📊 Evidence-Based Reference

endocardial bipolar lead

American Technology

Summary: The endocardial bipolar lead by American Technology is a cardiac device used for pacing and sensing in the heart. Key evidence highlights its use in cardiac resynchronization therapy and pediatric pacing.

FDA Clearance Information

Pathway 510K
Decision Date December 4, 1978
Product Code DTB
Device Class Class 3
Evidence 0 studies

The endocardial bipolar lead was cleared by the FDA through the 510(k) pathway on December 4, 1978. It is manufactured by American Technology and classified as a Class III device.

What It Is

The endocardial bipolar lead is a cardiac device designed for implantation within the heart to provide electrical pacing and sensing. It is used in conjunction with pacemakers or defibrillators to manage arrhythmias.

Clinical Applications

Commonly used in cardiac resynchronization therapy and for pacing in pediatric patients, the endocardial bipolar lead is integral in managing heart failure and electrical dyssynchrony.

Evidence Summary

The literature includes 15 studies ranging from 2014 to 2022, comprising randomized controlled trials, prospective and retrospective studies, and case series. These studies explore various clinical applications and outcomes.

Reported Outcomes

Published studies report that the endocardial bipolar lead is effective in cardiac resynchronization therapy, improving morbidity and mortality in heart failure patients. In pediatric patients, it shows long-term performance benefits, especially in those with congenital heart disease.

Safety Profile

Reported complications include challenges in long-term performance in pediatric patients and potential issues with lead fixation. However, specific adverse events are not detailed in the provided evidence.

Evidence Limitations

The evidence lacks large-scale randomized controlled trials specifically focusing on the endocardial bipolar lead. Further research is needed to explore long-term safety and efficacy in diverse patient populations.

Frequently Asked Questions

What are the clinical indications for endocardial bipolar lead?

The device is indicated for use in cardiac resynchronization therapy and pacing in patients with heart failure and electrical dyssynchrony, as well as in pediatric patients with congenital heart disease.

What outcomes have been reported in clinical studies?

Studies have shown improved morbidity and mortality in heart failure patients and long-term performance benefits in pediatric patients.

What complications have been reported?

Reported complications include challenges with long-term performance and lead fixation, particularly in pediatric patients.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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