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Sorin Group Announces FDA Approval of World's Smallest Implantable Cardioverter Defibrillator; OVATIO(TM) Offers Advanced Pacing and Defibrillation Technology to Patients at Risk for Sudden Cardiac Arrest.


BOSTON -- ELA Medical, part of Sorin Group (MIL:SRN), announced today at the Heart Rhythm Society's 27th Annual Scientific Sessions that it received approval from the U.S. Food and Drug Administration (FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
) to market OVATIO(TM), a new family of a dual and single chamber cardioverter defibrillators (ICDs).

An implantable cardioverter-defibrillator is designed to quickly detect ventricular arrhythmias - life-threatening rapid heartbeats that come from the heart's lower chambers. ICDs can prevent sudden cardiac arrest, which kills an estimated 325,000 people in the U.S. each year.

At only 29cc, OVATIO DR is the world's smallest dual-chamber (DR) ICD ICD International Classification of Diseases (of the World Health Organization); intrauterine contraceptive device.

ICD
abbr.
. For ICD patients having the smallest possible device implanted is important both for comfort and cosmetic reasons.

OVATIO DR also incorporates two exclusive features, AAIsafeR(TM) and PARAD(R)+, which will be discussed during a satellite breakfast symposium "New Approaches in Managing Complex ICD Patients" (May 18, 2006; 6:00 - 7:15 am; Westin Copley Place Hotel).

The AAIsafeR pacing mode limits unnecessary pacing in the right ventricle, which studies suggest may increase the risk of heart failure and atrial fibrillation(i, ii), both of which can prove fatal in addition to imposing a heavy cost burden on the healthcare system. Ventricular pacing was reduced to only 0.2 percent when AAIsafeR mode was used in OVATIO DR patients with intact conduction(iii).

Although ICDs save lives, they can, on occasion, deliver unnecessary shocks. OVATIO's PARAD/PARAD+ has been shown to be the industry best in reducing inappropriate shocks(iv).

"With this combination, we can address patients with all types of heart block while offering the most specific algorithm for arrhythmia detection," said Dr. Ken Ellenbogen, professor of medicine and director of the Electrophysiology and Pacing Laboratory at Virginia Commonwealth University Formed by a merger between the Richmond Professional Institute and the Medical College of Virginia in 1968, VCU has a medical school that is home to the nation's oldest organ transplant program.  Medical Center in Richmond, Va. "OVATIO DR will set a high standard for ICD therapy and patient safety."

With PARAD+, its enhanced and fast discrimination of ventricular tachyarrhythmia tachyarrhythmia /tachy·ar·rhyth·mia/ (tak?e-ah-rith´me-ah) any disturbance of the heart rhythm in which the heart rate is abnormally increased.

tach·y·ar·rhyth·mi·a
n.
, the OVATIO family is also capable of detecting and treating the full spectrum of ventricular tachyarrhythmias, i.e., slow (100 beats per minute beats per minute Cardiac pacing The unit of measure for the frequency of heart depolarizations or contractions each minute–or pulse rate ) and fast (up to 255 beats per minute), through painless anti-tachycardia pacing (ATP ATP: see adenosine triphosphate.
ATP
 in full adenosine triphosphate

Organic compound, substrate in many enzyme-catalyzed reactions (see catalysis) in the cells of animals, plants, and microorganisms.
). ATP is delivered as first-line therapy, thus sparing the patients unnecessary defibrillation Defibrillation Definition

Defibrillation is a process in which an electronic device sends an electric shock to the heart to stop an extremely rapid, irregular heartbeat, and restore the normal heart rhythm.
 shocks that could decrease the device's longevity.

Physiologically shaped, OVATIO also offers 34 joules of maximum output, which may prove useful for patients with high defibrillation thresholds that require more energy to terminate life-threatening arrhythmias.

To significantly reduce patient follow-up time, OVATIO ICDs are supported by completely new programming software, which is ten times faster than previous versions.

"The introduction of the OVATIO family reflects Sorin Group's commitment to develop cutting-edge cardiac rhythm management Cardiac rhythm management is a field of treatment in cardiology. The purpose is managing cardiac rhythm disorders. Usually it involves artificial pacemakers and/or implantable cardioverter-defibrillator therapy as well as antiarrhythmia drugs.  systems," said Jim Pacek, President, ELA Medical Inc. "With this family of products, we demonstrate our commitment to the U.S. ICD market, which is estimated at over $5 billion in 2006."

ELA Medical:

ELA Medical, part of Sorin Group, designs and manufactures implantable pacemakers and ICDs, leads, and Holter equipment and markets them in Europe, the U.S. and Japan.

Sorin Group:

Sorin Group (Reuters code: SORN.MI), a world leader in the development of medical technologies for cardiac surgery, offers innovative therapies for cardiac rhythm dysfunctions, interventional cardiology and the treatment of chronic kidney diseases. Sorin Group includes: Dideco, CarboMedics, COBE Cardiovascular, Stockert, Mitroflow, ELA Medical, Sorin Biomedica, Bellco and Soludia. Sorin Group has more than 4,700 employees working at facilities in more than 80 countries throughout the world to serve over 5,000 public and private treatment centers.

REFERENCES

(i) Steinberg JS, Fischer A, Wang P, Schuger C, Daubert J, McNitt S, Andrews M, Brown M, Hall WJ, Zareba za·re·ba also za·ree·ba  
n.
1. An enclosure of bushes or stakes protecting a campsite or village in northeast Africa.

2. A campsite or village protected by such an enclosure.
 W, Moss AJ ; MADIT MADIT Cardiology A clinical trial–Multicenter Automatic Defibrillator Implantation Trial that evaluated the effects of implanted defibrillators–IDs in Pts with CAD at high risk of ventricular arrhythmia  II investigators. The Clinical Implications of Cumulative Right Ventricular Pacing in the Multicenter Automatic Defibrillator Trial II. Journal of Cardiovasc Electr, April 2005 - Vol. 16 No. 4: 359-364.

(ii) Dual-Chamber Pacing or Ventricular Backup Pacing in Patients With an Implantable Defibrillator The Dual Chamber and VVI Implantable Defbrillator (DAVID David, in the Bible
David, d. c.970 B.C., king of ancient Israel (c.1010–970 B.C.), successor of Saul. The Book of First Samuel introduces him as the youngest of eight sons who is anointed king by Samuel to replace Saul, who had been deemed a failure.
) Trial. B L Wilkoff, MD, Chair; J R Cook, MD; A E Epstein, MD; H L Greene, MD; A P Hallstrom, PhD; H Hsia, MD; S P Kutalek, MD; A Sharma, MD. JAMA JAMA
abbr.
Journal of the American Medical Association
 December 25, 2002 - Vol 288, No.24; 3115-3123

(iii) Internal clinical release report. Data on file.

(iv) Hintriger S et al; Comparison of the Specificity of Implantable dual chamber defibrillator detection algorithms. PACE 2004, Vol 27, pages 976-982
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