Friday, June 24, 2005

FDA Rejects Artificial Heart Bid

Filed under: Society

abiocor.jpgIt's been a bad week for the medgadget industry, beginning with the Guidant defibrillator recall, and now the FDA rejection of AbioMed's artificial heart, the AbioCor:

During a hearing, a Food and Drug Administration panel struggled with whether to recommend the agency approve or deny the application. Abiomed wanted permission to use the device in about 4,000 patients annually. The FDA usually heeds the advice of its panels.

Before the vote, one adviser, Dr. Mitchell Krucoff, asked whether the panel should just recommend "continuing research" on the device.

Cardiologists, statisticians, and others who gathered for the hearing found AbioCor statistics sobering: At least six of the 14 patients, perhaps seven, suffered life-ending strokes. Others had strokes that resulted in irreversible neurological problems. One man was comatose for 53 days after surgery.

As we blogged in April, the AbioCor device didn't even have to prove it was effective -- just humanitarian, i.e., that the benefits to patients probably outweighed the risks. The FDA didn't agree.

Flashback: AbioCor applies for humanitarian exemption.

More at AbioMed...

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replies: 3 comments
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Well this seems straightforward enough to me. If you're testing this machine and almost half of the test patients either die or suffer dire medical complications--then perhaps it shouldnt be made available for use, except as a last resort (IE, one would die anyway). Perhaps that's just me.


Posted by: J. Marcus Xavier
on June 27, 2005 08:24 PM GMT

Let people with heart problems make this decision for themselves! For what reason should FDA not allow this? They might die? And even under the situations where they live a worse life: people are rational, they can make the decision. Allowing thousands of people, who would otherwise die, to get the AbioCor annually would be such an amazing boost to the industry; not just because of the money flowing to AbioMed, but because of the wealth of knowledge and data to be taken from thousands of patients. The 14 patients who got the AbioCor is such a small pool to really guage much from. Think of the one guy (maybe two or more, forget) who survived for months afterward, and the scientists struggling to figure out what made the difference between them and the ones who died early, who got infections, or just the ones who died during surgery. And you want to study the AbioCor based on 14 people? That's ridiculous. If the FDA would just get out of this, allow the Federal Government just to make sure corporations keep promises, hundreds, maybe thousands of people would be living amazing lives with the AbioCor and giving us so much more knowledge on the AbioCor itself to help future generations.


Posted by: Oren Reich
on March 25, 2006 01:16 AM GMT

Oren,

You're absolutely right. As far as I can tell, some government agency is keeping people who are dying from trying a treatment that will perhaps save them. No one is saved, and hope is crushed. This is absurd.


Posted by: Bruder
on September 5, 2006 08:27 PM GMT