Concerto II, Maximo II, Protecta and Consulta Implantable Cardioverter Defibrillators
by Medtronic Cardiac Rhythm Disease Management PMA
Active
PMA P010031
Overview
The Concerto II, Maximo II, Protecta, and Consulta systems are automatic implantable cardioverter defibrillators with cardiac resynchronization therapy (CRT-D). These devices are designed to provide ventricular antitachycardia pacing and ventricular defibrillation for the automated treatment of life-threatening ventricular arrhythmias. Additionally, the system is indicated for the reduction of symptoms in patients with moderate to severe heart failure who remain symptomatic despite optimal medical therapy.
These devices are intended for patients with a left ventricular ejection fraction less than or equal to 35% and a QRS duration greater than or equal to 130 ms. The system includes application software and is authorized under FDA PMA P010031. Please consult the specific device labeling for detailed information regarding clinical application and patient eligibility.
Regulatory status
Recall ongoing. 7 ongoing FDA recalls. See recalls
| Region | Authorization | Number | Date | Status |
|---|---|---|---|---|
| United States | FDA PMAAPPR | NumberP010031 | Date26 Jun 2002 | StatusActive |
Coverage
- Active
- Expiring
- Withdrawn
- Listed
- Not known
- Not covered
United States — FDA PMA Active
Recalls
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- Ongoing Z-2127-2025
- Ongoing Z-2128-2025
A software update for Medtronic CareLink SmartSync Device Manager (SmartSync) is now available. The update eliminates the potential display of an erroneous electrical reset (pop-up) message upon interrogation with a SmartSync Device Manager. The erroneous message indicates an electrical reset has occurred. However, no reset has actually occurred and there are no parameter changes or loss of diagnostics. Prior to this software update, if an erroneous SmartSync message was displayed, confusion regarding the message could have caused a clinician to consider an unnecessary system revision. Medtronic has received 39 reports of this display error with two instances of unnecessary device explant through 30 April 2025.
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- Ongoing Z-1526-2021
- Ongoing Z-1527-2021
- Ongoing Z-1528-2021
- Ongoing Z-1525-2021
A longevity estimation error may occur in the early years of device life when a unipolar pacing vector is programmed in the right atrial (RA) lead and/or the right ventricular (RV) lead. No other device features or therapies are impacted.
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- Ongoing Z-1306-2021
A small percentage of implanted cardiac devices, from a well-defined subset, may experience a shortened Recommended Replacement Time (RRT) to End of Service (EOS) interval following an earlier-than-expected RRT observation
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- Terminated Z-0927-2021
- Terminated Z-0926-2021
- Terminated Z-0928-2021
Under rare circumstances, the component may be susceptible to a failure mechanism that could impact device performance, including potential loss of function.
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- Terminated Z-0667-2009
Maximo II VR ICD, DR ICD and CRT-D inadvertently include the Capture Management algorithm (Atrial/Right Ventricular/Left Ventricular Capture management). The Capture management algorithm monitors daily pacing thresholds and may increase or decrease pacing amplitudes in response to patients' needs. Although the algorithm is operating correctly, it is not accessible to the clinician for reprogramm
Specification
- Full name
- Concerto Ii Crt-D & Various Families of Maximo Ii & Protecta Crt-Ds' Various Families of Consulta Icds
- Trade Name
- Concerto/Insync Sentry/Insync Maximo Implantable Cardiovascular Defibrillators with Cardiac Resynchicnization
- Generic Name
- Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D)
- PMA Number
- FDA Product Code
- NIK
- Device Class
- Class III
- Advisory Committee
- Cardiovascular
- FDA Decision
- APPR Approved
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Questions
What is the primary function of these CRT-D devices?
These devices function as automatic implantable cardioverter defibrillators that provide both ventricular antitachycardia pacing and ventricular defibrillation to treat life-threatening ventricular arrhythmias.
Are these devices suitable for all heart failure patients?
No, these devices are specifically indicated for patients with moderate to severe heart failure (NYHA functional class III or IV) who remain symptomatic despite stable, optimal medical therapy, and who have a left ventricular ejection fraction of 35% or less and a QRS duration of 130 ms or greater.
What regulatory authorization do these devices hold?
These devices are authorized under the FDA Premarket Approval (PMA) process, specifically under PMA number P010031.