News Seton Medical Center Austin Among First in Nation to Implant Advanced Heart Failure Device

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AUSTIN, Texas - (August 6, 2008) - Seton Medical Center Austin, was among the first in the nation to implant a COGNIS™ cardiac resynchronization defibrillator (CRT-D). This advanced device is used to treat heart failure, a condition in which the heart cannot pump enough oxygen-carrying blood to meet the body's needs.


Javier Sanchez, MD, a cardiac electrophysiologist with Texas Cardiovascular Consultants, P.A., implanted the device on Tuesday, August 5.


"This patient, who has a thin chest wall and small frame, will greatly benefit from the unique attributes of this new device -- its small size, thin profile, and lighter weight," said Dr. Sanchez. "With other types of devices, I would have had to cut through the patient's muscle to implant the device, but because of the COGNIS CRT-D's small size, I was able to implant it just underneath the patient's skin."


The COGNIS CRT-D is the smallest, thinnest high-energy CRT-D in the world, and offers increased longevity and an independent battery back-up system. Benefits to patients include greater comfort and reduced risk of infection due to a smaller incision.


This device represents an entirely new platform to treat heart failure and is the result of a multi-year research and development effort by Boston Scientific to provide physicians enhanced clinical options for their patients.


Key features of the COGNIS CRT-D include:


• SmartDelay™ - quickly proposes programmable device settings, which enables physicians to tailor individualized pacing therapy for their patients
• Bi-V Trigger - helps physicians manage heart failure patients with frequent atrial arrhythmias
• Electronic Repositioning™ - provides physicians with six configurations for stimulating the left side of the heart even after implant, which may help avoid an additional surgical procedure
• Size - only 9.9 mm wide compared to other devices that measure 15 mm

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