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A Clinical Evaluation of the Durata or Optisure High Voltage Leads and Ellipse VR ICD Undergoing MRI, an IDE Study

Not Applicable
Completed
Conditions
Implantable Defibrillator User
Interventions
Device: Ellipse VR ICD and Durata/Optisure lead
Registration Number
NCT02787291
Lead Sponsor
Abbott Medical Devices
Brief Summary

To demonstrate safety and efficacy of the Durata or Optisure high voltage lead and Ellipse VR ICD in an MRI environment.

Detailed Description

The intent of this IDE study is to evaluate the safety and efficacy of the Durata or Optisure lead and Ellipse VR ICD that have undergone an MRI scan. The patient population under study includes patients indicated for or who have been implanted with a Durata or Optisure lead and an Ellipse VR ICD.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
227
Inclusion Criteria
  • Are implanted with the Durata or Optisure lead for at least 60 days (can include patients with Durata or Optisure lead for > 60 days OR patients with a new Ellipse VR ICD and/or Durata/Optisure lead implanted for at least 60 days
  • Are implanted with an Ellipse VR ICD pectorally
  • Be willing to undergo an elective MRI scan without sedation NOTE: Antianxiety agents (e.g. minor tranquilizers, etc.) may be used as long as the patient can communicate with site personnel during the MRI scan
  • Capture threshold is stable < 2.5V @ 0.5ms
  • Ventricular sensing is measurable (patient has underlying rhythm > 30bpm) and the sensing amplitude is > 4mV
  • Be able to provide informed consent for study participation (legal guardian or legally authorized representative is NOT acceptable)
  • Be willing and able to comply with the prescribed follow-up tests and procedures
  • Are not contraindicated for an MRI scan (per the MRI Screening Form)
Exclusion Criteria
  • Have a competitor's MRI compatible endocardial lead implanted or capped
  • Have another existing active implanted medical device, e.g., neurostimulator, infusion pump, etc., that has MR labeling that will not allow the MRI scans per this protocol to be completed.
  • Have a lead revision of the Durata/Optisure lead occur < 60 days of the baseline visit
  • Have other non-MRI compatible device or material implanted NOTE: MRI compatible knee replacements, hip replacements, stents, etc. may be included as long as the labeling of these devices allow MRI scans conducted per this protocol NOTE: MRI compatible mechanical, prosthetic, and bioprosthetic heart valves may be included as long as the labeling of these devices allow for MRI scans conducted per this protocol NOTE: Non-removable dental implants may be included
  • Have a lead extender, adaptor, or capped/abandoned lead
  • Enrolled or intend to participate in a clinical drug and/or device study (investigational device, investigational drug, new indication for a device or drug or additional testing beyond standard of care procedures), which could confound the results of this trial as determined by SJM.
  • Pregnant or planning to become pregnant during the duration of the subject's participation in the study
  • Have a life expectancy of less than 12 months due to any condition
  • Patients with exclusion criteria required by local law (e.g., age)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Ellipse VR ICD and Durata/Optisure leadEllipse VR ICD and Durata/Optisure leadPts with Ellipse VR ICD and Durata or Optisure RV lead implanted for at least 60 days will receive a non-diagnostic MRI scan of head and chest region
Primary Outcome Measures
NameTimeMethod
Number of Participants With MRI Scan Related ComplicationsMRI scan to 1 month post MRI scan

The primary safety endpoint is the number of participants that had an Ellipse ICD and/or a Durata or Optisure lead complication from the day the MRI scan occurred to the 1-month visit. A complication is defined as a serious adverse device effect that requires an invasive intervention or leads to death.

Percentage of Participants With Ventricular Capture Threshold ≤ to 0.5Vpre-MRI scan to 1 month post MRI scan

Percentage of participants of Durata or Optisure (RV) leads implanted with the Ellipse VR ICD with capture threshold increase of ≤ 0.5V at 0.5ms from pre-MRI scan to 1 month post-MRI scan.

Percentage of Participants With Ventricular Sensing Amplitude Decrease of ≤ 50% From Pre-MRI Scan to 1 Month Post MRI Scanpre-MRI scan to 1 month post MRI scan

Percentage of Participants with Durata or Optisure RV leads implanted with the Ellipse VR ICD with sensing amplitude decrease of ≤ 50% from pre-MRI scan to 1 month post MRI scan.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (32)

Donald Guthrie Foundation for Education and Research

🇺🇸

Sayre, Pennsylvania, United States

Central Cardiology

🇺🇸

Bakersfield, California, United States

Scripps Health

🇺🇸

La Jolla, California, United States

Redmond Regional Medical Center

🇺🇸

Rome, Georgia, United States

Athens Regional Medical Center

🇺🇸

Athens, Georgia, United States

Prairie Education and Research Cooperative

🇺🇸

Springfield, Illinois, United States

Parkview Research Center

🇺🇸

Fort Wayne, Indiana, United States

Medical Consultants

🇺🇸

Muncie, Indiana, United States

Sparrow Clinical Research Institute

🇺🇸

Lansing, Michigan, United States

Providence Hospital

🇺🇸

Southfield, Michigan, United States

St. Francis

🇺🇸

Roslyn, New York, United States

The Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Samaritan Heart & Vascular Institute

🇺🇸

Corvallis, Oregon, United States

Pinnacle Health System

🇺🇸

Harrisburg, Pennsylvania, United States

Saint Vincent Consultants in Cardiovascular Diseases

🇺🇸

Erie, Pennsylvania, United States

Penn State Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Baylor All Saints Medical Center at Fort Worth

🇺🇸

Fort Worth, Texas, United States

Semmelweis University

🇭🇺

Budapest, Hungary

American Heart of Poland SA

🇵🇱

Tychy, Silesia, Poland

Szpital Kliniczny Premienienia Panskiego

🇵🇱

Poznan, Silesia, Poland

Hospital Universitario de Salamanca

🇪🇸

Salamanca, Castellon, Spain

Golden Jubilee National Hospital

🇬🇧

Clydebank, West Dunbartonshire, United Kingdom

Carint Scanmed Sp. z.o.o.

🇵🇱

Krakow, Voivode, Poland

Jackson Heart Clinic

🇺🇸

Jackson, Mississippi, United States

Methodist University Hospital

🇺🇸

Memphis, Tennessee, United States

West Virginia University Hospital

🇺🇸

Morgantown, West Virginia, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Cardiac Rhythm Specialists, S.C.

🇺🇸

Milwaukee, Wisconsin, United States

John C. Lincoln North Mountain Hospital

🇺🇸

Phoenix, Arizona, United States

St. Thomas Hospital

🇺🇸

Nashville, Tennessee, United States

Aurora Medical Group

🇺🇸

Milwaukee, Wisconsin, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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