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Cognis

Manufactured by Boston Scientific
Sourced in United States, New Zealand

Cognis is a laboratory equipment product designed to perform advanced signal processing and waveform analysis. It is a versatile tool that captures, processes, and analyzes complex signals across various applications.

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4 protocols using cognis

1

Cardiac Resynchronization Therapy Implantation

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All patients underwent successful CRT-P (pacemaker only CRT) or CRT-D (CRT with implantable cardioverter defibrillator) implantation. The right atrial and right ventricular leads were positioned in the right appendage and mid interventricular septum or in the RV apex. Left ventricular lead positioning was performed under guidance of venography, and when accessible lateral or postero-lateral cardiac veins were chosen. Implanted devices included Contak Renewal (Guidant Corp., Arden Hills, MN, USA), Cognis (Boston Scientific USA), Stratos, Lumax (Biotronik, Berlin, Germany) and Insync III (Medtronic Inc., Minneapolis, MN, USA). We implanted CRT-Ds to 46% of the patients. CRT-D was indicated in case of those patients who suffered previously documented ventricular arrhythmias and whenever it was indicated by the referring physician [14 (link)].
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2

Cardiac Resynchronization Therapy Implantation

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Cardiac resynchronization therapy was implanted successfully in all patients without major complications. The right atrial (where appropriate) and right ventricular (RV) leads were positioned in the right appendage and mid-interventricular septum or in the RV apex, respectively. Coronary sinus venography was used for LV lead positioning. Lateral and posterolateral cardiac veins were preferred for LV lead implantation. Implanted devices were Contak Renewal (Guidant Corp., Arden Hills, MN, USA). Cognis (Boston Scientific, Marlborough, MA, USA), Stratos, Lumax (Biotronik, Berlin, Germany), and Insync III (Medtronic Inc., Minneapolis, MN, USA).
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3

Cardiac Dysfunction Impact on HS

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Two unique animal models were used to evaluate the impact of worsening cardiac function on HS, namely, an acute ischaemia induction to model the contractility changes in HF and an acute pulmonary oedema induction to model congestion in HF. The two models were implemented separately in distinct sets of animals. All animals were acutely implanted with three transvenous leads and a cardiac resynchronization therapy defibrillator (CRT‐D) device (COGNIS®, Boston Scientific, Marlborough, MA) modified via a software download to enable recording and storing HS data from the embedded accelerometer. Both studies were approved by the Boston Scientific Corporation Institutional Animal Care and Use Committee and carried out at an American Association for the Accreditation of Laboratory Animal Care facility in compliance with regulations set forth in the Animal Welfare Act, Title 9, CFR, Chapter 1, Subchapter A and principles outlined in the ‘Guide for the Care and Use of Animals’, by National Research Council.
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4

Wearable Sensors for Early Heart Failure Detection

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The MultiSENSE study has been previously published (ClinicalTrials.gov Identifier: NCT01128166).9 In brief, MultiSENSE is an international, multicentre, non‐randomized study designed to develop and evaluate a multi‐sensor based algorithm for the early detection of worsening heart failure. To be enrolled, patients were required to be implanted with an existing COGNIS™ cardiac resynchronization therapy defibrillator (CRT‐D) (Boston Scientific, Marlborough, MA). Following enrolment, patient demographics and clinical status were collected, and the patient's CRT‐D had custom research firmware installed on the device converting it to a Sensor Research Device. Scheduled follow‐ups occurred every 3 months if the patient had remote monitoring, otherwise patient follow‐up occurred every 6–8 weeks to allow for sensor data download. Patients were followed for up to 12 months, at the end of which their device was reconverted to the market approved COGNIS firmware. All patients provided written informed consent. The study was conducted in accordance with the ethical standards of the institutional and national research committees and with the 1964 Declaration of Helsinki and its later amendments.
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