- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02536118
Micra Transcatheter Pacing System Post-Approval Registry
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.
Study Overview
Status
Conditions
Intervention / Treatment
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.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Brussels, Belgium
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Edegem, Belgium
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Leuven, Belgium
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Montreal, Canada
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Ontario
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Kingston, Ontario, Canada
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Prague, Czechia
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Aarhus, Denmark
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Copenhagen, Denmark
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Hillerød, Denmark
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Odense, Denmark
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Annecy, France
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Bayonne, France
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Bordeaux, France
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Brest, France
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Chambray-lès-Tours, France
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Clermont-Ferrand, France
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Grenoble, France
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Lille, France
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Marseille, France
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Montpellier, France
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Nancy, France
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Nantes, France
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Neuilly-sur-Seine, France
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Rennes, France
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Rouen, France
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Saint-Denis, France
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Saint-Etienne, France
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Strasbourg, France
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Toulouse, France
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Villeurbanne, France
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Aachen, Germany
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Berlin, Germany
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Cologne, Germany
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Dresden, Germany
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Düsseldorf, Germany
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Frankfurt, Germany
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Hamburg, Germany
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Hanover, Germany
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Heidelberg, Germany
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Jena, Germany
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Mainz, Germany
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Münster, Germany
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Tübingen, Germany
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Ulm, Germany
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Athens, Greece
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Marousi, Greece
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Budapest, Hungary
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Reykjavik, Iceland
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Ashkelon, Israel
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Jerusalem, Israel
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Ramat Gan, Israel
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Bari, Italy
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Bologna, Italy
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Brescia, Italy
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Cotignola, Italy
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Milan, Italy
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Pisa, Italy
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Roma, Italy
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Suita, Japan
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Yokohama, Japan
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Tokyo
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Mitaka-shi, Tokyo, Japan
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Shinagawa, Tokyo, Japan
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Safat, Kuwait
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Amsterdam, Netherlands
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Breda, Netherlands
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Eindhoven, Netherlands
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Enschede, Netherlands
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Groningen, Netherlands
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Leiden, Netherlands
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Maastricht, Netherlands
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Nieuwegein, Netherlands
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Rotterdam, Netherlands
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The Hague, Netherlands
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Christchurch, New Zealand
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Bergen, Norway
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Trondheim, Norway
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Poznan, Poland
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Zabrze, Poland
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Lisbon, Portugal
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Jeddah, Saudi Arabia
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Riyadh, Saudi Arabia
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A Coruña, Spain
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Barcelona, Spain
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Santiago de Compostela, Spain
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Toledo, Spain
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Vitoria-Gasteiz, Spain
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Uppsala, Sweden
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Basel, Switzerland
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Bern, Switzerland
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Fribourg, Switzerland
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Geneva, Switzerland
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Lausanne, Switzerland
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Lugano, Switzerland
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Zurich, Switzerland
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Birmingham, United Kingdom
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Bristol, United Kingdom
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Leeds, United Kingdom
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Leicester, United Kingdom
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Liverpool, United Kingdom
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London, United Kingdom
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Manchester, United Kingdom
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Middlesbrough, United Kingdom
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Nottingham, United Kingdom
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Southampton, United Kingdom
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Alabama
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Birmingham, Alabama, United States
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California
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Los Angeles, California, United States
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Redwood City, California, United States
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Connecticut
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New Haven, Connecticut, United States
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District of Columbia
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Washington D.C., District of Columbia, United States
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Florida
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Clearwater, Florida, United States
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Jacksonville, Florida, United States
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Safety Harbor, Florida, United States
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Georgia
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Atlanta, Georgia, United States
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Indiana
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Indianapolis, Indiana, United States, 46202
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Iowa
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West Des Moines, Iowa, United States
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Kansas
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Kansas City, Kansas, United States
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Kentucky
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Edgewood, Kentucky, United States
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Louisville, Kentucky, United States
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Maryland
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Salisbury, Maryland, United States
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Silver Spring, Maryland, United States
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Takoma Park, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Michigan
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Ann Arbor, Michigan, United States
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Lansing, Michigan, United States
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Ypsilanti, Michigan, United States
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Minnesota
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Minneapolis, Minnesota, United States
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Rochester, Minnesota, United States
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Saint Cloud, Minnesota, United States
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Missouri
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Columbia, Missouri, United States
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Kansas City, Missouri, United States
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New Jersey
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Morristown, New Jersey, United States
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Ridgewood, New Jersey, United States
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New York
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Huntington, New York, United States
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New York, New York, United States
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Poughkeepsie, New York, United States
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North Carolina
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Durham, North Carolina, United States
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Raleigh, North Carolina, United States
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Ohio
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Akron, Ohio, United States
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Cincinnati, Ohio, United States
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Cleveland, Ohio, United States
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Columbus, Ohio, United States
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Toledo, Ohio, United States
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Oklahoma
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Oklahoma City, Oklahoma, United States
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Oregon
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Portland, Oregon, United States
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Pennsylvania
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Allentown, Pennsylvania, United States
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Lancaster, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Pittsburgh, Pennsylvania, United States
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Tennessee
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Germantown, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Austin, Texas, United States
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Dallas, Texas, United States
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Fort Worth, Texas, United States
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Houston, Texas, United States
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Plano, Texas, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Patients intended to be implanted with a Micra system are eligible for enrollment and all patients must be consented prior to the implant. Only geographies with regulatory approval for the Micra system are eligible to enroll patients (see locations section).
All patients enrolled and successfully implanted with a Micra system will be followed for a minimum of 9 years, unless a patient is exited from the registry due to an unavoidable reason. If a Micra system is not successfully implanted, patients will be exited from the registry unless a Micra System and/or implant procedure related event is identified, for which the patient will be followed until the event is resolved or no further actions need to be taken.
Description
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 Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Patients implanted with Micra System
Patients implanted with a Micra Transcatheter Pacing System are eligible for enrollment into the Micra PA Registry.
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The Micra system is a miniaturized single chamber pacemaker system that is delivered via catheter through the femoral vein and is implanted directly inside the right ventricle of the heart.
The Micra implantable device is a self-contained, hermetically enclosed, miniaturized single chamber pacemaker.
The device is fixated via four electrically inactive nitinol tines, located on the distal end of the device.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Acute complication rate
Time Frame: 30-days
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To estimate acute complication rate related to the Micra system and/or implant procedure.
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30-days
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Long-term complication free survival
Time Frame: 9 years
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To estimate the chronic complication free survival rate of the Micra system.
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9 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Pacing impedance (ohms) and pacing threshold (volts)
Time Frame: Up to 9 years
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Summary statistics of electrical performance 5-years post-implant measurements will be reported.
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Up to 9 years
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Complications stratified by implant type
Time Frame: Up to 9 years
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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.
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Up to 9 years
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Estimate Micra System revision rate
Time Frame: Up to 9 years
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Summary statistics post-implant Micra System revisions, including system explant, replacement (with and without system explant), reposition will be reported.
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Up to 9 years
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Estimate System Longevity
Time Frame: Up to 9 years
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Summary statistics regarding battery length will be reported.
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Up to 9 years
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Confirm the rate response operation of the Micra system
Time Frame: Approximately 2 years
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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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Approximately 2 years
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Micra System complications, pacing impedance (ohms) and pacing threshold (volts), following exposure to MR environment
Time Frame: Up to 9 years
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Micra System performance will be described following use in an MR environment.
A listing of MRI related events, pacing impedance (ohms) and pacing threshold (volts) over time following MR exposure may be reported.
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Up to 9 years
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Micra Registry Manager, Medtronic
Publications and helpful links
General Publications
- Garg A, Koneru JN, Fagan DH, Stromberg K, Padala SK, El-Chami MF, Roberts PR, Piccini JP, Cheng A, Ellenbogen KA. Morbidity and mortality in patients precluded for transvenous pacemaker implantation: Experience with a leadless pacemaker. Heart Rhythm. 2020 Dec;17(12):2056-2063. doi: 10.1016/j.hrthm.2020.07.035. Epub 2020 Aug 4.
- Piccini JP, Cunnane R, Steffel J, El-Chami MF, Reynolds D, Roberts PR, Soejima K, Steinwender C, Garweg C, Chinitz L, Ellis CR, Stromberg K, Fagan DH, Mont L. Development and validation of a risk score for predicting pericardial effusion in patients undergoing leadless pacemaker implantation: experience with the Micra transcatheter pacemaker. Europace. 2022 Jul 21;24(7):1119-1126. doi: 10.1093/europace/euab315.
- El-Chami MF, Garweg C, Iacopino S, Al-Samadi F, Martinez-Sande JL, Tondo C, Johansen JB, Prat XV, Piccini JP, Cha YM, Grubman E, Bordachar P, Roberts PR, Soejima K, Stromberg K, Fagan DH, Clementy N. Leadless pacemaker implant, anticoagulation status, and outcomes: Results from the Micra Transcatheter Pacing System Post-Approval Registry. Heart Rhythm. 2022 Feb;19(2):228-234. doi: 10.1016/j.hrthm.2021.10.023. Epub 2021 Oct 29.
- El-Chami MF, Shinn T, Bansal S, Martinez-Sande JL, Clementy N, Augostini R, Ravindran B, Sagi V, Ramanna H, Garweg C, Roberts PR, Soejima K, Stromberg K, Fagan DH, Zuniga N, Piccini JP. Leadless pacemaker implant with concomitant atrioventricular node ablation: Experience with the Micra transcatheter pacemaker. J Cardiovasc Electrophysiol. 2021 Mar;32(3):832-841. doi: 10.1111/jce.14881. Epub 2021 Jan 23.
- El-Chami MF, Al-Samadi F, Clementy N, Garweg C, Martinez-Sande JL, Piccini JP, Iacopino S, Lloyd M, Vinolas Prat X, Jacobsen MD, Ritter P, Johansen JB, Tondo C, Liu F, Fagan DH, Eakley AK, Roberts PR. Updated performance of the Micra transcatheter pacemaker in the real-world setting: A comparison to the investigational study and a transvenous historical control. Heart Rhythm. 2018 Dec;15(12):1800-1807. doi: 10.1016/j.hrthm.2018.08.005. Epub 2018 Aug 10.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Micra Registry
Drug and device information, study documents
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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