MedPath

Micra Transcatheter Pacing System Post-Approval Registry

Active, not recruiting
Conditions
Bradycardia
Interventions
Device: Micra Transcatheter Pacing System
Registration Number
NCT02536118
Lead Sponsor
Medtronic
Brief Summary

Medtronic is sponsoring the Micra Registry to further confirm safety and effectiveness of the Micra Transcatheter Pacing System (Micra system) when used as intended, in "real-world" clinical practice, following commercial release.

The Micra Registry is conducted within Medtronic's Product Surveillance Registry.

Detailed Description

The Micra Registry is a global, prospective, observational, multi-site registry. Patients enrolled in the Micra Registry will be prospectively followed for a minimum of 9 years post-implant or until registry closure, patient death, patient exit from the registry (i.e., withdrawal of consent), or unless patient is participating in an acute performance sub-study of the Micra Registry\*.

Enrolled patients will have scheduled follow-up visits at least annually or as prompted by reportable adverse events; however, all Micra system follow-up patient visits are to be reported. Therefore, if more frequent scheduled visits occur per a provider's standard care practice, those visits are reported. The total estimated registry duration is 11 years.

\*Patients contributing to an acute performance sub-study of the Micra Registry do not contribute to the FDA-regulated Post-Approval Study which includes a long-term (minimum 9-year) patient follow-up period.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
3100
Inclusion Criteria
  • Patient or legally authorized representative provides written authorization and/or consent per institution and geographical requirements
  • Patient is intended to receive or be treated with a Micra Transcatheter Pacing System and must be enrolled prior to the TPS implant procedure
Exclusion Criteria
  • Patient who is, or is expected to be inaccessible for follow-up
  • Patient with exclusion criteria required by local law
  • Patient is currently enrolled in or plans to enroll in any concurrent drug and/or device study that may confound results

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients implanted with Micra SystemMicra Transcatheter Pacing SystemPatients implanted with a Micra Transcatheter Pacing System are eligible for enrollment into the Micra PA Registry.
Primary Outcome Measures
NameTimeMethod
Acute complication rate30-days

To estimate acute complication rate related to the Micra system and/or implant procedure.

Long-term complication free survival9 years

To estimate the chronic complication free survival rate of the Micra system.

Secondary Outcome Measures
NameTimeMethod
Estimate Micra System revision rateUp to 9 years

Summary statistics post-implant Micra System revisions, including system explant, replacement (with and without system explant), reposition will be reported.

Estimate System LongevityUp to 9 years

Summary statistics regarding battery length will be reported.

Pacing impedance (ohms) and pacing threshold (volts)Up to 9 years

Summary statistics of electrical performance 5-years post-implant measurements will be reported.

Complications stratified by implant typeUp to 9 years

A listing of Micra system and/or implant procedure related complications stratified by implant types including de novo implants, previous cardiac device, or co-existing hardware. The listing will include complications will be listed including device implant date, complication category, complication date, device-relatedness and seriousness.

Confirm the rate response operation of the Micra systemApproximately 2 years

Analysis of treadmill testing data from patients implanted with Micra for at least 3 months. Rate response data collected in the registry will be combined with data from the FDA Investigational Device Exemption study (NCT 02004873).

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