AngelMed Guardian® System Post-Approval Study for Acute Coronary Syndrome

This study is observing how well the AngelMed Guardian® System works in real-world use. This system is an implantable device that monitors your heart and alerts you if it detects signs of a heart attack (Acute Coronary Syndrome or ACS). You might be able to join if you are 21 or older, have had previous ACS events, and are at high risk for more, especially if you have diabetes, kidney problems, or a high TIMI Risk Score. The study aims to understand the device's accuracy in detecting ACS events and how doctors and patients use it. The study is ongoing and plans to enroll at least 500 patients.

Study design
This is an observational study, meaning researchers will watch how the AngelMed Guardian® System is used in at least 500 patients. It is a single-arm study, so all participants will receive the device.
What's involved
You will have an initial programming visit 7-14 days after the device is implanted, and then follow-up visits every 6 months until the study ends or you leave the study.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for up to 3 years, or until 314 ACS events have been collected for the study.

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NCT05412927

AngelMed Guardian® System PMA Post Approval Study

Recruiting
Not specifiedAges 21+Observational
Angel Medical Systems
~500 participants
Updated 2025-09-30 on ClinicalTrials.gov
What's tested:PMA P150009 AngelMed Guardian® System

At a glance

Recruiting sites
12 of 18 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Efficacy (PPV and FPR)
Measured over The PAS is a 3 year, event based study, looking to accumulate 314 ACS events. Patients will be seen for an in-office initial programming visit 7-14 days following implant and every 6 months thereafter until study exit or study completion.
Acute Coronary Syndrome

NCT05412927

Where you'd take part

This study runs at 18 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Arizona Heart & Vascular Clinic

    Glendale, Arizonastudy coordinator listed

    Recruiting

  • Clermont Ambulatory Surgical Center

    Clermont, Floridastudy coordinator listed

    Recruiting

  • Daytona Heart Group

    Daytona Beach, Floridastudy coordinator listed

    Recruiting

  • East Los Angeles Cardiology

    Los Angeles, Californiastudy coordinator listed

    Recruiting

  • Florida Heart Rhythm Specialists

    Fort Lauderdale, Floridastudy coordinator listed

    Recruiting

  • Heart Clinic of Hammond

    Hammond, Louisianastudy coordinator listed

    Recruiting

  • Institute for Cardiovascular Research Studies, Inc.

    Miami, Floridastudy coordinator listed

    Recruiting

  • Medical City Hospital Forth Worth

    Fort Worth, Texasstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • David Keenan · STUDY_DIRECTOR · Angel Medical Systems Inc.
  • Sasha John, PhD · STUDY_DIRECTOR · Angel Medical Systems Inc.
  • Haroon Faraz, MD · PRINCIPAL_INVESTIGATOR · Hackensack-Meridian Health Care System

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Eligibility criteria

Inclusion

1\. Subject has at least one of the following conditions:

Exclusion

1\. In the investigator's opinion, subject lacks ability to respond appropriately to alarms, e.g., illiteracy, poor memory or cognitive function, dementia or other condition affecting memory function, etc.
  • Efficacy (PPV and FPR)The PAS is a 3 year, event based study, looking to accumulate 314 ACS events. Patients will be seen for an in-office initial programming visit 7-14 days following implant and every 6 months thereafter until study exit or study completion.

    This study is a post approval study aiming to gather data from FDA approved and standard of care implants using the proprietary medical device created by Angel Medical Systems, The Guardian. The study is collecting specific information from the subjects, devices and index procedure to demonstrate non-inferior performance of a now FDA approved product in a commercial setting. The diagnostic accuracy of the device will be assessed by comparing the Positive Predictive Value (PPV) and the False Positive Rate (FPR) results in the PAS to the results for the same endpoints in the ALARMS-ON group in the PMA-Amendment (i.e. including patients who both had the device implanted and alarms turned on). The hypotheses will be assessed with performance goals for both PPV and FPR.