📊 Evidence-Based Reference

Pacing System Analyzer Psa Sce-22

Ela Medical

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Summary: The pacing system analyzer PSA SCE-22 by Ela Medical is a device used to evaluate pacing parameters during pacemaker implantation. Key evidence highlights its utility in resource-limited settings for left bundle branch area pacing.

FDA Clearance Information

Pathway ? 510(k)
Number ? K791975 ↗
Decision Date ? January 31, 1980
Product Code ? DTC
Device Class ? Class 2
Evidence ? 0 studies

The pacing system analyzer PSA SCE-22 was cleared by the FDA via the 510(k) pathway on January 31, 1980. It is manufactured by Ela Medical and classified as a Class 2 device.

What It Is

The pacing system analyzer PSA SCE-22 is designed to assess pacing parameters during pacemaker implantation. It provides real-time data on electrical activity, aiding clinicians in optimizing device settings.

FDA-Cleared Indications

  • Evaluation of cardiac pacing and sensing parameters during pacemaker implantation.
  • Assessment of pacemaker lead performance during an implantation procedure.

Clinical Applications

  • Measuring pacing threshold, sensing, and lead impedance during pacemaker implantation.
  • Checking electrical lead function before connection to an implanted pacemaker.
  • Supporting selection and adjustment of pacing settings during an implant procedure.

Reported off-label uses

  • Use during physiologic pacing procedures, such as left bundle branch area pacing, to assess lead electrical parameters when a full electrophysiology system is not available.

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Evidence Summary

The literature includes 10 studies, primarily from 2025, examining the use of pacing system analyzers in various clinical settings. Study types include RCTs, prospective, and retrospective analyses.

Reported Outcomes

Published studies report that the pacing system analyzer PSA SCE-22 is effective in guiding left bundle branch area pacing, especially in resource-limited settings. It provides comparable results to conventional electrophysiology systems.

Safety Profile

Reported complications include the potential for inaccurate readings in certain clinical scenarios, although no significant adverse events were noted in the studies reviewed.

Evidence Limitations

The evidence is limited by the small number of studies and the lack of long-term outcome data. Further research is needed to confirm findings in diverse clinical settings.

Practical Considerations

  • The analyzer is an external procedural instrument used with temporary connections to pacing leads; it is not an implanted pacemaker or lead.
  • Compatibility depends on the pacing leads, connector cables, and accessories used during the procedure.
  • Measurements should be interpreted by qualified cardiac implant personnel and confirmed with the permanent pacemaker system before closure.
  • The available FDA record does not establish that the analyzer itself is MRI safe; MRI conditions must be confirmed from the current device labeling and the implanted pacemaker system.
  • The FDA record provided does not specify a fixed implant duration because the analyzer is used during implantation rather than left in the body.

Frequently Asked Questions

What are the clinical indications for pacing system analyzer PSA SCE-22?

The device is indicated for use during pacemaker implantation to assess pacing parameters and optimize device settings.

What outcomes have been reported in clinical studies?

Studies report effective guidance for left bundle branch area pacing, with results comparable to electrophysiology systems.

What complications have been reported?

Reported complications include potential inaccuracies in readings, but no significant adverse events were noted.

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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