ACUITY™ Spiral 4593
ACUITY Spiral 4593 is an endocardial/interventricular septal pacing lead (FDA Class III; FDA product code LWP, Implantable pulse generator, pacemaker (non-CRT)) made by Boston Scientific, approved under FDA PMA P010012 on 2 May 2002 and listed in FDA GUDID since 24 Sep 2014 (UDI-DI 00802526423222), active as of 22 Oct 2026. 3 FDA recalls are linked to it.
Active
Valid until
No expiry
FDA recalls
1 ongoingDocuments
Trust
Regulatory status
| Region | Authorization | Number | Date | Status |
|---|---|---|---|---|
| United States | GUDID listing | Number00802526423222 | Date24 Sep 2014 | StatusListed |
| United States | FDA PMAAPPR | NumberP010012 | Date2 May 2002 | StatusActive |
Official records
- AccessGUDID record 00802526423222
- FDA PMA database P010012
Across registries
- FDA PMA P010012 decided 2 May 2002 Active
- FDA GUDID UDI-DI 00802526423222 listed 24 Sep 2014 Listed
Recalls
-
- Ongoing Z-1671-2022
There is potential for unanticipated software anomalies to occur when using the Model 2868 Application loaded on the 3120 ZOOM LATITUTDE programmer when communicating with certain Boston Scientific transvenous defibrillators.
-
- Terminated Z-0080-2018
- Terminated Z-0079-2018
- Terminated Z-0081-2018
The devices have an incorrect firmware configuration.
-
- Terminated Z-1556-2010
Boston Scientific Corporation has stopped shipment and is retrieving unimplanted devices from US hospital shelves of all its implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) after determining that some manufacturing process changes were not submitted for approval to the US Food & Drug Administration.
-
- Terminated Z-0609-2010
BSC CRM provided important patient management information regarding Boston Scientific COGNIS CRT-Ds and TELIGEN ICDs. Engineering simulations and field reports indicate that in some cases, implanted devices may encounter sufficient mechanical stress to weaken the bond between the header and case when positioned subpectorally. A weakened header bond may alter lead impedance and introduce noise
-
- Terminated Z-1055-2007
- Terminated Z-1049-2007
- Terminated Z-1052-2007
- Terminated Z-1047-2007
- Terminated Z-1053-2007
- Terminated Z-1054-2007
Boston Scientific has recently identified low-voltage capacitors from a former supplier that may be subject to degradation at a low rate of occurrence. These capacitors may cause accelerated battery depletion and may reduce the time between elective replacement indicator (ERI) and end of life (EOL) to less than 3 months.
-
- Terminated Z-0047-2008
Atypical Charge Time Behavior: 1)-End of Life (EOL) or ERI is displayed during mid-life (typically 24-48 months), even though battery capacity remains available. 2)- Extended ERI charge time limits: Charge times during mid-life may remain below a normal extension of the ERI charge time . ****** Prophylactic replacement of these devices prior to ERI is not recommended. As stated in the Product Upd
-
- Terminated Z-1288-06
Guidant has identified a pattern of premature battery depletion in devices manufactured with a single lot of capacitors from a single supplier. If function of this low voltage capacitor is compromised, the battery may deplete prematurely.
-
- Terminated Z-0825-06
- Terminated Z-0826-06
- Terminated Z-0827-06
77 distributed devices may have a cracked layer of insulation in a flexible hybrid circuit, leading to internal shorting during charging such as during routine capacitor formation or for defibrillation. This would likely render the device non-functional, resulting in no output and/or telemetry communications.
-
- Terminated Z-0863-06
Guidant received 39 reports of devices that exhibited lower than expected battery voltage prior to implant; none of these devices were implanted.
-
- Terminated Z-0891-06
Devices manufactured with batteries built on April 26 or 27, 2005, by a single operator, may have battery welds that may have been performed at settings outside of typical manufacturing specifications at the supplier.
Timeline
- Recall initiated FDA recalls Z-1047-2007
- Recall initiated FDA recalls Z-1053-2007
- Recall initiated FDA recalls Z-1054-2007
- Recall initiated FDA recalls Z-0609-2010
- Recall initiated FDA recalls Z-1556-2010
- Listed FDA GUDID 00802526423222
- Recall initiated FDA recalls Z-0080-2018
- Recall initiated FDA recalls Z-0079-2018
- Recall initiated FDA recalls Z-0081-2018
- Recall initiated FDA recalls Z-1671-2022
Coverage
- Active
- Expiring
- Withdrawn
- Listed
- Not covered
United States — FDA PMA Active
Specification
- Trade name
- ACUITY™ Spiral
- Generic name
- Endocardial/interventricular septal pacing lead
- Model / reference
- 4593
- Primary DI / UDI-DI
- 00802526423222
- PMA number
- FDA product code
- LWP
- GMDN term
- Endocardial/interventricular septal pacing lead
- Device class
- Class III
- GUDID distribution status
- In Commercial Distribution
Similar devices
Other devices filed under FDA product code LWP (Implantable pulse generator, pacemaker (non-CRT)).
- Attesta™ L DR MRI SureScan™ ATDRL1 by MEDTRONIC, INC.
- Paragon/Phoenix Family of Pacemakers by ST. JUDE MEDICAL, INC.
- DDD Pulse Generator 674 by Pacesetter Systems
- PROGRAMALITH(TM) MODEL 223 PULSE GENERATOR & 398 P by Pacesetter Systems
- Chorus DDD Pacemaker by MicroPort CRM USA, Inc.
- Gemini Theta Model 415A Cardiac Pacer by Telectronics Pacing Systems, Inc.
- Versatrax Model 7000 Universal A-V Pulse Generator by Medtronic Cardiac Rhythm Disease Management
- Attesta™ DR MRI SureScan™ ATDR01 by MEDTRONIC, INC.
- Tendril MRI Lead (Model LPA 1200M) by Abbott Medical
- BYREL PROGRAMABLE PACEMAKER by Medtronic Cardiac Rhythm Disease Management