Dystonia, Essential Tremor, Movement Disorders, Parkinson Disease, Tremor
Conditions
Keywords
Infinity DBS system, ABT-CIP-1026, Deep Brain Stimulation, Magnetic resonance imaging
Brief summary
The Infinity MRI PMCF was conducted as an international, multicenter, observational, prospective, single-arm, post-market clinical follow-up (PMCF) study. The study evaluated the safety of the Infinity DBS system with MR Conditional labeling when an MRI procedure was performed according to the approved guidance. Subjects were followed for 1 month after the MRI procedure. Participation in the clinical study ended at the conclusion of the 1-month follow-up visit where subjects were then followed per standard of care.
Interventions
Patients implanted with the Infinity DBS system with MR Conditional labeling
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subject or subject's legally acceptable representative must provide written informed consent prior to any clinical investigation related procedure. 2. Subject has been implanted, or is scheduled to be implanted, with a commercially available Infinity DBS system with MR Conditional labeling per locally approved indications for use. 3. Subject is scheduled to undergo a MRI procedure in compliance with the MRI Procedure Information Clinician's Manual. Anxiolytics and patient's regular medications may be administered, provided Instructions For Use (IFU) criteria are met. 4. Subject is willing and able to comply with study requirements.
Exclusion criteria
1. Subject has another implanted device (active or passive implanted device) that prohibits safe scanning. 2. Subject has previously experienced an MRI-related adverse event or cannot undergo MRI for any other reason. 3. Subject is pregnant or nursing, or plans to become pregnant during the clinical investigation follow-up period. 4. Subject has other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results. 5. Subject is currently participating in another clinical investigation that may confound the results of this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of MRI-related Adverse Events | From MRI procedure through 1 month post-MRI procedure | Any adverse event that was included in the primary endpoint analysis, if it: 1. Was classified as being MRI-related (as determined by the CEC), occured during or after the MRI procedure, and cannot be attributed to any other cause; and 2. Was classified as being related to the device (implanted or external component) (as determined by the Investigator); and 3. Met the criteria for serious adverse event or was a non-serious adverse event that was the result of irrecoverable failure of therapy delivery or device communication. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Successful MRI Mode 'Turn on/Off' Functionality of the MRI Mode | Immediately after the MRI scan | Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful MRI mode 'turn on/off' functionality of the MRI mode was assessed. |
| Rate of Successful 'Turn on/Off' Functionality for the Stimulation | Immediately after the MRI scan | Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful 'turn on/off' functionality for the stimulation was assessed. |
| Rate of Successful Adjustments to the Stimulation Amplitude | Immediately after the MRI scan | Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful adjustments to the stimulation amplitude was assessed. |
| Rate of Successful Interrogation and Download of the IPG Parameters | Immediately after the MRI scan | Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful interrogation and download of the IPG parameters was assessed. |
| Rate of Successful Ability to Obtain Lead Impedance Measurements | Immediately after the MRI scan | Secondary endpoints were evaluated after the MRI scan on subjects, who were scanned with a full system configuration. Rate of successful ability to obtain lead impedance measurements was assessed. |
Countries
France, Germany, Spain, Sweden, United States
Participant flow
Recruitment details
The Infinity MRI PMCF has been conducted to evaluate the safety of Abbott's InfinityTM DBS Systems with MR conditional labeling. A total, 74 subjects were enrolled at 15 clinical sites located in Europe and the US.
Participants by arm
| Arm | Count |
|---|---|
| Infinity DBS System With MR Conditional Labeling Patients implanted with the Infinity DBS system with MR Conditional labeling | 74 |
| Total | 74 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | MRI Scan Not Performed | 1 |
| Overall Study | Subject Did Not Meet Inclusion/Exclusion Criteria | 1 |
| Overall Study | Subject Withdrew Consent | 1 |
Baseline characteristics
| Characteristic | Infinity DBS System With MR Conditional Labeling | — |
|---|---|---|
| Age, Continuous | 63.4 years STANDARD_DEVIATION 9.8 | — |
| Number of participants with Primary Indication for DBS Dystonia | 1 Participants | — |
| Number of participants with Primary Indication for DBS Essential Tremor | 22 Participants | — |
| Number of participants with Primary Indication for DBS Parkinson's Disease | 51 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment Germany | 16 Participants | — |
| Region of Enrollment Spain | 7 Participants | — |
| Region of Enrollment Sweden | 4 Participants | — |
| Region of Enrollment United States | 15 Participants | — |
| Sex: Female, Male Female | 22 Participants | — |
| Sex: Female, Male Male | 52 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 71 |
| other Total, other adverse events | 2 / 71 |
| serious Total, serious adverse events | 1 / 71 |
Outcome results
Rate of MRI-related Adverse Events
Any adverse event that was included in the primary endpoint analysis, if it: 1. Was classified as being MRI-related (as determined by the CEC), occured during or after the MRI procedure, and cannot be attributed to any other cause; and 2. Was classified as being related to the device (implanted or external component) (as determined by the Investigator); and 3. Met the criteria for serious adverse event or was a non-serious adverse event that was the result of irrecoverable failure of therapy delivery or device communication.
Time frame: From MRI procedure through 1 month post-MRI procedure
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of MRI-related Adverse Events | 0 Percentage of participants |
Rate of Successful Ability to Obtain Lead Impedance Measurements
Secondary endpoints were evaluated after the MRI scan on subjects, who were scanned with a full system configuration. Rate of successful ability to obtain lead impedance measurements was assessed.
Time frame: Immediately after the MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of Successful Ability to Obtain Lead Impedance Measurements | 100 Percentage of participants |
Rate of Successful Adjustments to the Stimulation Amplitude
Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful adjustments to the stimulation amplitude was assessed.
Time frame: Immediately after the MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of Successful Adjustments to the Stimulation Amplitude | 100 Percentage of participants |
Rate of Successful Interrogation and Download of the IPG Parameters
Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful interrogation and download of the IPG parameters was assessed.
Time frame: Immediately after the MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of Successful Interrogation and Download of the IPG Parameters | 100 Percentage of participants |
Rate of Successful MRI Mode 'Turn on/Off' Functionality of the MRI Mode
Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful MRI mode 'turn on/off' functionality of the MRI mode was assessed.
Time frame: Immediately after the MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of Successful MRI Mode 'Turn on/Off' Functionality of the MRI Mode | 100 Percentage of participants |
Rate of Successful 'Turn on/Off' Functionality for the Stimulation
Secondary endpoints were evaluated after the MRI scan on subjects who were scanned with a full system configuration. Rate of successful 'turn on/off' functionality for the stimulation was assessed.
Time frame: Immediately after the MRI scan
Population: The number of participants analyzed includes subjects who were available at that time of analysis.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Infinity DBS System With MR Conditional Labeling | Rate of Successful 'Turn on/Off' Functionality for the Stimulation | 100 percentage of participants |