External Test Pulse Generator
Vitatron Medical
FDA Clearance Information
The external test pulse generator was cleared through the FDA 510k pathway on June 30, 1978. Manufactured by Vitatron Medical, it is classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Temporary pacing of the heart when the intrinsic cardiac rhythm is inadequate.
- Temporary management of bradycardia or heart block in a clinical setting.
- Use with compatible temporary cardiac pacing leads according to the device labeling.
Clinical Applications
- Temporary pacing during or after cardiac surgery.
- Temporary pacing for transient heart block.
- Temporary support for clinically significant bradycardia.
- Short-term cardiac rhythm management while the underlying condition is evaluated or treated.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The generator must be used with compatible temporary cardiac pacing leads and connection components.
- Pacing settings, output, sensitivity and rate should be selected and monitored by qualified clinical personnel.
- The device is intended for temporary clinical use rather than permanent implantation.
- MRI safety depends on the specific generator, connected leads and labeling; do not bring the system into an MRI environment unless it is explicitly labeled MR Safe or MR Conditional for that setup.
- Use requires continuous rhythm and patient monitoring, with backup resuscitation equipment available.
Frequently Asked Questions
What are the clinical indications for the external test pulse generator?
The device is indicated for temporary cardiac pacing in situations such as cardiac surgery or transient heart block.
What outcomes have been reported in clinical studies?
Studies report effective management of cardiac pacing, stabilization of heart rhythms, and improved patient outcomes in temporary pacing scenarios.
What complications have been reported?
Safety data indicate complications such as device-related infections and lead dislodgement, though these are rare.