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VIGILANT™ EL ICD

Kategori ID: 3

Açıklama: The VIGILANTTM EL (Extended Longevity) ICD features EnduraLifeTM Battery Technology in addition to the HeartLogicTM Heart Failure Diagnostic and ImageReadyTM MR-Conditional technology to help manage patient comorbidities.

Product Details

Heart logic

 

EnduraLife Battery Technology

EnduraLife Battery Technology provides more power to use more of the device, featuring projected longevity up to 17.5 years for VR devices and 16.0 years for DR devices.**

Maximize Device Longevity

 

ImageReady MR-Conditional Systems

Your patients can safely undergo Full Body MRI scans with ImageReady MR-Conditional Systems.†

Discover ImageReady

*Boehmer JP, Hariharan R, Devecchi FG, et al. A Multisensor algorithm predicts heart failure events in patients with implanted devices: resultsfrom the MultiSENSE study. JACC Heart Fail. 2017 Mar;5(3):216-25.

** Assumes: 2.0V RA, 2.0V RV, 0% pacing, 700Ω, No LATITUDE, No Respiratory Rate Sensor, No Heart Failure Sensor Suite.

†When conditions of use are met.

Mechanical Specifications

Model Type Size (cm)
(W x H x D)
Mass
(g)
Volume
(cc)
Connector Type
(RA RV LV)
C-Codes
D232 VR 5.37 x 7.36 x 0.99 68.9 29.5 RV: DF4 C1722
D233 DR 5.37 x 7.68 x 0.99 71.4 31.0 RA: IS-1; RV: DF4 C1721

Longevity Information

Pulse Generator Expectancy Estimation (Implant to Explant) with EnduraLife Battery (All Models)

EnduraLife Battery Technology provides clinically proven, industry-leading projected longevity1-10. The following tables represent sample pulse generator life expectancy estimation (implant to explant) with EnduraLife battery as provided in product labeling. For specific programmable parameter ranges, refer to product labeling at www.bostonscientific.com/manuals, or contact Boston Scientific technical services or your local representative.


Projected Longevitya
Type Pacing Amplitude Pacing 500Ω with
LATITUDE™b
700Ω with LATITUDE™b 900Ω with LATITUDE™b 700Ω no LATITUDE™, RS, or HFSSc
VR
Typical programmed setting VR 2.5 V 15% 15.0 15.1 15.2 17.1
Maximum labeled longevity VR 2.0 V / Off 0% 15.4 15.4 15.4 17.5
DR
Typical programmed setting DR 2.5 V 15% 13.6 13.7 13.8 15.4
Maximum labeled longevity DR 2.0 V 0% 14.2 14.2 14.2 16.0
  • Assumes 70 PPM LRL; DDDR mode; 0.4 ms Pulse Width (RA, RV); sensors On, Heart Failure Sensor Suite On.
  • Projected longevity is calculated assuming 2 maximum energy charging cycles per year, including automatic capacitor re-forms and therapeutic shocks. These calculations also assume 3-channel EGM Onset is on and that the pulse generator spends 3 months in Storage mode during shipping and storage.

a. Assumes ZIP telemetry use for 2 hours at implant and for 40 minutes annually for in-clinic follow-up checks.

b. Assumes standard use of the LATITUDE™ Communicator as follows: Daily Device Check on, quarterly scheduled remote follow ups, and other typical interrogations.

c. Assumes LATITUDE™ Communicator is not used, Respiratory Sensor is Off, and Heart Failure Sensor Suite is Off.

Additional Longevity Information

  • Boston Scientific devices have corporate warranties at 10 years (VR) and 8 years (DR) in available geographies. Warranty information available at www.bostonscientific.com/warranty.
  • Devices use Li/MnO2 chemistry.
  • The Usable Battery Capacity is 1.9 Amp-hours (typical implant to battery capacity depleted).
  • Shelf life is 2 years (before use by).

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References:

1. Nine independent studies confirm that CRT-Ds powered by EnduraLife Battery Technology offer industry-leading longevity.
2. Haarbo J, Hjortshoj S, Johansen J, Jorgensen O, Nielsen J, Petersen H. Device Longevity in Cardiac Resynchronization Therapy Implantable Cardioverter Defibrillators Differs Between Manufacturers: Data from the Danish ICD Registry. Presented at HRS 2014. https://ondemand.hrsonline.org/common/presentation-detail.aspx/15/35/1241/9000. Boston Scientific = 136 patients, Medtronic = 651 patients, St. Jude Medical = 1,587 patients, Bitronik = 369 patients. Time to exchange of the device because of battery depletion or device failure recorded in the Danish ICD Registry was the endpoint. The four-year survival rate for devices in the Danish Registry study was 81.1% for Medtronic and 95.7% for Boston Scientific (P<0.01).
3. J. Williams, R. Stevenson. Contemporary cardiac resynchronization implantable cardioverter defibrillator battery longegity in a community hospital heart failure cohort. Presented at HFSA 2014. https://www.onlinejcf.com/article/. S1071-9164 (14)00389-3/fulltext. Boston Scientific = 53 patients, Medtronic = 28 patients, St. Jude Medical = 10 patients. Four-year survival rate calculated using device replacements for battery depletion as indicated by ERI.
4. Ellis CR, Dickerman DI, Orton JM, Hassan S, Good EG, Okabe T, Andruilli JA, Quan KJ, Greenspoon AJ. Ampere Hour as a Predictor of Cardiac Resynchronization Defibrillator Pulse Generator Battery Longevity: A Multicenter Study. PACE 2016 doi: 10.1111/pace.12831 first published online 11-MAR-2016. The five major institutions performing the study include, at Vanderbilt University, Henry Ford Hospital, University of Michigan, Thomas Jefferson University, Cooper Health System, North Ohio Heart Center. Boston Scientific = 322 patients, Medtronic = 794 patients, St. Jude Medical = 186 patients. Five-year survival rate calculated using device replacements for battery depletion as indicated by ERI.
5. Landolina M, Curnis A, Morani G, Vado A, Ammendola E, D’onofrio A, Stabile G, Crostao M, Petracci B, Ceriotti C, Bontempi L, Morosato M, Ballari GP, Gasparini M. Longevity of implant Cardioverter-defibrillators for cardiacresynchronization therapy in current clinical practice: an analysis according to influencing factors, device generation, and manufacturer. Europace2015; 17:1251-58.doi:10.1093/eurospace/euv109. First published online: May 14, 2015. Medtronic = 532 patients, Boston Scientific = 291 patients, St. Jude Medical = 106 patients, Biotronik = 20 patients, Sorin = 69. Five-year survival rate of latest marketed devices (between 2006 and 2010) calculated using device repleacements for battery depletion as indicated by ERI.
6. Zanon F, Martignani C, Ammendola E, Menardi E, NarducciML, De Filippo P, Santamaria M, Campana A, Stabile G, Potenza DR, Pastore G, lori M, La Rosa C, and Biffi M. Device Longevity in a Contemporary Cohort of ICD/CRT-D Patients Undergoing Device Replacement. Doi:10.1111/jce.12990, First published online 20-APR-2016. Comparison of device longevity by Kaplan-Meier curves of CRT-D systems extracted between March 2013 and May 2015. Medtronic = 195 patients, Boston Scientific = 157 patients, St. Jude = 72, Biotronik = 9.
7. Provided by Dr. Ernest Lau on 04/29/15 in support of Lau E, Wilson C, Ashfield K, McNair W, McEneany D, Roberts M, Large Capacity LiMn02 Batteries Extended CRTD Longevity in Clinical Use Compared to Smaller Capacity LiSVO Batteries Over 6 Years. Presented at HRS 2015. Medtronic = 62 patients, Boston Scientific = 27 patients, St. Jude = 66 patients. Five-year survival rate calculated using device replacements for battery depletion as indicated by ERI.
8. Von Gunten S, Schaer BA, Yap SC, Szili-Torok T, Kühne M, Sticherling C, Osswald S, Theuns DA. Longevity of implantable cardioverter defibrillators: a comparison among manufacturers and over time. Europace. 2015 Nov 25. Epub 2015 Nov 25. Total patients = 3436.
9. Alam MB, Munir MB, Rattan R, Adelstein E, Jain S, Saba S. Battery longevity from cardiac resynchronization therapy defibrillators: differences between manufacturers and discrepancies with published product performance reports. Europace 016;doi:10.1093/europace/euw044. First published online: 22-MAR-2016. Kaplan Meier curves depicting survival of CRT devices free from battery depletion by device manufacturer. Battery Longevity in Cardiac Medtronic = 416 patients, Boston Scientific = 173 patients, St. Jude Medical = 57 patients. Previously evaluated these patients at a four-year survival rate calculated using device replacements for battery depletion as indicated by ERI. 2014; Europace (2014) 16,246-51.
10. Shabanna Din, Shabanna, Mcgee, Rao, Archana, Wright, Jay D. Longevity of implantable cardioverter defibrillators: The impact of device manufacturer and device type on device longevity were assessed. Europace. 2015 Nov 25; Epub 2015 Nov 25. Total patients = 3436. Cardiostim Abstract 2016. Total patients = 1489.