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Utility of the Audible Alert in Current Generation Medtronic Implantable Cardioverter-defibrillators

This study has been completed.
Information provided by (Responsible Party):
Englewood Hospital and Medical Center Identifier:
First received: May 18, 2012
Last updated: February 18, 2016
Last verified: February 2016

The purpose of this study is to determine whether the alert tones emitted by the latest generation of Medtronic implantable cardioverter-defibrillators (ICDs) are audible to patients.

ICD patients can have difficulties hearing the beeps, which are designed to notify patients of possible lead or generator malfunction. In fact, the only published study of this issue, conducted at Englewood Hospital and Medical Center, revealed that only 50% of patients with older Medtronic devices were able to hear alerts. Since then, modifications to the alert have been made by Medtronic. This study will establish the "real-world" value of these changes and also provide useful in vivo information regarding the validity of the in vitro techniques which have been used thus far to design the Patient Alert feature.

Patients With a Generation 2 Medtronic Implantable Cardioverter-defibrillator(ICD)

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Investigation of the Utility of the Audible Alert in Current Generation Medtronic ICDs

Resource links provided by NLM:

Further study details as provided by Englewood Hospital and Medical Center:

Primary Outcome Measures:
  • Audibility [ Time Frame: participants will be tested during a single, routine clinic visit - the average duration for each patient will be 30 minutes ]
    how frequently patients are able to detect the alert tones

Secondary Outcome Measures:
  • Loudness value [ Time Frame: 1 month ]

    digital recordings of the tones will be analyzed to determine the loudness value

    loudness value is a calculated index, devised by Medtronic, which incorporates frequency and intensity

Enrollment: 100
Study Start Date: June 2012
Study Completion Date: June 2015
Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Medtronic ICDs
Patients with Generation 2 Medtronic ICDs

Detailed Description:

There will be a single study visit. In a quiet examination room, the Patient Alert tones will be demonstrated to the subjects. Subsequently, this will be repeated with a wall air conditioner turned on. The subjects will then be asked to complete a three-part questionnaire regarding their perceptions of the Patient Alert tones.

Data analysis will include overall ability to hear tones, as well as subgroup analysis according to gender, age, and BMI.

Simultaneously, in order to calculate the loudness of the alert tones, digital recordings will be obtained using two microphones located near the subject. These digital recordings will be analyzed, and a loudness value will be calculated. The loudness value is a calculated index, devised by Medtronic, which incorporates frequency and intensity. Data analysis will include a correlation between loudness value and patient characteristics, and between loudness value and ability of subjects to perceive the tones.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
patients who have a Generation 2 Medtronic implantable cardioverter-defibrillator (ICD)

Inclusion Criteria:

  • Previous insertion of a Medtronic Generation 2 ICD (Consulta, Secura, Concerto II, Virtuoso II, Maximo II devices) not fewer than 7 days prior to study entry
  • Able to provide informed consent

Exclusion Criteria:

  • Known deafness
  • Recent (fewer than 6 weeks) ICD pocket surgery
  • Non-Generation 2 Medtronic ICD
  • Pocket hematoma
  • Pocket infection
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01605500

United States, New Jersey
Englewood Hospital and Medical Center
Englewood, New Jersey, United States, 07631
Sponsors and Collaborators
Englewood Hospital and Medical Center
Principal Investigator: Grant Simons, MD Englewood Hospital and Medical Center
  More Information

Responsible Party: Englewood Hospital and Medical Center Identifier: NCT01605500     History of Changes
Other Study ID Numbers: E-12-445
Study First Received: May 18, 2012
Last Updated: February 18, 2016

Keywords provided by Englewood Hospital and Medical Center:
ICD processed this record on May 22, 2017