About this trial
The objective of this Investigational Device Exemption trial is to confirm the safety and performance of the LivIQ leadless pacemaker system, in patients with a Class I or II indication for ventricular pacing (VVI/VDD) according to applicable guidelines. An integrated atrioventricular synchrony sub-study (AVS) is specifically designed to evaluate the AVS performance of the LivIQ system.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Class I or Class II indication for ventricular pacing (VVI/VDD) according to applicable guidelines
Age is greater than or equal to 18 years at time of consent
Able to understand the nature of the study and provide written informed consent
Able and willing to complete all study requirements, including completion of all planned in-office study visits, for the expected duration of follow-up
Disqualifiers
AV block with a ventricular escape rhythm ≤ 30 bpm at time of consent Note: Restriction removed after early safety phase objectives are met
Femoral venous anatomy that is unable to accommodate the introducer or the cardiac anatomy does not allow a leadless pacemaker in the right ventricle
Morbid obesity which may prevent the LivIQ device from obtaining telemetry communication within a range of 20 cm, in the physician's judgement
Intolerance of dexamethasone acetate
Trial design
Single group
Treatments tested in this trial
LivIQ Leadless Pacemaker System
DevicePatients will receive a single-chamber leadless pacemaker system, with the device implanted directly into the right ventricle.
Treatment groups
Trial outcomes
Primary outcomes
Freedom from Serious Adverse Device Effects
Demonstrate that the freedom from SADEs related to the LivIQ system and/or procedure through 3-month follow-up exceeds the performance goal.
Percentage of Subjects with Adequate Pacing
Demonstrate that the percentage of subjects with adequate and stable pacing at the 3-month follow-up visit exceeds the performance goal.
Percentage of Subjects with Adequate Pacing and Sensing
Demonstrate that the percentage of subjects with adequate pacing and sensing at the 3-month follow-up visit exceeds the performance goal.
Secondary outcomes
Improvement in SF-36 Role Physical Scale
Assess improvement in SF-36 role physical scale from baseline to the 6-month follow-up visit
Ventricular Capture Control Operation
Demonstrate the accuracy of LivIQ Ventricular Capture Control (VCC) operation at the 3-month follow-up visit.
Rate Response Operation
Demonstrate adequate rate response operation of the LivIQ at the 3-month follow-up visit in a sub-set of patients (rate response sub-cohort).
SADEs Related to the LivIQ System and/or Procedure
Confirm clinical safety based on freedom from SADEs related to the LivIQ system and/or procedure through 3 months, 6 months, and 12 months post-implant.
Sponsors and contacts
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Biotronik, Inc.
Lead sponsor
Biotronik SE & Co. KG
Collaborator
Biotronik Japan, Inc.
Collaborator
Biotronik Australia Pty Ltd.
Collaborator