心脏起搏器培训资料：伴InvisiLink 无线遥测功能

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1、Current RFwith InvisiLink Wireless Telemetry Current RFCurrent RF伴伴InvisiLink无线遥测功能无线遥测功能 SJM internal use ONLY Model Number Scheme Examples Current VR RF 30JModel 1207-30 1 = Single Chamber 2 = DF-1/IS-1 RF 07 = feature set 30 = 30 joules Current VR RF 36JModel 1207-36 1 = Single Chamber 2 = DF-1/I

2、S-1 RF 07 = feature set 36 = 36 joulesVVEVI Shock Chamber (Ventricle)II ATP Chamber (Ventricle)III Tach Detection Method (Electrogram)IV Brady Pacing ChamberSJM internal use ONLY 型号编码方案型号编码方案 例如例如 Current VR RF 30J 1207-30 1 = 单腔单腔 2 = DF-1/IS-1 RF 07 = 功能组合功能组合 30 = 30J Current VR RF 36J 1207-36 1

3、= 单腔单腔 2 = DF-1/IS-1 RF 07 = 功能组合功能组合 36 = 36JVVEVI 电击腔电击腔(心室心室)II ATP腔腔(心室心室)III 心动过速检测方法心动过速检测方法(EGM)IV 心动过缓起搏腔心动过缓起搏腔SJM internal use ONLY Model Number Scheme Examples Current DR RF 30JModel 2207-30 2 = Dual Chamber 2 = DF-1/IS-1 RF 07 = feature set 30 = 30 joules Current DR RF 36JModel 2207-36 2

4、 = Dual Chamber 2 = DF-1/IS-1 RF 07 = feature set 36 = 36 joulesSJM internal use ONLY 型号编码方案型号编码方案 举例举例 Current DR RF 30J 2207-30 2 = 双腔双腔 2 = DF-1/IS-1 RF 07 = 功能组合功能组合 30 = 30J Current DR RF 36J 2207-36 2 = 双腔双腔 2 = DF-1/IS-1 RF 07 = 功能组合功能组合 36 = 36JSJM internal use ONLY 1207-361207-3076 x 50 x 1

5、475 x 50 x 1341 cc37 cc79g73gTitanium antennaTitanium antenna2207-362207-3077 x 50 x 1476 x 50 x 1342 cc38 cc80g74gTitaniumantennaTitaniumantennaSJM internal use ONLY 1207-361207-3076 x 50 x 1475 x 50 x 1341cc37cc79g73g钛材质的钛材质的天线天线钛材质的钛材质的天线天线2207-362207-3077 x 50 x 1476 x 50 x 1342cc38cc80g74g钛材质的钛

6、材质的天线天线钛材质的钛材质的天线天线SJM internal use ONLY Merlin Patient Care System With the launch of Current RF comes a new programmer interface This interface will only be seen with Current RF and future devices This interface is a totally new interface that will more closely match the Bradycardia interface Atla

7、s and Epic devices will continue to run their same programmer interfaceSJM internal use ONLY Merlin PCS 为为Current RF上市而设计的全新程控界面上市而设计的全新程控界面 该界面仅适用于该界面仅适用于Current RF及后续研发的脉冲发生器及后续研发的脉冲发生器 该全新的界面与心动过缓界面更匹配该全新的界面与心动过缓界面更匹配 Atlas 和和 Epic系列将继续使用现有的程控界面系列将继续使用现有的程控界面SJM internal use ONLY InvisiLink Wirel

8、ess TelemetrySJM internal use ONLY InvisiLink 无线遥测无线遥测SJM internal use ONLY InvisiLink Wireless TelemetryRF ANTENNA WIRESJM internal use ONLY InvisiLink无线遥测无线遥测RF天线的导丝天线的导丝SJM internal use ONLY InvisiLink Wireless TelemetryTelemetry Strength Indicator5 LEDs: RF Link Excellent3 LEDs: RF Link GoodLess

9、 than 1 LED: Link PoorSJM internal use ONLY InvisiLink无线遥测无线遥测遥测信号强弱指示遥测信号强弱指示5个个LED灯亮灯亮: RF链接极好链接极好3个个LED灯亮灯亮: RF链接好链接好1个或小于个或小于1个个LED灯亮灯亮: 链接差链接差SJM internal use ONLY InvisiLink Wireless Telemetry St. Jude Medical will be using the MICS (Medical Implant Communication System) 402-405 MHz Inductive

10、telemetry, (the wand), will be used for initiation of RF telemetry Inductive telemetry (wand only) is always available as a fallback (disconnect InvisLink)SJM internal use ONLY InvisiLink无线遥测无线遥测 SJM使用使用MICS 402-405 MHz 使用程控头的感应遥测将用于启动使用程控头的感应遥测将用于启动RF遥测遥测 感应遥测感应遥测(仅使用程控头仅使用程控头)可在可在InvisLink失去链接时启动，

11、失去链接时启动，提供安全保障提供安全保障SJM internal use ONLY InvisiLink Wireless Telemetry Activation Power up the Merlin Patient Care System Have the wand and wireless antennae connected Place the wand over the device Press interrogate Wait until the LEDs on the RF antenna light up Remove the Wand The device is now c

12、ommunicating via the wireless antennae Similar to “Blue tooth” technologySJM internal use ONLY InvisiLink无线遥测无线遥测激活激活 打开打开Merlin PCS 已连接程控头和无线天线已连接程控头和无线天线 将程控头放在脉冲发生器上方将程控头放在脉冲发生器上方 按按询问询问键键 等待，直至等待，直至RF天线上的天线上的LED灯亮起灯亮起 移去程控头移去程控头 此时，脉冲发生器已通过无线天线与程控仪链接此时，脉冲发生器已通过无线天线与程控仪链接 类似于类似于“蓝牙蓝牙”技术技术SJM inte

13、rnal use ONLY InvisiLink Wireless Telemetry Link possible up to 15 ft RF telemetry will automatically be suspended when the PSA (Wanda) is active RF will start automatically when the user is done with the PSA (Wanda) RF Automatic Timeouts IF 3 hours have elapsed since the start of the session End se

14、ssion will turn off RFSJM internal use ONLY InvisiLink无线遥测无线遥测 遥测范围可达遥测范围可达15英尺英尺 当激活当激活PSA时，时，RF遥测将自动暂停遥测将自动暂停 当当PSA停止使用后，停止使用后，RF遥测将自动启动遥测将自动启动 RF遥测自动超时遥测自动超时 启动后启动后3小时小时 结束随访将自动关闭结束随访将自动关闭RFSJM internal use ONLY InvisiLink Wireless Telemetry IndicatorSJM internal use ONLY InvisiLink无线遥测指示无线遥测指示SJ

15、M internal use ONLY Patient DataThe implant date will be automatically entered when the device detects a lead, just like the PacemakersSJM internal use ONLY 患者资料患者资料与起搏器相同，当脉冲发生与起搏器相同，当脉冲发生器检测到导线时，将自动输器检测到导线时，将自动输入植入日期入植入日期SJM internal use ONLY Freeze-Print-out4.0 mm/mV4.0 mm/mV1.7 mm/mV Print-outs

16、will have a 1 mV calibration pulse and the legend on the side SJM internal use ONLY 打印冻结图形打印冻结图形4.0 mm/mV4.0 mm/mV1.7 mm/mV 冻结图形显示冻结图形显示1mV标度的脉冲图例标度的脉冲图例SJM internal use ONLY Therapy Enabled/DisabledSJM internal use ONLY 治疗启用治疗启用/禁用禁用SJM internal use ONLY Printer-ReportsSJM internal use ONLY 打印报告打印报

17、告SJM internal use ONLY Referral Reports (Heart in Focus) (New) Patient Information Patient name DOB Device Implant Date Implanting Physician Follow-up Physician Summary of VT/VF SVT episodes Exercise and Activity Trends AT/AF Burden Trend Key AMS Episodes Most recent episode Highest A rate episode L

18、ongest episode Ventricular Heart Rate Histogram Ventricular Rates During AMS HistogramSJM internal use ONLY 相关报告相关报告 (关注心脏情况关注心脏情况) (新新) 患者信息患者信息 患者姓名患者姓名 DOB 脉冲发生器植入日期脉冲发生器植入日期 植入医生植入医生 随访医生随访医生 VT/VF SVT发作发作 运动和活动趋势运动和活动趋势 AT/AF负荷趋势负荷趋势 主要的主要的AMS发作发作 最近发作最近发作 最高心房率发作最高心房率发作 最长发作最长发作 心室率直方图心室率直方图 A

19、MS期间心室率直方图期间心室率直方图SJM internal use ONLY Printer-Reports-Heart In FocusTop half of 8 x 11 SJM internal use ONLY 打印报告关注心脏情况打印报告关注心脏情况Top half of 8 x 11 SJM internal use ONLY Printer-Reports-Heart In FocusBottom half of 8 x 11 SJM internal use ONLY 打印报告关注心脏情况打印报告关注心脏情况Bottom half of 8 x 11 SJM internal

20、 use ONLY Diagnostics-ConductionConduction Tab (New)SJM internal use ONLY 诊断传导诊断传导传导界面传导界面 (新新)SJM internal use ONLY Diagnostics-Mode SwitchIf AMS is programmed on then the tab will say Mode SwitchAT/AF Burden displays % of time Ventricular Rate during AMS (New to Tachy)SJM internal use ONLY 诊断模式转换诊

21、断模式转换如果如果AMS程控为打开，程控为打开，则将显示模式转换日志则将显示模式转换日志显示显示AMS期间心室率的时间期间心室率的时间% (ICD新增功能新增功能)SJM internal use ONLY Diagnostics-Exercise & ActivityExercise and Activity Diagnostic (New)SJM internal use ONLY 诊断运动和活动诊断运动和活动运动和活动诊断运动和活动诊断(新新)SJM internal use ONLY Exercise and Activity TrendingDaily Exercise Traini

22、ng displays 3 zones of activity in hours/day at different levels of Exercise per HR (30 seconds minimum starts binning)Total Daily Activity displays Heart Rate response for HR in hours/day (arrhythmia, neurohormonal and sensor)Running 30 Day AverageBar graph broken into 3 zonesSJM internal use ONLY

23、运动和活动趋势运动和活动趋势 每天运动锻炼每天运动锻炼 分三个区显示活动分三个区显示活动(小时小时/天天)，每种心率的不同运动水，每种心率的不同运动水平平(最短最短30秒开始记录秒开始记录) 每天总的活动每天总的活动 显示心率反应显示心率反应 心率增加心率增加(小时小时/天天) (心律失常、神经心律失常、神经与激素作用和传感器与激素作用和传感器)30天滚动记录天滚动记录柱状图分为三个区柱状图分为三个区SJM internal use ONLY Daily Exercise Trending The Target Heart Rate is an ideal exercise level for

24、 the patient and is programmable by the clinician can be changed during the session and is programmable 40% 80% in 5% increments Nominal = 60% The clinician can observe the exercise for patterns and compliance to prescribed exercise routines e.g. 3 times a week, 30 min each session over the last 30

25、daysSJM internal use ONLY 每天运动趋势每天运动趋势 目标心率是患者的理想运动水平，临床医生可以程控目标心率是患者的理想运动水平，临床医生可以程控 随访时可更改，可程控随访时可更改，可程控 40% 80%，增幅，增幅5% 默认值默认值 = 60% 临床医生可以观察患者的运动情况，临床医生可以观察患者的运动情况， 并据此指导患者的日并据此指导患者的日常运动常运动 例如例如: 在过去在过去30天内，每周三次天内，每周三次, 每次每次30分钟分钟SJM internal use ONLY Diagnostics-Exercise & ActivityAlgorithm nee

26、ds patient ageAge 65 will be used if the birth date is not enteredSJM internal use ONLY 诊断运动和活动诊断运动和活动运算法则需要依据患者年龄运算法则需要依据患者年龄如果没有输入患者生日，那么系统如果没有输入患者生日，那么系统将默认为将默认为65岁岁SJM internal use ONLY Exercise and Activity Trending: Calibration Calibration Each patient is calibrated individually Each activity

27、sensor is different Each patient has a different Max HR and Baseline HR Calibration occurs over 2 weeks Data gets displayed after 2 daysSJM internal use ONLY 运动和活动趋势运动和活动趋势: 校准校准 校准校准 每位患者个性化校准每位患者个性化校准 每个活动传感器不同每个活动传感器不同 每位患者的最大心率和基本心率不同每位患者的最大心率和基本心率不同 植入两周后进行校准植入两周后进行校准 两天后显示数据两天后显示数据SJM internal

28、 use ONLY Exercise and Activity Trending: Data Collection Data collection will be suspended under the following conditions: AMS is ongoing During Battery Tests During Arrhythmia Diagnosis During Atrial on Ventricular Noise Reversions During Telemetry While pacer is OFF or operating in the DOO, AOO,

29、or VOO modesSJM internal use ONLY 运动和活动趋势运动和活动趋势: 数据收集数据收集 以下情况下，数据收集将暂停以下情况下，数据收集将暂停: 正在发生正在发生AMS 电池测试期间电池测试期间 心律失常诊断期间心律失常诊断期间 心房或心室噪音反转期间心房或心室噪音反转期间 遥测期间遥测期间 当起搏器关闭或运行于当起搏器关闭或运行于DOO、AOO或或VOO模式模式SJM internal use ONLY Tests-Capture and SenseSJM internal use ONLY 测试夺获和感知测试夺获和感知SJM internal use ONLY

30、Tests-Capture and SenseIn “Monitor” the device will measure and display the amplitude of the P or R-wave until the Stop Test button is pressed or up to 255 cyclesSJM internal use ONLY 测试夺获和感知测试夺获和感知在在 “监测监测”状态下，状态下，脉冲发生器将测量脉冲发生器将测量和显示和显示P波或波或R波波振幅，直至按下停振幅，直至按下停止测试键或测量至止测试键或测量至255个间期个间期SJM internal u

31、se ONLY Tests-Capture and Sense Increment performs just like Pacemakers (raises wall) switches from ASC to fixed during testSJM internal use ONLY 测试夺获和感知测试夺获和感知 递增测试类似于起搏器的感知测试，测试期间感知灵敏递增测试类似于起搏器的感知测试，测试期间感知灵敏度由度由ASC转换为固定转换为固定SJM internal use ONLY Tests-Battery & LeadsBattery & Leads Tab (New)Separa

32、te test tabs for each chamber (New)Daily HVLI (New)Trend dataSJM internal use ONLY 测试电池和导线测试电池和导线 电池和导线键电池和导线键(新新) 每一个心腔分开的测试键每一个心腔分开的测试键(新新) 每天每天HVLI (新新) 趋势数据趋势数据SJM internal use ONLY Impedance Measurement Overview: Hardware A low energy, asymmetric, tri-phasic, constant current pulse Measure volt

33、age drop R = V / I Very low current (microampere) like that used in Minute Ventilation Small current pulses are given between a pair of HV electrodes (e.g. RV coil to Can) The voltage is measured and a ratio of V/I calculates the impedance of the path (Ohms Law)SJM internal use ONLY 阻抗测量汇总阻抗测量汇总 低能量

34、、不对称、三相、恒定的电流脉冲低能量、不对称、三相、恒定的电流脉冲 测量电压下降测量电压下降 R = V / I 很低的电流很低的电流 (A)类似于类似于MV中使用的电流中使用的电流 在特定成对在特定成对HV电极之间的低电流电极之间的低电流(如如: RV线圈至机壳线圈至机壳) 电压被测量后，计算电压被测量后，计算V/I的比值即为该回路的阻抗的比值即为该回路的阻抗(欧欧姆定律姆定律)SJM internal use ONLY RV Coil CanRV Coil SVC SVC Can Impendence Measurement measures across RVCAN, RVSVC & S

35、VCCAN Based on these measurements, the value of the impedance for the shock vector (e.g. RVSVC and CAN) can be calculated Single coil lead tests RVCANTests-HVLISJM internal use ONLY RV 线圈 机壳RV 线圈 SVC 线圈 SVC 线圈 机壳 测量测量RV机壳、机壳、RVSVC 和和 SVC机壳的阻抗机壳的阻抗 基于这些测量基于这些测量, 计算电击向量的阻抗值计算电击向量的阻抗值(如如: RVSVC和机壳和机壳)

36、单线圈导线测量单线圈导线测量 RV机壳机壳测试测试HVLISJM internal use ONLY Tests-HVLI HVLI is ON and is not programmable Occurs every 23 hours Pulse is 187.7 micro amps over 19 micro seconds In-clinic measurements One second for each vector Out-of clinic measurements 16 seconds for each vector Measurement initiated in Vent

37、ricular refractory period A pre-impedance check is performed to test for OPEN leads HVLI Out of Range Patient Notification Trigger (New)SJM internal use ONLY 测试测试HVLI HVLI被设置为打开，且不可程控被设置为打开，且不可程控 每每23h测量一次测量一次 脉冲为脉冲为187.7A / 19s 在诊所内测量为每个向量在诊所内测量为每个向量1s 自动测量为每个向量自动测量为每个向量16s 在心室不应期内启动测量在心室不应期内启动测量 进

38、行阻抗测量前的检查以测试导线是否断路进行阻抗测量前的检查以测试导线是否断路 HVLI超出范围病人提示触发器超出范围病人提示触发器(新新)SJM internal use ONLY Tests-Battery and LeadsSingle coil lead need to test RV to CanSJM internal use ONLY 测试电池和导线测试电池和导线单线圈导线需测量单线圈导线需测量RV至机壳至机壳SJM internal use ONLY Tests-Fibber & NIPS Extrastimuli and Burst buttons on the Atrial a

39、nd Ventricular NIPS screens (New)Programmable Ventricular support Rate during Atrial NIPS and Fibber (New)Programmable Amplitude and Pulse Width during Atrial Fibber (New)SJM internal use ONLY 测试诱颤和测试诱颤和NIPS心房和心室心房和心室NIPS界面上的额界面上的额外刺激和短阵脉冲键外刺激和短阵脉冲键(新新)心房心房NIPS和诱颤期间可程控和诱颤期间可程控的心室支持频率的心室支持频率 (新新)心房诱颤

40、时可程控振幅和心房诱颤时可程控振幅和和脉宽和脉宽(新新)SJM internal use ONLY Tests-Fibber & NIPS SJM internal use ONLY 测试诱颤和测试诱颤和NIPSSJM internal use ONLY Tests-Fibber & NIPS Make sure you turn off SVC coil in Single coil leadsSJM internal use ONLY 测试诱颤和测试诱颤和NIPS 当使用单线圈除颤导线时，当使用单线圈除颤导线时，确保已关闭确保已关闭SVC线圈线圈SJM internal use ONLY

41、Tests-Fibber & NIPS SJM internal use ONLY 测试诱颤和测试诱颤和NIPS SJM internal use ONLY Parameters-Brady There is no longer a “Special” tab all the parameters that had been there are now moved throughout the interface (New)SJM internal use ONLY 参数心动过缓参数心动过缓不再有不再有“特殊特殊”界面，其中界面，其中的所有参数被转至该界面的所有参数被转至该界面(新新)SJM

42、internal use ONLY Parameters-Brady-Basic Operation SJM internal use ONLY 参数心动过缓基本操作参数心动过缓基本操作 SJM internal use ONLY Parameters-Brady-Basic Operation VVI or DDIEpisodal PacingModesDDI, VVI, AAI (New)Episodal Pacing will begin with the 3rd non sinus interval and end with Return to SinusProgrammed mode

43、 AAI you can make episodal pacing VVI/DDI/AAI (in AAI Episodal post shock there can be periods of pauses)SJM internal use ONLY 参数心动过缓基本操作参数心动过缓基本操作 VVI 或或 DDI发作起搏模式发作起搏模式DDI、VVI和和AAI (新新)发作起搏开始于第发作起搏开始于第3个非个非窦律间期，结束于恢复窦律间期，结束于恢复窦律窦律当程控模式为当程控模式为AAI时，发作起时，发作起搏可设置为搏可设置为VVI/DDI/AAI (发作起搏设置为发作起搏设置为AAI，电击

44、后，电击后可能出现长间歇可能出现长间歇)SJM internal use ONLY Parameters-Brady-Basic Operation No longer named “Conflict”SJM internal use ONLY 参数心动过缓基本操作参数心动过缓基本操作 不再被称为不再被称为“冲突冲突”SJM internal use ONLY Parameters-Brady-Capture & Sense SenseAbility now in the “Capture and Sense” tabSJM internal use ONLY 参数心动过缓夺获和感知参数心动过

45、缓夺获和感知现在，现在，SenseAbility位位于于“夺获和感知夺获和感知”界面界面SJM internal use ONLY Parameters-Brady-Refractories & Blanking SenseAbility Setting are available here alsoFar R Suppression has been replaced with PVABPromote RF nominal 70 msCurrent RF nominal 60 msV-BlankingNo longer programmable 44 or 52 msIf high outp

46、ut programmed then auto programs longerEpic II and Atlas II V-Blanking programmable to 32 or 45 ms SJM internal use ONLY 参数心动过缓不应期和空白期参数心动过缓不应期和空白期该界面中也有该界面中也有SenseAbility设置设置远场远场R波抑制被波抑制被PVAB所代替所代替Promote RF 的默认值为的默认值为70msCurrent RF 的默认值为的默认值为60ms心室空白期心室空白期不可程控，不可程控， 44ms 或或 52ms如果程控为高输出，那么自动程如果程控为

47、高输出，那么自动程控为更长控为更长Epic II 和和 Atlas II 心室空白心室空白期可程控为期可程控为 32 - 45ms SJM internal use ONLY Parameters-Brady-AT/AF Detection & Response Mode Switching to Rate Responsive modes is now available (New)Maximum AF Suppression Rate is now available (New)SJM internal use ONLY 参数心动过缓参数心动过缓AT/AF检测和反应检测和反应现在，可模式转

48、换为现在，可模式转换为频率适应性模式频率适应性模式 (新新)现在有最大现在有最大AF Suppression频率频率 (新新)SJM internal use ONLY Parameters-Tachy Expanded programmability for VF Detection (New)Therapy 2 can now be ATP or CVRT (New)Redetection & Post DetectionSJM internal use ONLY 参数心动过速参数心动过速VF检测的可程控范围增加检测的可程控范围增加 (新新)现在，治疗现在，治疗2可为可为ATP或或CVRT

49、 (新新)重新检测和检测后重新检测和检测后SJM internal use ONLY Parameters-Tachy Epic and Atlas devices8, 12, 16Enhanced Programmability VF Detection Intervals 8, 12, 16, 25, 40 (nominal 12)SJM internal use ONLY 参数心动过速参数心动过速 Epic 和和 Atlas 系列系列8、12、16增强的可程控性增强的可程控性 VF检测间期检测间期8 - 100 (默认默认值值12)SJM internal use ONLY Parame

50、ters-Tachy VF Detection (150-300 bpm) (200-400ms)VT therapy, including ATP, to be delivered up to this valueEpic and Atlas devices upper limit (222-240 bpm) (250-270 ms) (depending on zone configuration)SJM internal use ONLY 参数心动过速参数心动过速VF 检测检测 (150-300 bpm) (200-400ms)Epic 和和 Atlas系列的检系列的检测上限为测上限为

51、(222-240 bpm) (250-270 ms) (取决于分区取决于分区设置设置)SJM internal use ONLY Parameters-Tachy SVT Upper LimitLimited to 250 ms (240 b/min)VF Detection Rate can go to 200 ms (300 b/min)SJM internal use ONLY 参数心动过速参数心动过速SVT上限至上限至250ms (240ppm)VF检测频率至检测频率至200ms (300ppm)SJM internal use ONLY Parameters-Tachy SJM in

52、ternal use ONLY 参数心动过速参数心动过速SJM internal use ONLY Parameters-TachyATPThere can now be 2 ATP schemes for each Tachycardia ZoneVT-2 ATP scheme can be programmed less aggressively (if desired) then the VT-1 zoneExample of ATP for both Tach zones:Patient has VT in VT-1 and the device delivers ATP and ac

53、celerates to VT-2 The device will deliver ATP starting with the first train in VT-2SJM internal use ONLY 参数心动过速参数心动过速ATP每一个心动过速分区提供每一个心动过速分区提供2个个ATPVT-2 ATP方案方案(如需要如需要)可程控可程控得比得比VT-1 ATP更温和些更温和些举例举例:患者发生了落入患者发生了落入VT-1区中区中的的VT，ICD发放发放ATP治疗治疗后后VT加速至加速至VT-2；ICD将将发放发放VT-2中第一阵治疗中第一阵治疗SJM internal use ONL

54、Y Parameters-Tachy Can program Burst, Ramp, and Scanning in different therapies and zonesSJM internal use ONLY 参数心动过速参数心动过速可以在不同治疗和分区中程控可以在不同治疗和分区中程控Burst、Ramp和和ScanningSJM internal use ONLY Parameters-Tachy Can program Burst, Ramp, and Scanning in different therapies and zonesSJM internal use ONLY

55、参数心动过速参数心动过速将第将第2个治疗程控为个治疗程控为ATP 将减少将减少CVRT治疗次数，治疗次数， 由由4次减至次减至3次次SJM internal use ONLY Parameters-Tachy Redetection and post detection now on Tachy tabSJM internal use ONLY 参数心动过速参数心动过速现在，重新检测和检测后现在，重新检测和检测后显示在心动过速界面中显示在心动过速界面中SJM internal use ONLY Parameters-Tachy Post shock now on tachy tabSJM in

56、ternal use ONLY 参数心动过速参数心动过速现在，电击后参数显示现在，电击后参数显示在心动过速界面中在心动过速界面中SJM internal use ONLY Parameters- Episode Settings Addition of 3rd channel for Stored EGM (New)3 EGM storage vs. 2 EGM takes no hit on longevity in stored EGMs 3 channels 15 minutes2 channels 22 minutesEpisode TriggersPriority and Prote

57、cted stored EGMs (New)Leadless ECG selection (New) Atlas II and Epic II Devices2 channels 22.5 minutesSJM internal use ONLY 参数发作设置参数发作设置增加到增加到3个通道存储个通道存储EGM (新新)3个通道个通道EGM与与2个通道个通道EGM相比，不会影响相比，不会影响电池使用寿命电池使用寿命 3个通道个通道 15min2个通道个通道 22min发作触发器发作触发器优先和受保护的存储优先和受保护的存储 EGM (新新)无导线无导线 ECG的选择的选择 (新新) Atlas

58、 II 和和 Epic II 系列系列2个通道个通道 22.5minSJM internal use ONLY Parameters-Episode SettingsAtlas II and Epic II DevicesMax Duration 32 seconds, 1, 2 or 4 minutesPre-trigger 0 to 16 secondsTrigger times for VT/VF Stored EGMs:VT/VF Max Duration: 30 sec 5 minVT/VF Pre-trigger: 2-60 secondsSJM internal use ONLY

59、 参数发作设置参数发作设置Atlas II 和和 Epic II系列系列最长持续时间为最长持续时间为32s、1min、2min或或4min触发前触发前0 - 16sVT/VF EGM存储时间存储时间:VT/VF最长持续时间最长持续时间: 30s - 5 minVT/VF触发前最长持续时间触发前最长持续时间: 2-60sSJM internal use ONLY Parameters-Episode Settings-Episode Triggers Storage times for “Non-VT/VF” SEGMsTriggerPre-trigger (s)Post-trigger (s)

60、AMS106AT/AF124PMT124Noise106Magnet106Morphology204Commanded Shock124II Family devices124SJM internal use ONLY 参数发作设置发作触发器参数发作设置发作触发器 非非VT/VF SEGM的存储时间的存储时间触发器触发器触发前触发前 (s)触发后触发后 (s)AMS106AT/AF124PMT124噪音噪音106磁铁磁铁106形态形态204指令电击指令电击124II系列系列124SJM internal use ONLY Parameters-Episode SettingsSJM inter

61、nal use ONLY 参数发作设置参数发作设置SJM internal use ONLY Parameters-Episode SettingsA Sense Pace and V Sense Pace has been changed to A Sense Amp and RV Sense Amp (New)(Do not select Bipolar for sensing issues)SJM internal use ONLY 参数发作设置参数发作设置 心房感知心房感知/起搏和心室感起搏和心室感知知/起搏已改为心房感知起搏已改为心房感知放大器和放大器和RV感知放大器感知放大器(新新

62、) (不要选择双极，因为可不要选择双极，因为可能出现感知问题能出现感知问题)SJM internal use ONLY Parameters-Episode Settings-Episode TriggersVT/VF is always the highest priorityUser programmable priority for triggersHybrid of Continuous/FIFO and FreezeSJM internal use ONLY 参数发作设置发作触发器参数发作设置发作触发器VT/VF 永远是最高的优先级永远是最高的优先级使用者可程控触发器的使用者可程控触

63、发器的优先级优先级 连续连续/先进先出先进先出 冻结冻结SJM internal use ONLY Parameters-Episode Settings-Episode TriggersDetection TriggerSVT, VT/VF episodesDiagnosis TriggerVT/VF episodesTherapy has been removed as a programmable triggerSJM internal use ONLY 参数发作设置发作触发器参数发作设置发作触发器检测触发器检测触发器SVT、VT/VF发作发作诊断触发器诊断触发器VT/VF发作发作 治疗

64、已从可程控的触治疗已从可程控的触发器中移去发器中移去SJM internal use ONLY Parameters-Episode Settings-Episode TriggersSEGM and programmable Episode prioritySJM internal use ONLY 参数发作设置发作触发器参数发作设置发作触发器SEGM 和和 可程控的发作优先级可程控的发作优先级SJM internal use ONLY Parameters-Episode Settings-Episode TriggersEach trigger has certain episodes

65、that are protected and will never be overwritten. Regardless of programmed priority Not user programmableTriggerProtected episodesAT/AF or AMSMost recent, first, and fastest rateMorphologyMost recentCommanded ShockMost recentAll others(VT/VF, PMT, Noise, Magnet)FirstSJM internal use ONLY 参数发作设置发作触发器

66、参数发作设置发作触发器 每一个触发器中有某些发作被设为受保护，且永远不会每一个触发器中有某些发作被设为受保护，且永远不会被重写被重写 无论程控的优先级无论程控的优先级 使用者不可程控使用者不可程控触发器触发器受保护的发作受保护的发作AT/AF 或或 AMS最近、首次和最快心率最近、首次和最快心率形态形态最近最近指令电击指令电击最近最近所有所有(VT/VF、PMT、噪音、磁铁、噪音、磁铁)首次首次SJM internal use ONLY Parameters-Episode Settings-Episode Triggers High priority SEGMs overwrite: Low priority, non-protected SEGMs Then high priority, non-protected SEGMs VT/VF Episodes are always highest priority, in case other triggers are programmed to High priority Since all triggers have at lea