MICRA
Report
- Report Number
- 9612164-2026-00727
- Event Type
- Malfunction
- Date Received
- February 11, 2026
- Date of Event
- February 9, 2026
- Report Date
- February 11, 2026
- Manufacturer
- MEDTRONIC IRELAND
- Product Code
- PNJ
- UDI-DI
- 00763000078690
- PMA / PMN Number
- P150033
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PL
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CONTINUATION OF D10: PRODUCT ID: MC2VR01 (SERIAL: (B)(6); PRODUCT TYPE: 0240-IPG; IMPLANT DATE: ON (B)(6) 2026; EXPLANT DATE: (B)(6) 2026. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
IT WAS REPORTED THAT DURING THE IMPLANT PROCEDURE THAT THE LEADLESS IMPLANTABLE PULSE GENERATOR (IPG) DELIVERY SYSTEM (DS) EXHIBITED A BLOCKED TETHER IN THE DS AFTER CUTTING THE TETHER. THE LEADLESS IPG AND DS WAS ATTEMPTED NOT USED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 379979 | MICRA | LEADLESS PACEMAKER | PNJ | MEDTRONIC IRELAND | MC1VR01-DELSYS | 00763000078690 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | SEE H11. |