Big Announcement Soon

[Anonymous]

If you had a failed fidelis/Riata/Durata you'd think differently. There are pts that refused endovascular implant that want this device. Also can you imagine if this had been around 7 or so years ago? Thousands of patients wouldn't be dealing with or wouldn't have dealt w these lead issues. that's just a couple of reasons. Once the next gen is released the acceptance will be even greater.

So the company with the best track record for cardiac leads (Reliance) are going to try to sell a "leadless" system with no reliability data, no ATP pacing and high complication rate?

Bsc is in a tough spot.

 

[Anonymous]

So the company with the best track record for cardiac leads (Reliance) are going to try to sell a "leadless" system with no reliability data, no ATP pacing and high complication rate?

Bsc is in a tough spot.

This pig won't fly...as they say. In my 8 yrs of implanting thousands of devices I have never had a situation where access was an issue or the pt condition would have demanded a sub Q device. I struggle to understand giving strong consideration to implant a device with a 4 yr study of 350 pt's w/5.8% complications. The evidence of reliability is lacking and wouold be an irresponsible recommendation. The pt would have to demand it before I would consider doing the case. I believe BSX is selling against themselves and needs to be careful not to compromise their current products.

Are we going backward or forward with the technology and application of this device?

 

[Anonymous]

This pig won't fly...as they say. In my 8 yrs of implanting thousands of devices I have never had a situation where access was an issue or the pt condition would have demanded a sub Q device. I struggle to understand giving strong consideration to implant a device with a 4 yr study of 350 pt's w/5.8% complications. The evidence of reliability is lacking and wouold be an irresponsible recommendation. The pt would have to demand it before I would consider doing the case. I believe BSX is selling against themselves and needs to be careful not to compromise their current products.

Are we going backward or forward with the technology and application of this device?

Forward. I understand the hesitation but It's the first gen. Complication rates (infection) decreased in back half of study with changes in protocol. Every company had been working on leafless technology for years. I've been around > 10 yrs and have seen Guidant protoypes of leadless Brady devices. Everyone knows its safer and better for the pt to stay out of the vasculature. The technology will only improve.

 

[Anonymous]

If you really want to educate yourself on polyurethant testing (but, hey, this is CafePharma, who wants education?) you can look up articles by Ken Stokes at Medtronic.

Medtronic pioneered the testing for polyurethane degradation --- of course, this was after their polyurethane leads were falling apart in the 1980's (I think it was Model 6972).

One of the basic tests is soaking in hydrogen peroxide.


St Jude knows all this stuff, not sure what the "new study" is about. From what I had seen the Aortech stuff is pretty good --- not as good as silicone from a biostability standpoint, but really, really good for abrasion resisitance.

I'd still implant a Quattro or Reliance.

 

[Anonymous]

. . . .Medtronic pioneered the testing for polyurethane degradation . . . .
St Jude knows all this stuff, not sure what the "new study" is about. From what I had seen the Aortech stuff is pretty good --- not as good as silicone from a biostability standpoint, but really, really good for abrasion resisitance.. . ..

I'd agree. What could be new (other than junk science and scare tactics) in this study on Optim due out?

 

[Anonymous]

If you really want to educate yourself on polyurethant testing (but, hey, this is CafePharma, who wants education?) you can look up articles by Ken Stokes at Medtronic.

Medtronic pioneered the testing for polyurethane degradation --- of course, this was after their polyurethane leads were falling apart in the 1980's (I think it was Model 6972).

One of the basic tests is soaking in hydrogen peroxide.


St Jude knows all this stuff, not sure what the "new study" is about. From what I had seen the Aortech stuff is pretty good --- not as good as silicone from a biostability standpoint, but really, really good for abrasion resisitance.

I'd still implant a Quattro or Reliance.

Quattro? Hello NO! it's huge and outdated. The Linox (Biotronik) and Reliance (Guidant) by far the best two leads on the market. Try one

 

[Anonymous]

Quattro? Hello NO! it's huge and outdated. The Linox (Biotronik) and Reliance (Guidant) by far the best two leads on the market. Try one

Stop reading the marketing shit rookie......................... Everybody in this business would have a Quattro.

 

[Anonymous]

Stop reading the marketing shit rookie......................... Everybody in this business would have a Quattro.

You sound like a rookie. You had no problem migrating your EP's from the Quattro to Fidelis, but now the Quattro is best in class!?!? STFU

 

[Anonymous]

You sound like a rookie. You had no problem migrating your EP's from the Quattro to Fidelis, but now the Quattro is best in class!?!? STFU

Quattro is 2004 technology which means it was probably developed prior to 2000. Geez, that's some old shit and it's still the leader as far as lead fractures

 

[Anonymous]

Quattro is 2004 technology which means it was probably developed prior to 2000. Geez, that's some old shit and it's still the leader as far as lead fractures

new or old..what are you expecting out of a lead ? new and fancy and no data or older and safer..

Durata is new shit and it was based on old shit and is the the new leader in not being honest.

Guidant sold defective icd's and killed people - STJ is selling defective lead and hiding for years not months like mdt did with fidelis..

shameful.. so now Biotronik with 100% reliability leads become the new leader with product return statistics and no if you think Quattro is old..


I would get a Quattro in me first and second Boston with gore. ( integrated bipolar old technology) second. nothing else would go in my body.

 

[Anonymous]

Quattro is 2004 technology which means it was probably developed prior to 2000. Geez, that's some old shit and it's still the leader as far as lead fractures

Reliance is the overall leader in reliability w quattro a close second. Period. There is 10+ yrs of data that demonstrates this. Reliance fracture rate is almost 0. The point here is stj has nothing to offer. Once Durata is pulled its over.

 

[Anonymous]

new or old..what are you expecting out of a lead ? new and fancy and no data or older and safer..

Durata is new shit and it was based on old shit and is the the new leader in not being honest.

Guidant sold defective icd's and killed people - STJ is selling defective lead and hiding for years not months like mdt did with fidelis..

shameful.. so now Biotronik with 100% reliability leads become the new leader with product return statistics and no if you think Quattro is old..


I would get a Quattro in me first and second Boston with gore. ( integrated bipolar old technology) second. nothing else would go in my body.

amazing how stupid you sound. 15 years ago the top brady companies were medtronic, teletronics, and intermedics. things change. i know biotronik hasn't been the lovechild of the industry but facts are facts. they have a good lead that hasn't shown any of the problems that fidelis or durata have presented. until you can find something wrong don't hate. they've moved up on the competition.

in our hospital biotronik has taken over as marketshare leader. we (staff) haven't seen any problems with service, prouduct, response time or procedure time. we do notice that the pwaves with their leads are usually higher than some other companies. but, basically, all the companies products seem to be good these days.

so, get your head out your ass. you were probably using IBM computers a few years ago and swore you would never use Apple. now, you have an apple phone and computer.

so get your HEAD out of your ass

 

[Anonymous]

amazing how stupid you sound. 15 years ago the top brady companies were medtronic, teletronics, and intermedics. things change. i know biotronik hasn't been the lovechild of the industry but facts are facts. they have a good lead that hasn't shown any of the problems that fidelis or durata have presented. until you can find something wrong don't hate. they've moved up on the competition.

in our hospital biotronik has taken over as marketshare leader. we (staff) haven't seen any problems with service, prouduct, response time or procedure time. we do notice that the pwaves with their leads are usually higher than some other companies. but, basically, all the companies products seem to be good these days.

so, get your head out your ass. you were probably using IBM computers a few years ago and swore you would never use Apple. now, you have an apple phone and computer.

so get your HEAD out of your ass

100% impossible that a person with an IQ above 5 wrote this.

 

[Anonymous]

100% impossible that a person with an IQ above 5 wrote this.

kind of surprised at your response. 12 years ago, i had a Nokia phone and the stock was going through the roof. loved that phone. also, had a talkabout two way pager. today? i don't see those tools. i do have a doc that still carries his talk about pager (ridiculous i know).

your industry is a commodity industry. there hasn't been a clinical advancement of much since the biV came into play. MADIT II and COMPANION were the last major studies. Those were both back in early 2000's.

we don't use Sorin but I hear their shit works just as well as Medtronic (or anyone else) and is much smaller device. Medtronic devices are huge. But, doctors don't care because they are creatures of habit.

EPs are cooky like that. Give an interventionalist a better stent and he will move from one company to the next like a hot potato.

Consider yourself lucky medtronic because you fucks have the biggest, bulkiest devices on the market.

They all work!

 

[Anonymous]

amazing how stupid you sound. 15 years ago the top brady companies were medtronic, teletronics, and intermedics. things change. i know biotronik hasn't been the lovechild of the industry but facts are facts. they have a good lead that hasn't shown any of the problems that fidelis or durata have presented. until you can find something wrong don't hate. they've moved up on the competition.

in our hospital biotronik has taken over as marketshare leader. we (staff) haven't seen any problems with service, prouduct, response time or procedure time. we do notice that the pwaves with their leads are usually higher than some other companies. but, basically, all the companies products seem to be good these days.

so, get your head out your ass. you were probably using IBM computers a few years ago and swore you would never use Apple. now, you have an apple phone and computer.

so get your HEAD out of your ass

Plus you get the bonus of Biotronik leads sharing a distinction with Riata as the only ones having peer reviewed publication of conductor extrusion.

 

[Anonymous]

amazing how stupid you sound. 15 years ago the top brady companies were medtronic, teletronics, and intermedics. things change. i know biotronik hasn't been the lovechild of the industry but facts are facts. they have a good lead that hasn't shown any of the problems that fidelis or durata have presented. until you can find something wrong don't hate. they've moved up on the competition.

in our hospital biotronik has taken over as marketshare leader. we (staff) haven't seen any problems with service, prouduct, response time or procedure time. we do notice that the pwaves with their leads are usually higher than some other companies. but, basically, all the companies products seem to be good these days.

so, get your head out your ass. you were probably using IBM computers a few years ago and swore you would never use Apple. now, you have an apple phone and computer.

so get your HEAD out of your ass

the reason your p waves are bigger old wise one is because your dumbass doctor has the lead switched in the header. Biotronik is only big in accts of doctors who are not respected and that are moneyhungery for some fake ass studies to get paid on the DL. Sound familiar St Junk.?

 

[Anonymous]

kind of surprised at your response. 12 years ago, i had a Nokia phone and the stock was going through the roof. loved that phone. also, had a talkabout two way pager. today? i don't see those tools. i do have a doc that still carries his talk about pager (ridiculous i know).

your industry is a commodity industry. there hasn't been a clinical advancement of much since the biV came into play. MADIT II and COMPANION were the last major studies. Those were both back in early 2000's.

we don't use Sorin but I hear their shit works just as well as Medtronic (or anyone else) and is much smaller device. Medtronic devices are huge. But, doctors don't care because they are creatures of habit.

EPs are cooky like that. Give an interventionalist a better stent and he will move from one company to the next like a hot potato.

Consider yourself lucky medtronic because you fucks have the biggest, bulkiest devices on the market.

They all work!

You honestly have to try to sound this stupid. Please explain the bigger p-wave theory...I can't wait to hear this.

 

[Anonymous]

You honestly have to try to sound this stupid. Please explain the bigger p-wave theory...I can't wait to hear this.

lol, that did get your attention didn't it. lol.

 

[Anonymous]

Nov. 8th. To be exact. Why wait for publication? Not a member? The sooner the better.

Is there any pre-publication of this degredation "study"?

 

[Anonymous]

Is there any pre-publication of this degredation "study"?

What journal is going to be published in?