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LIVIAN™ Cardiac Resynchronization Therapy Defibrillator

The LIVIAN CRT-Ds feature SmartDelay™ AV optimization, which quickly provides recommended settings for programming AV Delay/Sensed AV Offset with the intent of providing optimally timed CRT, resulting in a more synchronous ventricular contraction and improved peak rate of ventricular pressure change during systole (LV dP/dtmax).

The LIVIAN devices are also compatible with the LATITUDE® Patient Management system, a remote monitoring system that enables physicians to monitor patients and specific device information remotely and that is able to generate alerts for a number of conditions.
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HEALTH CARE PROFESSIONALS
Overview

ASSURANCE


Confidence in performance
Peace of mind for you and your patients
  • Engineered through Aurora, Boston Scientific Cardiac Rhythm Management’s continuous-improvement program
  • The LATITUDE Patient Management system can provide daily or weekly automatic device checks and notify you of specific changes in device status
  • Enables you to confirm therapy with remote monitoring between follow-ups

ENHANCED THERAPY


SmartDelay AV optimization
Designed to deliver the accuracy of a catheter without the invasiveness

  • Demonstrated a 98% correlation to the accurate and reliable invasive pressure measurement LV dP/dtmax in the CRTAVO study*
  • Designed to recommend an optimal AV delay to maximize LV dP/dtmax in less than 2.5 minutes, without an echo
  • Independently determines sensed and paced AV delays based on three inputs:
    • Intrinsic conduction characteristics (sensed and paced AV intervals)
    • QRS width (interventricular timing)
    • LV lead location
* Refer to Appendix B of the LIVIAN System Guide for clinical data on the hemodynamic performance of this feature

Watch the animation to see how SmartDelay AV optimization works.

Atrial arrhythmia management
Helps ensure CRT is delivered as intended

  • When used with VRR, Biventricular Trigger can increase the percent of BiV pacing during atrial tachycardias and AF episodes
  • LATITUDE enhancements provide a new individually selectable alert for CRT % pacing and an enhanced atrial arrhythmia burden alert

Electronic Repositioning™
When used with compatible Boston Scientific LV leads, LIVIAN provides additional programming flexibility to help mitigate elevated thresholds and extracardiac stimulations, helping to avoid the need for a lead revision.

Patient-centric Diagnostics
With the LIVIAN CRT-D, the patient-centric HF diagnostics continue to be available, including Autonomic Balance Monitor (ABM), HRV Monitor Footprint, HRV Monitor Trending, and Activity Log.

Wireless remote monitoring between follow-ups
Individually selectable weekly alerts* help you see changes sooner and take clinical action

  • Sends an alert if the CRT pacing percentage falls below the threshold you set
  • Sends an alert if the atrial arrhythmia burden (within a 24-hour period) exceeds the threshold you set
  • Optional wireless blood pressure monitor and weight scale**, including a weight alert, to help you better manage your patients

*Only two of the many alerts available through the LATITUDE Patient Management system are mentioned here.
**Available for an additional fee

EXCEPTIONAL EXPERIENCE


World-class service
Helps you provide more comprehensive cardiac care
  • Proactive phone call to your clinic any time one of your patients experiences an urgent alert
  • Alerts can be enabled and disabled remotely through the secure website by both device- and health-following physicians, based on your individual preferences
  • Drive patient compliance through wireless, automatic interrogations
  • Knowledgeable LATITUDE experts provide live multilingual support for you and your patients

Mechanical Specifications

Model

Type

Size (cm)
(H x W x D)

Mass (g)

Volume (cc)

Defibrillating Lead Ports

Atrial and RV Pace/ Sense Lead Ports

LV Pace/Sense Lead Port

H220

DR

7.75 x 6.35 x 1.45

79.5

40

DF-1

IS-1

IS-1

H225

DR

7.75 x 6.35 x 1.45

79.5

40

DF-1

IS-1

LV-1

H227 (HE)

DR

8.25 x 6.70 x 1.45

87.5

44

DF-1

IS-1

IS-1

H229 (HE)

DR

8.25 x 6.70 x 1.45

87.5

44

DF-1

IS-1

LV-1

Boston Scientific Cardiac Rhythm Management: a business reengineered, refocused, and revitalized to serve you better.

C3-472

Image Gallery
LIVIAN™ CRT-D Image Smart Delay Animation

Product Type

Cardiac Resynchronization Therapy

Used in Procedures

Cardiac Resynchronization Therapy Implantation

Related Medical Areas

Cardiac Rhythm Management

Related Conditions

Heart Conditions