MAUDE Adverse Event Report: Medtronic, Inc. Micra; INTRODUCER, CATHETER

Model Number	MI2355A
Medical Device Problem Codes	Use of Device Problem (1670); Human-Device Interface Problem (2949)
Health Effect - Clinical Codes	Laceration(s) (1946); Discomfort (2330); Vascular Dissection (3160); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/23/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that during implant the leadless implantable pulse generator (ipg) dislodged after the tether was cut and was sat in mid right atrium at the tip of the delivery catheter. the device then became free of the tether and moved and was then observed in the right pulmonary artery (rpa). the delivery system was removed and attempted retrieval using large curve agilis catheter, gooseneck snare and deflectable diagnostic catheter, then al1 with wire to guide to the rpa branch.They were unable to get to the branch with the device with the wire, and on contrast injection no contrast reached the branch with the device in.Suspected dissection of rpa branch on fluoroscopy with small lacerations in the right upper rpa. the device embolized in rpa branch and the patient had occasional coughing and mild chest discomfort.It was also noted that the introducer was used more than six months after the use by date.The patient will be monitored with the device remaining in the patient. no further patient complications have been reported as a result of this event.
Additional Manufacturer Narrative
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.

• Brand Name: Micra
• Common Device Name: INTRODUCER, CATHETER
• Manufacturer (Section D): Medtronic, Inc.; 8200 coral sea street ne; mounds view,ie ; EI
• Manufacturer (Section G): Medtronic, Inc.; 8200 coral sea street ne; mounds view,ie ; EI
• Manufacturer Contact: gerard torenvliet ; 8200 coral sea st ne; mounds view, MN 55112--439 ; +1(763)526-9277
• MDR Report Key: 50895165
• Report Number: 2182208-2026-54671
• Device Sequence Number: 14910236
• Product Code: DYB
• UDI-Device Identifier: 00643169359888
• UDI-Public: (01)00643169359888(17)210104(10)MI2355A
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: K132030
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 09/25/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 01/04/2021
• Device Model Number: MI2355A
• Device Catalogue Number: MI2355A
• Device Lot Number: MI2355A
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/23/2026
• Initial Report FDA Received Date: 09/25/2026
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Female