WAS EXPLANTED ON (B)(6) 2024 AFTER THE PATIENT SYMPTOMS OF SYNCOPE. THE PATIENT'S CONDITION WAS UNKNOWN.

    Patient problems: Syncope/Fainting

    MAUDE report 19395673 ↗
  • MalfunctionFeb 23, 2024Data Problem; Data Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA MERLIN.NET. REVIEW OF THE TRANSMISSION REVEALED AN ERROR MESSAGE. THE PROGRAMMING CHANGES WAS PERFORMED AND THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18764977 ↗
  • InjuryJan 5, 2024No Pacing; Noise, Audible; No Pacing; Noise, Audible

    IT WAS REPORTED THAT THE PATIENT HAD AN AUDITORY ALERT DEMONSTRATED AND PRESENTED TO THE CLINIC. UPON REVIEW THE PACEMAKER, IT WAS NO ALERT PRESENTED. NO INTERVENTION WAS PERFORMED. THE PATIENT WAS STABLE AND WOULD BE FURTHER MONITORED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18451872 ↗
  • InjuryJan 3, 2024Pacemaker Found in Back-Up Mode; Pacemaker Found in Back-Up Mode

    IT WAS REPORTED, THAT THE PATIENT PRESENTED WITH PRESYNCOPE. THE PACEMAKER WAS IN BACKUP PACING. THE DEVICE WAS EXPLANTED AND REPLACED. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: Presyncope; Syncope/Fainting

    MAUDE report 18440130 ↗
  • MalfunctionDec 27, 2023Pacemaker Found in Back-Up Mode; Pacemaker Found in Back-Up Mode

    IT WAS REPORTED THAT THE PATIENT PRESENTED TO THE EMERGENCY ROOM. INTERROGATION OF THE PULSE GENERATOR NOTED THAT THE PULSE GENERATOR WAS IN BACKUP BVVI MODE. PROGRAMMING CHANGES WERE MADE. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18396542 ↗
  • InjuryNov 2, 2023Over-Sensing; Over-Sensing

    RELATED MANUFACTURER REFERENCE NUMBERS: (B)(4). IT WAS REPORTED, THAT THE PATIENT PRESENTED IN CLINIC. FOR RIGHT VENTRICULAR (RV) LEAD REVISION. IT WAS NOTED, THAT THE PACEMAKER AND RV LEAD EXHIBITED NOISE OVER-SENSING. DURING PROCEDURE, IT WAS OBSERVED, THAT THE RV LEAD FURTHER EXHIBITED EXTERNALIZED CONDUCTOR. THE PACEMAKER AND THE RV LEAD WERE EXPLANTED AND REPLACED. PATIENT CONDITION WAS STABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18059149 ↗
  • InjuryOct 18, 2023Premature Discharge of Battery; Premature Discharge of Battery

    IT WAS REPORTED THAT THE PATIENT'S PACEMAKER WAS EXPLANTED AND REPLACED DUE TO POTENTIAL EARLY BATTERY DEPLETION. THE PATIENT'S STATUS WAS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17958742 ↗
  • InjuryOct 17, 2023Incorrect Measurement; Incorrect Measurement

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA MERLIN.NET. TRANSMISSION REVEALED THAT THE PACEMAKER EXHIBITED DIAGNOSTIC ANOMALY. NO INTERVENTION WAS PERFORMED. THERE WERE NO PATIENT CONSEQUENCES.

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

    MAUDE report 17947398 ↗
  • InjurySep 18, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED CHEST PAIN. THE DEVICE WAS EXPLANTED AND REPLACED.

    Patient problems: Discomfort

    MAUDE report 17769153 ↗
  • InjurySep 7, 2023Over-Sensing; Over-Sensing

    NEW INFORMATION NOTED THAT THE PACEMAKER WAS EXPLANTED AND REPLACED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17705828 ↗
  • InjuryAug 30, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED WITH THE PACEMAKER PUSHING AGAINST THE SKIN WITH IMPENDING NECROSIS. THE DEVICE WAS EXPLANTED FOR NORMAL ELECTIVE REPLACEMENT INDICATOR (ERI), AND A NEW DEVICE WAS IMPLANTED TO A SUB MUSCULAR POCKET. THE PATIENT DID NOT EXPERIENCE ANY SYMPTOMS.

    Patient problems: Pocket Erosion

    MAUDE report 17651302 ↗
  • DeathAug 21, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2023-38920, RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2023-38921. IT WAS REPORTED THE PATIENT DECEASED. 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 WAS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17591631 ↗
  • MalfunctionAug 6, 2023Loose or Intermittent Connection; Loose or Intermittent Connection

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR GENERATOR CHANGE DUE TO NORMAL ELECTIVE REPLACEMENT INDICATOR (ER). DURING THE PROCEDURE, IT WAS NOTED THAT THE SET SCREW WAS STRIPPED AND CAUSED DIFFICULTY TO REMOVE THE SET SCREW. THE PROCEDURE CONTINUED WITH THE NEW PACEMAKER IMPLANTED. THE PATIENT WAS STABLE THROUGHOUT THE PROCEDURE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17467448 ↗
  • MalfunctionJun 21, 2023Over-Sensing; Over-Sensing

    IT WAS REPORTED THAT THE PACEMAKER EXHIBITED AN OVERSENSING ISSUE. NO INTERVENTION WAS PERFORMED AND THE PATIENT'S CONDITION WAS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17169498 ↗
  • InjuryJun 20, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    RELATED MANUFACTURER REPORT NUMBER: 2017865-2023-23643. RELATED MANUFACTURER REPORT NUMBER: 2017865-2023-23644. IT WAS REPORTED THAT THE PATIENT PRESENTED IN CLINIC WITH ERODED POCKET WITH INFECTION AND FEVER. THE PATIENT'S PACEMAKER, ATRIAL LEAD AND RIGHT VENTRICULAR (RV) LEAD WAS EXPLANTED. A REPLACEMENT LEADLESS PACEMAKER WAS IMPLANTED. THE PATIENT WAS IN STABLE CONDITION.

    Patient problems: Discomfort; Pocket Erosion; Unspecified Infection

    MAUDE report 17163563 ↗
  • InjuryJun 5, 2023Over-Sensing; Pacing Problem; Over-Sensing; Pacing Problem

    IT WAS REPORTED THAT THE PATIENT PRESENTED REMOTELY VIA MERLIN.NET TRANSMISSION. ANALYSIS OF THE TRANSMISSION NOTED THAT THE PACEMAKER EXHIBITED FAR R OVERSENSING THAT CAUSED INAPPROPRIATE MODE SWITCH. THE PACEMAKER WAS EXPLANTED AND REPLACED. THE PATIENT STATUS THROUGHOUT THE PROCEDURE WAS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17067118 ↗

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-1496-2022 · Jun 17, 2022 · Open, Classified
    Merlin 2 PCS MER37000 programmer Model MER3400 software
  • Z-1497-2022 · Jun 17, 2022 · Open, Classified
    Merlin.net model MN5000 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-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-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-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-0052-04 · Jul 31, 2003 · Terminated
    Pulse Generator

Other Pulse generator, permanent, implantable devices

All Pulse generator, permanent, implantable devices →

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