FDA Panel Rejects AngelMed Guardian System

FDA’s Circulatory System Devices Panel has voted unanimously to not recommend approval of an AngelMed PMA for its Guardian System to warn about electrocardiogram elevation changes in the segment between the S wave and the T wave, which potentially is linked to coronary ischemia. Panel members cited protocol deviations and a missed primary efficacy endpoint, but said the device could be approved with additional data.

The system comprises an implantable device, an external component, and a programmer.  Once an ST shift is detected, the system is designed to alert patients to seek medical care by delivering a series of vibratory, auditory, and visual warnings.

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