A triple-chamber implantable pacemaker, more commonly known as a biventricular pacemaker, is a sophisticated medical device used for cardiac resynchronization therapy (CRT).
Unlike standard pacemakers that typically use one or two leads, this device utilizes three leads (wires) to coordinate the beating of the heart’s chambers.
This device is specifically designed for patients with advanced heart failure and certain electrical conduction issues, such as left bundle branch block.
Leading CRT-P and CRT-D Products
Medtronic Cobalt XT – Premium triple-chamber implantable device, categorized as a Cardiac Resynchronization Therapy Defibrillator (CRT-D). It is designed for heart failure patients at risk of life-threatening arrhythmias.
Device Cost & Purchasing Options
| Merchant | Product Variation | Price |
|---|---|---|
| Synergy Surgical | Medtronic Cobalt HF Quad CRT-D MRI SureScan (DTPB2QQ) | $18,999.00 per box of 1 |
| Synergy Surgical | Medtronic Cobalt XT VR MRI SureScan ICD (DVPA2D1) | $11,999.00 per box of 1 |
| Synergy Surgical | Medtronic Cobalt XT DR MRI SureScan ICD (DDPA2D4) | $16,049.00 per box of 1 |
| DOTmed | Medtronic DDPA2D1 Cobalt XT DR MRI SureScan DF-1 | $3,000.00 (Asking price for available unit) |
Abbott Quadra Assura MP – The Abbott Quadra Assura MP™ is a triple-chamber Cardiac Resynchronization Therapy Defibrillator (CRT-D) specifically engineered to improve outcomes for heart failure patients who do not respond to traditional biventricular pacing.
Device Cost & Purchasing Options
| Merchant | Product Variation | Price |
|---|---|---|
| Synergy Surgical | Abbott SJM Quadra Assura MP CRT-D (CD3369-40C) | $4,999.00 per box of 1 |
| Synergy Surgical | Abbott SJM Quadra Assura MP CRT-D (CD3369-40Q) | $4,999.00 per box of 1 |
Boston Scientific RESONATE X4 – Advanced Cardiac Resynchronization Therapy Defibrillator (CRT-D) designed for patients with moderate to severe heart failure.
Indications for Use
- The RESONATE X4 is indicated for heart failure patients who:
- Have NYHA Class III-IV symptoms despite optimal medical therapy.
- Have a reduced ejection fraction (EF ≤ 35%).
- Exhibit a wide QRS complex (QRS ≥ 120 ms) or left bundle branch block (LBBB).
Estimated Device List Prices
| Model Variant | Part Number | Estimated List Price (per unit) |
|---|---|---|
| RESONATE X4 | G447 | $49,636.50 |
| RESONATE HF X4 | G547 | $50,086.50 |
Biotronik Amvia Sky HF-T QP – The Biotronik Amvia Sky HF-T QP is an advanced Cardiac Resynchronization Therapy Pacemaker (CRT-P). It is distinguished as the world’s first CRT-P approved for Left Bundle Branch Area Pacing (LBBAP), a more physiologic pacing method compared to traditional biventricular pacing.
Osypka Medical PACE Model 300 – The Osypka Medical PACE Model 300 is a specialized triple-chamber external pacemaker primarily used for temporary biventricular pacing and cardiac resynchronization therapy (CRT).
- Unit Price: The estimated cost for a new PACE Model 300 unit ranges between $5,000 and $8,500 USD.
Free References
Repeated antitachycardia pacing using the intrinsic algorithm in the ventricular fibrillation zone: Is it a risk or benefit?
Left Bundle Branch Area Pacing Preserves Mechanical Strain and Synchrony Compared to Right Ventricular Apical Pacing in an Acute Paired Preclinical Model
Acute Electrical Synchronization Achieved With Dynamic Atrioventricular Delays During Biventricular and Left Ventricular MultiPoint Pacing
Synergy between electrophysiologist and interventional
cardiologist: The success of teamwork for cardiac
resynchronization therapy in a complex coronary sinus case
The Potential of the HeartLogicTM Algorithm in Patients with a Left Ventricular Assist Device, an Initial Report
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