Advisors to Discuss Leadless Pacemakers
Members of the FDA Circulatory System Devices Advisory Panel meet 2/18 to discuss and make recommendations on clinical trial, post-approval study design, and physician training for leadless cardiac pacemaker device technology. A briefing document released in advance of the session says that specifically the committee will be asked to make recommendations on generally acceptable acute and chronic profiles of key adverse event rates as well as indications for use for this device type (given availability of other technologies with different adverse event profiles), manufacturer-required training and acceptability of observed learning curves for the new device type, and necessary elements for post-approval data collection.
The document includes a general history of pacemaker technology, available public clinical data on leadless pacemaker devices, specific considerations made for the development of the pre/post market balance paradigm for this class of devices, and current FDA thinking on the known and unknown information, along with detailed questions panel members will be asked to respond to.