NICE has developed a medtech innovation briefing (MIB) on the AliveCor Heart Monitor and AliveECG app for detecting atrial fibrillation.
The AliveCor Heart Monitor and AliveECG app are, respectively, a pocket-sized ECG recorder and a mobile device application for analysis and communication of the results. Two fingers from each hand are placed on the AliveCor Heart Monitor to record an ECG, which is transmitted wirelessly to the AliveECG app. The aim of the device is to identify paroxysmal atrial fibrillation (AF). Two clinical studies reported that the AliveCor Heart Monitor and the AliveECG app have sensitivity above 85% and specificity above 90% in identifying AF. An AliveCor Heart Monitor unit costs £62.49, excluding VAT; the AliveECG app is free of charge. An Australian study found that opportunistic, community-based screening for undiagnosed AF, using the AliveCor Heart Monitor and the AliveECG app, was cost effective.Medtech innovation briefings provide a description of the medical technology, including its likely place in therapy, the costs of using the technology and a critical review of the strengths and weaknesses of the relevant published evidence.
Their purpose is to provide objective information on device and diagnostic technologies to aid local decision-making by clinicians, managers and procurement professionals. By making this information available, NICE helps to avoid the need for NHS organisations to produce similar information for local use.
Medtech innovation briefings are not NICE guidance. They differ in format, contain no judgement on the value of the technology and do not constitute a guidance recommendation.
MIBs are commissioned by NHS England and produced in support of the NHS 5 Year Forward View, specifically as one of a number of steps which will accelerate innovation in new treatments and diagnostics.