Heart Failure
Conditions
Brief summary
The purpose of the study is to determine the safety and effectiveness of the Jarvik 2000 Heart as a bridge to heart transplantation in end-stage heart failure patients who are approved heart transplant candidates.
Detailed description
The Jarvik 2000 Heart is a silent compact axial flow impeller pump of 1 inch diameter, weighing 90g with a displacement volume of 25ml. The pump is implanted into the apex of the left ventricle by left thoracotomy, or by mid-sternotomy, or by the subcostal approach. A vascular graft offloads to either the descending thoracic aorta, the ascending thoracic aorta, or the abdominal aorta. The impeller rotates at speeds of 8,000 to 12,000 rpm providing blood flow of up to seven L/minute. At higher speeds the pump can produce 10 L/minute. Power is provided through an abdominal drive line.
Interventions
Jarvik 2000 Heart implantation is intended for patient's with end-stage heart failure who are approved heart transplant candidates - who meet all of the study's inclusion criteria and none of its exclusion criteria.
Sponsors
Study design
Eligibility
Inclusion criteria
(The following are general inclusion criteria; more specific criteria are outlined in the study protocol). * Transplant listed UNOS status IA or IB patients. * BSA \>1.5 m2 and \<2.3 m2. * Dependent on one or more intravenous inotropic agents or an intraaortic balloon pump (IABP).
Exclusion criteria
(The following are general
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival to cardiac transplantation or survival and transplant listed at 180 days following implant of the Jarvik 2000 Heart. | 180 days |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of serious adverse events as events per patient month including infection, stroke, VAD failure, and all serious adverse events. Quality of Life measures - MLHFQ, NYHA class, Neurocognitive assessments. | 180 days |
Countries
United States