1 / 4

Implantable Cardiac Devices - Nomenclature for device communication

IEEE 11073-10103 IDC Nomenclature October 2012. Implantable Cardiac Devices - Nomenclature for device communication. Intermediate survey results - New parameters for version 2 of the standard. MAX. MIN. MEDIAN. Importance rating for new parameters after 11 reviews. HIGH …Importance. LOW.

arwen
Download Presentation

Implantable Cardiac Devices - Nomenclature for device communication

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. IEEE 11073-10103IDC NomenclatureOctober 2012 Implantable Cardiac Devices -Nomenclature for device communication Intermediate survey results -New parameters for version 2 of the standard

  2. MAX MIN MEDIAN Importance ratingfor new parameters after 11 reviews HIGH …Importance LOW Recent device programming date/time and/or program counter Mean ventricular heart rate at atrial burden Lead/Device recall information Multisite Left Ventricular Pacing parameters Counters for shocks started/successful and ATPs successful Number and energy of shocks applied per episode (machine readable) Number of ATPs applied per episode (machine readable) Message triggers / alert summary (urgency) RV pacing avoidance algorithm name and status Message trigger categories MRI parameters Patient Pacemaker Dependant? (YES/NO) Message triggers / alert summary (compact) Shock waveform parameters PVARP Patient activity Message triggers / alert summary (long) RA/RV/LV sensing configuration More vendor specific entries in lists of episode types, brady modes. Thoracic impedance Mean A/V heart rate at rest/night AF Suppression algorithm info (ON/OFF) PVARP after PVC/PAC PVAB / Far-field protection window after Pace PVAB / Far-field protection window after Sense Patient comments if stored in device / system (medication, indication,…) Date of the next scheduled in clinic / remote follow-up(s) Rate adaptation settings (for brady pacing) LVPP / TWPP (ON/OFF) Post shock pacing settings (brady mode, basic rate, ...) RVB LVB RARP (ARP) RABP RVRP (VRP) LVRP Rate adaptation sensor type (coded and machine readable) IVRP LVPP / TWPP Respiratory Rate Heart Rate Variability (HRV)

  3. Feedback to more detailed questionswas low but if present mostly consistent • Rate adaptation settings shall be provided vianew parameters codes vs. just text = 3 / 1 • It shall be added, what kind of statistics has been used for the HRV value (1)*. • Votes for the patient activity unit:percent per 24h vs. hours per day = 2 / 1 • Details of the TI measurement vector:machine readable vs. as text = 2 / 1 • Message triggers shall be provided as a color code. The name of the detail parameter should be ‘notifications’ (2). • Only the next scheduled (remote) follow-up date if available shall be provided (3), but separate for remote and in-clinic (1). * number of votes

  4. Issues under discussion between vendors due to implementation/liability concerns • Providing recall information will be difficult as there are regulated and established workflows in place to be followed. • Message triggers / notifications are seen problematic by some vendors as EMRs are seen as not prepared/designed for that and due to liability issues. • Providing coded rate adaptation settings (as requested) will be burdensome or impossible as systems are very different. • Comments in the device are typically not up to date (missing maintenance process). Should we do new patient comments "since last follow-up“? Should comments have a creation date?

More Related