A blog about what is new (and old) in the world of active implantable medical devices

Medtronic Receives FDA Appoval for Expanded Use of CRT-D to Class II HF

Posted on by Posted in Uncategorized

Medtronic received FDA approval for the expanded use of CRT-D in mildly-symptomatic heart failure patients.  The expanded indication includes New York Heart Association (NYHA) Class II heart failure patients with a left ventricular ejection fraction (LVEF) of less than or equal to 30 percent, left bundle branch block (LBBB), and a QRS duration greater than or equal to 130 milliseconds. Nearly 200,000 Americans are considered NYHA Class II, with another 620,000 people worldwide fitting this designation.

The FDA’s decision for the expanded indication rests on data from the pivotal REVERSE (REsynchronization reVErses Remodeling in Systolic left vEntricular dysfunction) and landmark RAFT (Resynchronization/Defibrillation in Ambulatory Heart Failure Trial) clinical trials, which showed that CRT-D can benefit mildly symptomatic heart failure patients by reducing mortality and heart failure hospitalization rates.The expanded indication includes New York Heart Association (NYHA) Class II heart failure patients with a left ventricular ejection fraction (LVEF) of less than or equal to 30 percent, left bundle branch block (LBBB), and a QRS duration greater than or equal to 130 milliseconds. Nearly 200,000 Americans are considered NYHA Class II, with another 620,000 people worldwide fitting this designation.

Click here for press release from Medtronic.

 

Monash University in Australia Starts Test of Direct-to-Brain Visual Prosthesis Chips

Posted on by Posted in Blindness, Brain Stimulation, Electrode Materials, News, Tech Talk, Ultra-Low-Power ICs
Implantable chip for direct-to-brain visual prosthesis developed by Monash University. www.implantable-device.com

Image Credit: Monash Vision Group, Monash University, Australia

Engineers from the Monash Vision Group (MVG) have begun trialling the ASICs for a direct-to-brain visual prosthesis that is expected to enter human clinical trials in 2014.

The prosthesis will consist of a tiny camera mounted into a pair of glasses, which acts as the retina; a pocket processor, which takes the electronic information from the camera and converts it into signals enabling the brain to build up a visual construct; and cortical implants of several tiles which will be the portal for the stimulation of the visual cortex. Continue reading→

Magnetically-Coupled Motor/Generator Transfers 100 mW to Implant at 50 cm Range

Posted on by Posted in Tech Talk, Wireless Power Transmission
Magnetically-coupled motor/generator for transcutaneous energy transfer. www.implantable-device.com David Prutchi, Ph.D.

Image Credit: Fraunhofer Institute for Ceramic Technologies and Systems

Scientists at the Fraunhofer Institute for Ceramic Technologies and Systems developed a magnetically-coupled motor/generator system that they claim is able to transcutaneously transfer 100 mW to an implant up to 50 cm away.

In the external power-transfer module, a rotating magnet driven by an EC motor generates a magnetic rotary field. A magnetic pellet in the implanted receiver connects to the alternating exterior magnetic field and as a result, is set in rotation itself. The rotational movement is transformed into electricity, thus the power is produced right in the generator module. “With magnetic coupling, power can be transported through all non-magnetic materials, such as biological tissue, bones, organs, water, plastic or even a variety of metals. Moreover, the magnetic field produced has no harmful side effects on humans. It doesn‘t even heat up tissue,” says Dr. Holger Lausch, highlighting the advantages of the system. Continue reading→

John Hopkins Researcher Develops New Early-Warning Seizures Detector with Low False-Positive Rate

Posted on by Posted in Brain Stimulation, Epilepsy, News, Tech Talk

Johns Hopkins’ Sridevi V. Sarma, an assistant professor of biomedical engineering, has devised new seizure detection software that, in early testing, significantly cuts the number of unneeded brain-stimulation therapy that an epilepsy patient would receive.

According to Sarma, “These devices use algorithms—a series of mathematical steps—to figure out when to administer the treatment,” Sarma said. “They’re very good at detecting when a seizure is about to happen, but they also produce lots of false positives, sometimes hundreds in one day. If you introduce electric current to the brain too often, we don’t know what the health impacts might be. Also, too many false alarms can shorten the life of the battery that powers the device, which must be replaced surgically.” Continue reading→

St. Jude Seeks Retraction of Heart Rhythm Journal Manuscript by Dr. Robert Hauser Regarding the Failure of Riata and Riata ST Implantable Cardioverter-Defibrillator Leads

Posted on by Posted in Cardioversion/Defibrillation, St. Jude Medical

St Jude Medical Riata LeadsSt. Jude announced it is seeking a retraction of the manuscript accepted for publication in the Heart Rhythm Journal by Dr. Robert Hauser, et al., titled, “Deaths Caused by the Failure of Riata and Riata ST Implantable Cardioverter-Defibrillator Leads.” St. Jude claims that the research performed by Hauser undercounted and excluded MAUDE data reports for Medtronic product resulting in substantial factual errors.

According to the press release: Continue reading→

St. Jude Warns Physicians of Potential Problem with QuickSite and QuickFlex LV CRT Leads

Posted on by Posted in Cardiac Pacing, Heart Failure (CHF), St. Jude Medical
St Jude QuickFlex lead

Image Credit: St. Jude Medical

St. Jude announced it is proactively informing physicians about visual observations of externalized conductors on the silicone end of QuickSite® and QuickFlex® Left-Ventricular Leads, used to connect Cardiac Resynchronization Therapy devices to the heart.

The announcement noted that there have been no reports of patient injury or loss of therapy due to externalized conductors in these leads, but as a conservative measure, St. Jude Medical is communicating with physicians about the incidence rate so they have the most updated lead performance information with which to make important patient care decisions.

According to the announcement, “St. Jude Medical has confirmed 39 cases of externalized conductors, out of 171,000 QuickSite and QuickFlex leads sold worldwide, resulting in a current reported incidence rate of 0.023 percent, or 2.3 in 10,000. Because these leads continue to function normally, the company expects that this rate is under-reported. Based on an analysis of leads returned to the company and recent fluoroscopic images of implanted leads still in clinical use, St. Jude Medical estimates that 3 to 4 percent of QuickSite and QuickFlex leads may exhibit externalized conductors. As a result of this estimated rate, the company felt it was prudent to communicate with physicians about the externalized conductors at this time.”

St. Jude also announced they will no longer sell these lead models.

St. Jude Medical Announces Clinical Benefits of Quadripolar CRT Pacing at ACC

Posted on by Posted in Cardiac Pacing, Heart Failure (CHF), St. Jude Medical
Quadrapolar cardiac resynchronization pacing St Jude Medical Unify Quadra www.implantable-device.com

Image Credit: St. Jude Medical

St. Jude Medical announced that clinical findings on quadripolar pacing will be presented at the 61st Annual Scientific Sessions of the American College of Cardiology (ACC, Chicago, March 24-27 2012).

According to St. Jude’s announcement, quadripolar pacing allows physicians the ability to use multisite left-ventricular (LV) pacing.  Studies that examined the role of multisite pacing in improving hemodynamics and reducing dyssynchrony as compared to traditional bi-ventricular pacing will be presented in the following two posters:

Continue reading→

Cool Reed Switch Manufacturing Video

Posted on by Posted in Magnetic Reed Switches, Tech Talk

Reed Switch used in implantable medical devices www.implantable-device.com

Magnetic reed switches are used in active implantable medical devices as a simple way of placing the device in a known operational mode when a programmer is not available.  For example, placing a magnet on a pacemaker sets it to VVI mode with a manufacturer-specified set of parameters.  In other devices (e.g. implantable cardioverter/defibrillators), placing a magnet on the IPG inhibits the delivery of high voltage defibrillation.

Although the reed switches that I use don’t come from Meder Electronics, I came across a very cool video that Meder produced regarding their manufacturing process.   Continue reading→

Boston Scientific to Acquire Cameron Health for $150M Up-Front + $150M Upon FDA Approval

Posted on by Posted in AIMD Business, Boston Scientific, Cameron Health, Cardioversion/Defibrillation, News
Cameron Health S-ICD subcutaneous defibrillator

Image Credit: Boston Scientific

Boston Scientific announced the exercise of its option to acquire Cameron Health.  Cameron Health developed the world’s first and only commercially-available subcutaneous implantable cardioverter defibrillator – the S-ICD® System that I blogged about a few weeks ago.

The agreement calls for an upfront payment of $150 million, payable upon transaction closing, an additional potential $150 million payment upon FDA approval of the S-ICD System, plus up to an additional $1.050 billion of potential payments upon achievement of specified revenue-based milestones over a six-year period following FDA approval.  Closing of the transaction is subject to customary conditions, including relevant antitrust clearance, and is expected to occur in the second or third quarter of 2012.

Medtronic Receives CE Mark for CapSure Sense MRI™ SureScan® Pacing Leads

Posted on by Posted in Cardiac Pacing, Medtronic, MRI-safe
Medtronic SureScan Sense MRI Passive Fixation Leads. www.implantable-device.com

Image Credit: Medtronic

Medtronic today announced the receipt of CE Mark and launch of the CapSure Sense MRI™ SureScan® pacing leads, which are approved for use during MRI procedures.  The newly approved leads are the smallest MR–Conditional leads available in the world with a 5.3 French isodiametric lead body.  The new leads are passive-fixation leads.  Previously approved Medtronic MR–Conditional leads are active fixation leads.

Click here for Medtronic’s product page for the CapSure Sense MRI™ SureScan® Pacing Leads.

News from Stanford: Modelling Tissue as a Dielectric Shows Feasibility of Inductive Power Transfer at 1 GHz

Posted on by Posted in Propulsion, Tech Talk, Wireless Power Transmission
Stanford self-propelled implantable device powered at 1 GHz www.implantable-device.com

Image Credit: Stanford University

Stanford Engineering assistant professor  Ada Poon demonstrated a tiny, wirelessly powered, self-propelled medical device capable of controlled motion through blood.  The device drives electrical current directly through the fluid, which in the presence of an external magnetic field creates a directional force that pushes the device forward. This type of device is capable of moving at just over half-a-centimeter per second.

That was the news picked up by bloggers from Poon’s presentation at the International Solid-State Circuits Conference (ISSCC).  However, what caught my attention is her work on inductive transcutaneous energy transmission.  From Stanford’s press release: Continue reading→

Medtronic’s Q3 AIMD Earnings: CRM 3% Down, Neuromodulation 4% Up

Posted on by Posted in Uncategorized

Today Medtronic announced financial results for its third quarter of fiscal year 2012, which ended January 27, 2012. According to the report:

“CRDM third quarter revenue of $1.192 billion decreased 2 percent as reported or 3% on a constant currency basis. Third quarter revenue from ICDs was $674 million,  down 9 percent on a constant currency basis, while pacing revenue was $467 million, an increase of 3 percent on a constant currency basis. Weaker ICD sales, primarily due to declining procedure volumes in the U.S. market versus the prior year, were partially offset by continued growth of the AF Solutions and Pacing businesses.”

…

“Neuromodulation revenue of $419 million increased 4 percent as reported and on a constant currency basis. Growth continues to be driven by strong sales of InterStim® Therapy. The RestoreSensor™ spinal cord stimulator with its proprietary AdaptiveStim™ technology continues to perform well in Europe, and was approved in the U.S. and Japan in the third quarter. The U.S. launch of this product was delayed for most of the quarter due to a supply disruption resulting from the flooding in Thailand, which has subsequently been resolved.”

MicroCHIPS Announces Clinical Results for First Successful Human Trial of Programmable Microchip-Based Drug Delivery Device

Posted on by Posted in Uncategorized
MicroCHIPS implantable programmable pump for the treatment of osteoporosis

Image Credit: MicroCHIPS, Inc.

Last month I posted some background on MicroCHIPS, the MIT spinoff to develop implantable sensors and drug-delivery devices.  I concluded that post with the February 2011 announcement that MicroCHIPS started its clinical trial to assess the pharmacokinetics of long-term parathyroid hormone (hPTH 1-34) delivery in women with osteoporosis.

MicroCHIPS announced today the results of the first successful human clinical trial with an implantable, wirelessly controlled and programmable microchip-based drug delivery device. The MicroCHIPS study was published in today’s online edition of the journal Science Translational Medicine. Continue reading→