Reported Reactions

Devices › Mitral valve repair devices

Device brand name · Mitral valve repair devices

MitraClip G4 Clip Delivery System (MDR): medical device reports filed with FDA

2,065 reports name it, 2023–2026. Manufacturer given most often on reports: Abbott Medical. Product code NKM.

2,065
device reports naming the brand
0% of all MAUDE reports · about 606 a year
209
reports, 12 months to August 2026
716 in the 12 months before
41%
classified as malfunction
33.6% across the product code
2.1%
classified as death, as reported
44 reports · not verified by FDA

2,065 medical device reports received by FDA name the brand "MitraClip G4 Clip Delivery System (MDR)" (mitral valve repair devices); the manufacturer given most often on reports is Abbott Medical; received from February 2023 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

209 reports arrived in the 12 months to August 2026, down 71% from 716 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (56.9%), malfunction (41%) and death (2.1%); across all mitral valve repair devices reports (product code NKM) death is recorded in 7% and malfunction in 33.6%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are incomplete coaptation (28.5%), unintended movement (21.2%) and difficult to open or close (19.2%). The patient problems coded most often are mitral valve insufficiency/ regurgitation, dyspnea and foreign body in patient. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

052104Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 1Mar 2023: 0Apr 2023: 3May 2023: 35Jun 2023: 76Jul 2023: 53Aug 2023: 68Sep 2023: 80Oct 2023: 76Nov 2023: 78Dec 2023: 612024Jan 2024: 64Feb 2024: 52Mar 2024: 71Apr 2024: 74May 2024: 94Jun 2024: 104Jul 2024: 59Aug 2024: 91Sep 2024: 66Oct 2024: 66Nov 2024: 64Dec 2024: 612025Jan 2025: 62Feb 2025: 64Mar 2025: 66Apr 2025: 65May 2025: 59Jun 2025: 59Jul 2025: 36Aug 2025: 48Sep 2025: 45Oct 2025: 28Nov 2025: 34Dec 2025: 322026Jan 2026: 16Feb 2026: 17Mar 2026: 11Apr 2026: 8May 2026: 7Jun 2026: 7Jul 2026: 2Aug 2026: 2

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

04338662023: 53120232024: 86620242025: 59820252026: 702026

Event type and report source

Event type, as classified on the report

Death2.1%44
Injury56.9%1,174
Malfunction41%847
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%2,064
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%1

Grey bar: all 25,635 reports carrying product code NKM. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Incomplete coaptation58928.5%24.2%
Unintended movement43721.2%13.1%
Difficult to open or close39619.2%12.2%
Difficult or delayed positioning1658%5.9%
Positioning failure1376.6%4.4%
Difficult to removethe device was hard to remove1266.1%6.5%
Entrapment of device1045%3.5%
Device damaged by another device974.7%3.3%
Improper or incorrect procedure or method813.9%4%
Breakthe device broke723.5%2.8%
Off-label use663.2%3%
Migrationthe device moved from where it was placed613%3.4%
Physical resistance/sticking432.1%2%
Difficult or delayed activation422%1.5%
Expulsion361.7%1.4%
Leak/splashthe device leaked301.5%2.1%
Material deformation281.4%0.8%
Mechanical jam251.2%2.5%
Material split, cut or torn170.8%0.5%
Premature activation170.8%0.6%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Mitral valve insufficiency/ regurgitation45321.9%
Dyspneashortness of breath783.8%
Foreign body in patientpart of a device left in the patient542.6%
Mitral valve stenosis351.7%
Embolism/embolus341.6%
Pericardial effusionfluid around the heart301.5%
Low blood pressure/ hypotension291.4%
Heart failure/congestive heart failure261.3%
Thrombosis/thrombus241.2%
Tricuspid valve insufficiency/ regurgitation160.8%
Stroke/cva100.5%
Cardiogenic shockshock from the heart failing to pump90.4%
Tachycardiafast heart rate80.4%
Cardiac arrestthe heart stopped70.3%
Perforation70.3%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureMitraClip G4 Clip Delivery System (MDR)Product code NKMAll MAUDE reports
Reports2,06525,63526,136,888
Share of that pool—8.1%0%
Classified as death, per 1,000 reports21709
Classified as injury56.9%59.4%36.2%
Classified as malfunction41%33.6%62.3%
Filed by the manufacturer100%99.7%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code NKM

BrandReportsLatest 12 monthsClassified as death
MITRACLIP SYSTEM Clip Delivery System5,44529914.9%
Mitraclip G4 Clip Delivery System5,21602.3%
Mitraclip3,3571,1612%
Mitraclip System Clip Delivery System Nt2,30904.6%
Edwards Pascal Precision1,9091,39516.4%
MitraClip G5 Delivery System1,4081,3351.4%
Mitraclip G4 Clip Delivery System Mdd1,19303.2%
Mitraclip Xtr Delivery System1,05004.8%
Mitraclip Xtr Clip Delivery System69903.3%
Mitraclip Ntr Delivery System57102.6%
Mitraclip Ntr Clip Delivery System45504.4%
Mitraclip Clip Delivery System338038.5%
Abbott26507.5%
MitraClip G5 Steerable Guide Catheter3683630.5%
Mitraclip System Steerable Guide Catheter1,528163%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about MitraClip G4 Clip Delivery System (MDR) reports

How many FDA reports name MitraClip G4 Clip Delivery System (MDR)?

2,065 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 209 in the latest 12 months.

What kinds of events are reported?

injury (56.9%), malfunction (41%) and death (2.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

incomplete coaptation (28.5%), unintended movement (21.2%), difficult to open or close (19.2%), difficult or delayed positioning (8%) and positioning failure (6.6%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that MitraClip G4 Clip Delivery System (MDR) was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.