To evaluate the capability to monitor LBB success criteria with the use of a Smart ECG system (ECG monitor, 12 leads ECG cable, ECG viewer software ) during a cardiac device implantation involving the placement of a pacing lead in interventricular septum area
The clinical investigation aims to support physicians with a portable and easy to use solution to display ECG and to provide automatic calculation of key ECG indicators (Left Ventricular Activation time (LVAT) and V6-V1 interval) for LBB implantation procedure. This allows physicians to concentrate on lead placement with the benefice from immediate ECG measurements thanks to the automatic software. The Smart ECG system is class IIA device and it is composed of: 1. CE-marked Smart ECG, Class IIa medical device (rule 10 Annex VIII of MDR) 2. ECG viewer Software (HookUp SmarV2) (providing 12 lead ECG display + automatic interval measurements + shadow plot for QRS visualization) Class IIa medical device (rule 11 Annex VIII of MDR). 3. CE -marked 12 leads ECG cables radiotransparent and defibrillation proof (Class I device) 4. Commercial PC used in combination with the devices under evaluation The study is a pre-market, non-pivotal study: HookUp Smart V2 software is a non-implantable Class IIA device, with no interaction with the human body and the demonstration of conformity with general safety and performance requirements is based on the results of non-clinical testing methods alone (as article 61(10) from MDR.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
55
Use of Smart ECG system during the LBB implant
CHU de Besançon
Besançon, France, France
NOT_YET_RECRUITINGClermont Ferrand
Clermont-Ferrand, France, France
RECRUITINGCHU Grenoble Alpes
Grenoble, France, France
NOT_YET_RECRUITINGCapability to monitor LBB success criteria with the use of Smart ECG system
Proportion of investigators providing an overall favorable assessment (assessed "GOOD or ACCEPTABLE") on a four- point scale (GOOD, ACCEPTABLE, POOR, VERY POOR) on the use of Smart ECG system to achieve LBB area pacing.
Time frame: baseline/ procedure
The accuracy of the two measurements (LVAT and V6-V1)
The accuracy of the two measurements (LVAT and V6-V1) during the final LBB lead position (LBBAP) will be assessed separately by comparing manual and automatic methods.
Time frame: baseline/ procedure
Identification of LBB transitions
Concordance between EP and Smart ECG for the identification of LBB transitions (non-selective to selective or non-selective to LVSP, during threshold test at final lead position)
Time frame: baseline/ procedure
Type of LBB capture
Concordance of type of LBB capture as determined by EP vs Smart ECG signals (LBBAP, likely LBBAP, LVSP) - based on centralized blinded review of EP annotated screenshot and Smart ECG recordings
Time frame: baseline/ procedure
Signal quality analysis
Comparison of Smart ECG versus EP signal quality analysis (signal to noise ratio, frequency analyses)
Time frame: baseline/ procedure
Investigator's satisfaction
Investigator's satisfaction questionnaire about using Smart ECG system during the full procedure (i.e .setting the system for the procedure, monitoring lead progression, assessing pacing capture)
Time frame: baseline/ procedure
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Clinique du Millénaire
Montpellier, France, France
Safety reporting
To report any SADE, ADE, DD occurred during the investigational procedure
Time frame: baseline/ procedure