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CompletedNCT00512915Avoid FFSUpdated Feb 4, 2019

Avoid FFS - Use of the Atrial Pacemaker Lead 1699 With Very Short Tip Ring Spacing to Avoid Far Field Sensing

A Phase 4 interventional study of pacemaker implantation in Atrial Fibrillation and Bradycardia, sponsored by Abbott Medical Devices. Completed at 10 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-04.

Sponsored by Abbott Medical Devices · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
204
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to evaluate the possibility to program the shortest possible Post Ventricular Atrial Blanking Period (PVAB) and high sensitivity without getting inappropriate Mode Switch due to Far Field R-Wave sensing when using the new Tendril 1699T lead. Comparison with Tendril 1688T or 1388T with optimized Post Ventricular Atrial Blanking (PVAB).

Read the detailed description

Far-field R-wave sensing (FFS) in the atrial channel of dual chamber pacemakers is a relevant source for inappropriate Mode Switch from the DDD mode to the DDI or VDI mode. Inappropriate loss of atrioventricular synchrony due to false positive Mode Switch is hemodynamically disadvantageous, may induce atrial tachyarrhythmias, can lead to pacemaker syndrome, and impairs the reliability of pacemaker Holter data. The aim of the study is to determine whether the use of a new atrial screw in lead with ultra short tip-ring distance of 1.1 mm (Study Group) eliminates the need for individual adjustment of the postventricular atrial blanking period (PVAB) based on an additional test in the Control Group with standard leads.

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Conditions studied

  • Atrial Fibrillation
  • Bradycardia

Keywords

  • Farfield Sensing
  • Pacing lead
  • Postventricular atrial blanking
  • Bradycardia
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In context

Atrial Fibrillation

3,869 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's enrollment of 204 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Abbott Medical Devices is the lead sponsor of 525 studies on the registry; 35 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 43 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Indication for dual chamber pacing
  • Implantation of an Identity (ADX) DR or Victory or later pacemaker (St. Jude Medical)
  • Bipolar atrial pacing electrode
  • Age >= 18 years

Exclusion criteria

Exclusion Criteria:

  • Persistent / permanent Atrial Arrhythmia
  • Pacemaker Revision
  • Pregnancy
  • Participation in another Study involving active implantable medical devices
  • Unable to complete follow up
  • Missing patient informed consent
  • Cardiac surgery or myocardial infarction within the last 4 weeks
  • Planned cardiac surgery within 3 months after enrollment
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
204 participants (actual)

Study arms

  • Active comparator
    1699T (Optisense)

    Implantation of the Optisense Lead 1699T, programming of the shortest possible postventricular atrial blanking period (PVAB)

    Device: pacemaker implantation

  • Active comparator
    Standard lead

    Implantation of a standard bipolar atrial pacing lead. Optimization of the postventricular atrial blanking period (PVAB) after implantation.

    Device: pacemaker implantation

Interventions

  • Devicepacemaker implantation

    St. Jude Medical Dual Chamber Pacemaker model Identity (ADx) DR, Victory DR, or newer

    Also known as: Active Arm: 1699T Tendril Optisense lead, Standard lead: 1688T Tendril SDX, 1788T Tendril ST, 1888T Tendril ST OPTIM

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What researchers measure

Primary outcomes

  1. Incidence of inappropriate mode switch (documented by stored EGM's) using the atrial lead Tendril 1699T with short post ventricular atrial blanking period (PVAB) compared to standard atrial lead (Tentril 1388 or 1688) with optimised PVAB

    Time frame: 1 and 3 months post implantation

Secondary outcomes

  1. Incidence of inappropriate mode switch in respect to lead position and ventricular stimulation frequency

    Time frame: 1 and 3 months post implantation

  2. Atrial Flutter in stored EGM's

    Time frame: 1 and 3 months post implantation

  3. 2:1 lock in of Atrial Flutter

    Time frame: 1 and 3 months post implantation

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Study locations

10 sites
  • Klinikum Coburg
    Coburg, 96450, Germany
  • Klinik Fränkische Schweiz
    Ebermannstadt, 91320, Germany
  • Kreisklinik Ebersberg
    Ebersberg, 85560, Germany
  • Krankenhaus Waltershausen-Friedrichroda
    Friedrichroda, 99894, Germany
  • Universitäres Herzzentrum Hamburg
    Hamburg, 20246, Germany
  • Klinikum Memmingen
    Memmingen, 87700, Germany
  • Deutsches Herzzentrum Muenchen
    Munich, 80636, Germany
  • Kardiologische Praxis Dres. med. Bödigheimer / Mühling / Prof. Dr. med. Silber
    München, 80331, Germany
  • Kreiskrankenhaus Ottweiler
    Ottweiler, 66564, Germany
  • Universitätsklinikum Ulm
    Ulm, 89081, Germany
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References and documents

Publications

  • Kolb C, Nolker G, Lennerz C, Jetter H, Semmler V, Purner K, Gutleben KJ, Reents T, Lang K, Lotze U; AVOID-FFS Investigators. Use of an atrial lead with very short tip-to-ring spacing avoids oversensing of far-field R-wave. PLoS One. 2012;7(6):e38277. doi: 10.1371/journal.pone.0038277. Epub 2012 Jun 22. PubMed 22745661 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00512915
Lead sponsor
Abbott Medical Devices
First posted
Aug 8, 2007
Start date
Dec 2006
Primary completion
May 2008
Completion
Aug 2008
Last update
Feb 4, 2019

Study contacts

Christof Kolb, MD
principal investigator · Deutsches Herzzentrum Muenchen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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