FDA Adverse Event Injury Summary report: N

MEDTRONIC LEAD

MDR report key: 24861081 · Received April 13, 2026

Report

Report Number
2182208-2026-19211
Event Type
Injury
Date Received
April 13, 2026
Date of Event
January 1, 2026
Report Date
April 13, 2026
Manufacturer
MEDTRONIC, INC.
Product Code
DXY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. MEDTRONIC WAS MADE AWARE OF THIS EVENT THROUGH A SEARCH OF LITERATURE PUBLICATIONS. OF NOTE, MULTIPLE PATIENTS AND MULTIPLE MANUFACTURERS WERE NOTED IN THE ARTICLE; HOWEVER, A ONE-TO-ONE CORRELATION COULD NOT BE MADE WITH UNIQUE PRODUCT SERIAL NUMBERS. THE BASELINE GENDER/AGE CHARACTERISTICS IS MALE/76 YEARS OLD. THE MODEL LISTED IN THE REPORT IS A REPRESENTATIVE OF THE MODEL FAMILY, AS THERE IS NO SPECIFIC MODEL LISTED. WITHOUT A SERIAL NUMBER, THE MANUFACTURING DATE CANNOT BE DETERMINED. SINCE NO DEVICE ID WAS PROVIDED, IT IS UNKNOWN IF THIS EVENT HAS BEEN PREVIOUSLY REPORTED. A REQUEST FOR ADDITIONAL INFORMATION WAS MADE. IF ADDITIONAL INFORMATION IS OBTAINED REGARDING THIS EVENT, IT WILL BE ADDED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY. REFERENCED ARTICLE: PRESENCE OF CARDIAC IMPLANTABLE ELECTRONIC DEVICES IS ASSOCIATED WITH INCREASED RISK OF PERIOPERATIVE COMPLICATIONS FOLLOWING SHOULDER ARTHROPLASTY. CLINICS IN SHOULDER AND ELBOW. 2026. 29(1):96-104. DOI: 10.5397/CISE.2025.01333 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.

Description of Event or Problem · 0

LITERATURE WAS REVIEWED REGARDING THE PRESENCE OF CARDIOVASCULAR IMPLANTABLE ELECTRONIC DEVICE (CIED) AND PERIOPERATIVE COMPLICATIONS FOLLOWING SHOULDER ARTHROPLASTY. OUTCOMES INCLUDED 90-DAY AND TWO-YEAR COMPLICATIONS POST TOTAL SHOULDER ARTHROPLASTY (TSA). THE AUTHORS DESCRIBED CIEDS WHICH REQUIRED INTERVENTIONS; HOWEVER, THE SPECIFIC INTERVENTIONS AND ISSUES WERE UNKNOWN. THE STATUS OF THE DEVICES AND LEADS IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
915276 MEDTRONIC LEAD IMPLANTABLE PACEMAKER PULSE-GENERATOR DXY MEDTRONIC, INC. MDT-LEAD

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Required Intervention UNKNOWN COMPETITOR IPG