User Manual
Table Of Contents
- 1. General description
- 2. Indications
- 3. Contraindications
- 4. Warnings and precautions
- 5. Adverse events
- 6. Clinical studies
- 7. Patient selection and treatment
- 8. Patient counselling information
- 9. Conformance to standards
- 10. Physician guidelines
- 11. Patient information
- 12. How supplied
- 13. Device description
- 14. Implant procedure
- 14.1. Necessary equipment
- 14.2. Packaging
- 14.3. Optional equipment
- 14.4. Before opening the package
- 14.5. Prior to implantation
- 14.6. Device placement
- 14.7. Choosing the type of lead
- 14.8. Shock configuration (+ -> -)
- 14.9. Measurement of thresholds at implant
- 14.10. Leads connection
- 14.11. Device implantation
- 14.12. Tests and programming
- 15. Special modes
- 16. Main functions
- 17. Patient follow-up
- 18. Supplemental Information
- 19. Physical characteristics
- 20. Electrical characteristics
- 21. Programmable parameters
- 22. Non programmable parameters
- 23. Limited warranty
- 24. Patents
- 25. Explanation of symbols
5. ADVERSE EVENTS
5. ADVERSE EVENTS
Clinical data presented in this section are from the MSP clinical study.
INTENSIA SonR CRT-D 184 is similar in design and function to the ALTO 2 MSP and
OVATIO CRT-D devices. The data provided are applicable to INTENSIA SonR CRT-D 184.
5.1. MSP STUDY
Sorin conducted an international, multi-center, randomized clinical trial of its cardiac
resynchronization therapy system. Investigators attempted to implant study devices in 190
patients. A total of 182 patients received study devices and had an exposure of over 165
device years. Of those patients, 19 received OVATIO CRT-D, 160 received ALTO 2 MSP,
and 3 received ALTO MSP. The clinical data collected on ALTO MSP, ALTO 2 MSP and
OVATIO CRT-D are applicable to INTENSIA SonR CRT-D 184. The table below summarizes
the adverse events observed for the CRT-D system. No deaths were related to the system.
Event # of Patients % of Patients # of Events Events/100
Device-Years
Deaths not related to the
system
16 8.4 16 0.8
Cardiac arrest 5 2.6 5 0.3
Worsening CHF / CHF
decompensation
3 1.6 3 0.2
Multi-organ dysfunction 2 1.1 2 0.1
Complications related to the
system
28 14.7 35 2.1
Dislodgment or migration 9 4.7 11 0.6
Extracardiac stimulation (e.g.,
phrenic stim)
9 4.7 9 0.5
Complications related to the
implant procedure
18 9.5 21 1.3
Dislodgment or migration 4 2.1 4 0.2
Observations related to the
system
23 12.1 27 1.7
Extracardiac stimulation (e.g.,
phrenic stim)
12 7.9 15 0.8
Observations related to the
implant procedure
24 12.6 28 1.7
Heart block 6 3.2 6 0.3
Extracardiac stimulation (e.g.,
phrenic stim)
3 1.5 5 0.3
SORIN – INTENSIA SonR CRT-D 184 – U150A
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