MDT-Brady-IPG-串講-For-LV2---醫(yī)用產(chǎn)品課件

1、美敦力起搏器產(chǎn)品串講功能是藥片產(chǎn)品是藥瓶學(xué)習(xí)產(chǎn)品需要掌握的要點產(chǎn)品系列及具體型號物理特征重量、體積、三圍（厚度）、外形、導(dǎo)線兼容性電學(xué)特征電池容量、使用壽命功能特征血流動力學(xué)管理：房室傳導(dǎo)、 UTR、滯后、變時反應(yīng)管理：房性心律失常管理：診斷、節(jié)律控制、頻率控制、室性心律失常管理：診斷暈厥管理：隨訪工具：患者、疾病、電（感知、奪獲、導(dǎo)線、壽命）高級診斷功能：選擇性事件記錄及分析工具起搏系統(tǒng)管理：壽命、感知、奪獲、導(dǎo)線還需要知道價格賣點競爭市場策略SigmaSigma系列產(chǎn)品Sigma 100Sigma SVVI100/3Sigma SS100/3/6Sigma 200Sigma SS200/3

2、Sigma SSR200/3Sigma SD200/3Sigma SDR200/3Sigma 300Sigma SS300/3/6Sigma SSR300/3/6Sigma SD300/3/6Sigma SDR300/3/6Sigma SVDD300/3Sigma系列產(chǎn)品型號 單/雙腔頻率應(yīng)答使用年限體積重量SS103SingleNo6.4 11.1 yrs10.5 cc21.5 gSSR203SingleYes6.4 11.1 yrs10.5 cc21.5 gSDR203DualYes5.5 11.7 yrs12.8 cc27.2 gSSR303SingleYes6.4 11.1 yrs10

3、.5 cc21.5 gSDR303DualYes5.5 11.7 yrs12.8 cc27.2 gSVDD303VDD Yes5.8 9.7 yrs 11.6 cc22.8 gSigma 300Auto-PVARPRAAV頻率應(yīng)答睡眠功能單腔滯后電極阻抗長期監(jiān)測AMS（自動模式轉(zhuǎn)換）NCAP（非競爭性心房起搏）PMTI（起搏器介導(dǎo)心動過速干預(yù)）生理性起搏起搏安全房性心律失常管理特殊功能2.5sEGM；6項診斷圖表診斷功能Kappa 400雙傳感器頻率應(yīng)答Kappa 400型號 單/雙腔頻率應(yīng)答使用年限體積重量KSR401SingleYes5.8 8.4 yrs11.6 cc34 gKDR401

4、DualYes5.1 8.5 yrs13.9 cc34 gKappa 400雙感知頻率應(yīng)答竇性優(yōu)先電極阻抗長期監(jiān)測AMS（自動模式轉(zhuǎn)換）NCAP（非競爭性心房起搏）RDR生理性起搏起搏安全房性心律失常管理特殊功能15sEGM；9項診斷圖表診斷功能增加增加Kappa 700自動化與生理性起搏的開端Kappa 700型號 單/雙腔頻率應(yīng)答使用年限體積重量KD701DualNo4.4 8.6 yrs12.1 cc27.1 gKDR701DualYes4.4 8.6 yrs12.1 cc27.1 gKappa 700竇性優(yōu)先Search AV自動植入識別自動感知保障VCMAMS（自動模式轉(zhuǎn)換4/7）空

5、白期房撲搜索生理性起搏起搏安全房性心律失常管理特殊功能16sEGM；10項診斷圖表診斷功能RDR增加增加增加增加EnPulse心房閾值自動管理房性心律失常全程診斷記錄EnPulse型號 單/雙腔頻率應(yīng)答使用年限體積重量E2SR01SingleYes4.8 7.7 yrs9.7 cc21.5 gE2DR01DualYes4.4 8.5 yrs12.1 cc27.1 gEnPulseSearch AV+VCM+ACMPMOPVRP生理性起搏起搏安全房性心律失常管理特殊功能Quick look II心臟指南針診斷功能增加增加增加AdaptaVersaSensiaReliaAdapta FamilyA

6、daptaMVP&Search AV+PMOPCAFRAPP生理性起搏起搏安全房性心律失常管理特殊功能AT/AFObservation（AT房撲/AF房顫事件的監(jiān)測記錄）Quick look II心臟指南針（6個月）診斷功能Rate response新程控界面TherapyGuide增加增加AdaptaVersaSensiaRelia減少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+閾值管理VCMACMVCMACMVCMACMVCM自動調(diào)整感知靈敏度Sensing AssuranceSensing AssuranceSensing Assuran

7、ceNO感知趨勢圖P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治療顧問YesYesYesNo房性快速心律失常干預(yù)YesYesNoNo腔內(nèi)電圖48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控儀2090979020909790209097902090Auto ImplantDetectionVCMBipolarLeadMonitorSAV+Auto Longevity EstimatorDual ZoneRat

8、e ResponseAuto LeadImpedance TrendsEGM StorageRelia 經(jīng)過循證驗證的起搏值得信賴的成熟技術(shù)AdaptaVersaSensiaRelia減少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+閾值管理VCMACMVCMACMVCMACMVCM自動調(diào)整感知靈敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趨勢圖P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治療顧問YesYesYesNo房性快速心

9、律失常干預(yù)YesYesNoNo腔內(nèi)電圖48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控儀2090979020909790209097902090Relia SpecificationsHospitalization for CHFBatteryTypeVoltageAverage Projected CapacityPWLPWLPWLPWLPWLIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNI

10、IS-1 BI or UNI12.1 cc12.1 cc11.1 cc9.7 cc9.7 cc27.1 g27.1 g23.6 g21.5 g21.5 g44.7 x 47.9 x 7.5 mm44.7 x 47.9 x 7.5 mm44.7 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mmREDR01RED01REVDD01RESR01RES01Radiopaque IDConnectorVolumeMassSize (HxWxD)Model *Lithium-iodine2.8 VModel REDR01Model RED01M

11、odel REVDD01Model RESR01 Model RES01Model REDR01Model RED01Model REVDD01Model RESR01 Model RES01DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 pacing impedanceDDDR or DDD, 60 ppm, SAV+ ON, 50% pacing, ventricular 2,0 V, atrial 1,5 V, 0,4 ms pulse width,

12、1000 pacing impedanceVDD 60 ppm, 100% pacing, ventricular 2,0 V, 0,4 ms pulse width, 1000 pacing impedance 1.2 Ah1.2 Ah.86 Ah.86 Ah.86 Ah8.9 years* 9.4*8.9 years* 9.4*7.0 years*8.4 years8.4 yearsACM and VCM minimum adapted values at out-of-box settingsSSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms

13、pulse width, 1000 ohm pacing impedanceRelia SpecificationsHospitalization for CHFBatteryTypeVoltageAverage Projected CapacityPWLPWLPWLPWLPWLIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNI12.1 cc12.1 cc11.1 cc9.7 cc9.7 cc27.1 g27.1 g23.6 g21.5 g21.5 g44.7 x 47.9 x 7.5 mm44.7 x

14、47.9 x 7.5 mm44.7 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mmREDR01RED01REVDD01RESR01RES01Radiopaque IDConnectorVolumeMassSize (HxWxD)Model *Lithium-iodine2.8 VModel REDR01Model RED01Model REVDD01Model RESR01 Model RES01Model REDR01Model RED01Model REVDD01Model RESR01 Model RES01DDDR or

15、DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 pacing impedanceDDDR or DDD, 60 ppm, SAV+ ON, 50% pacing, ventricular 2,0 V, atrial 1,5 V, 0,4 ms pulse width, 1000 pacing impedanceVDD 60 ppm, 100% pacing, ventricular 2,0 V, 0,4 ms pulse width, 1000 pacing impedan

16、ce 1.2 Ah1.2 Ah.86 Ah.86 Ah.86 Ah11.3 years* 12.0*11.3 years* 12.0*9.0 years*10.4 years10.4 yearsACM and VCM minimum adapted values at out-of-box settingsSSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedanceSensia經(jīng)過循證驗證的起搏完全自動化和生理性的標準選擇SensingAssuranceAuto P- and R-W

17、ave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate ResponseAuto LeadImpedance TrendsAdaptaVersaSensiaRelia減少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+閾值管理VCMACMVCMACMVCMACMVCM自動調(diào)整感知靈敏度Sensing AssuranceSensing AssuranceSensing AssuranceN

18、O感知趨勢圖P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治療顧問YesYesYesNo房性快速心律失常干預(yù)YesYesNoNo腔內(nèi)電圖48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控儀2090979020909790209097902090Sensia SpecificationsHospitalization for CHFLongevityBatteryTypeVoltageAverage Projec

19、ted CapacityPWLPWLPWLPWLPWLIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNI12.1 cc13.1 cc9.7 cc9.7 cc9.7 cc27.1 g31.3 g21.5 g21.5 g21.5 g44.7 x 47.9 x 7.5 mm45.4 x 52.3 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mmSEDR01SEDRL1SED01SESR01SES01Radiopaque ID

20、ConnectorVolumeMassSize (HxWxD)Model *Lithium-iodine2.8 VModel SEDR01Model SEDRL1Model SED01Model SESR01 Model SES01Model SEDR01Model SEDRL1Model SED01Model SESR01Model SES01DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 ohm pacing impedanceSAV+ ON 50% p

21、acing ACM and VCM minimum adapted values at out-of-box settingsSSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 1.3 Ah1.6 Ah1.3 Ah.91 Ah.91 Ah8.9 years* 9.4*11.0 years* 11.5*8.9 years* 9.4*8.4 years8.4 yearsSensia SpecificationsHospitalization for CHFLongevityBa

22、tteryTypeVoltageAverage Projected CapacityPWLPWLPWLPWLPWLIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNI12.1 cc13.1 cc9.7 cc9.7 cc9.7 cc27.1 g31.3 g21.5 g21.5 g21.5 g44.7 x 47.9 x 7.5 mm45.4 x 52.3 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mmSEDR01SEDRL

23、1SED01SESR01SES01Radiopaque IDConnectorVolumeMassSize (HxWxD)Model *Lithium-iodine2.8 VModel SEDR01Model SEDRL1Model SED01Model SESR01 Model SES01Model SEDR01Model SEDRL1Model SED01Model SESR01Model SES01DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 ohm

24、 pacing impedanceSAV+ ON 50% pacing ACM and VCM minimum adapted values at out-of-box settingsSSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 1.3 Ah1.6 Ah1.3 Ah.91 Ah.91 Ah8.9 years* 9.4*11.0 years* 11.5*8.9 years* 9.4*8.4 years8.4 years14.014.911.312.011.312.01

25、0.410.4Versa經(jīng)過循證驗證的起搏全面起搏管理的選擇SensingAssuranceAuto P- and R-Wave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate ResponseAuto LeadImpedance TrendsPMOPRate DropResponseConducted AF ResponseSinus PreferenceCardiacCompassAdaptaVersaSensiaRelia減少

26、心室起搏MVPSearch AV+Search AV+Search AV+Search AV+閾值管理VCMACMVCMACMVCMACMVCM自動調(diào)整感知靈敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趨勢圖P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治療顧問YesYesYesNo房性快速心律失常干預(yù)YesYesNoNo腔內(nèi)電圖48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 seco

27、ndsSingle Trigger程控儀2090979020909790209097902090Versa SpecificationsHospitalization for CHFModelSize (HxWxD)MassVolumeConnectorRadiopaque IDVEDR0144.7 x 47.9 x 7.5 mm27.1 g12.1 ccIS-1 BI or UNIPWHBatteryTypeVoltageAverage Projected CapacityLongevityDDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V

28、, atrial, 1.5 V 0.4 ms pulse width, 1000 ohm pacing impedance, pre-arrhythmia EGM storage ON for 8 weeks per year SAV+ ON 50% pacing ACM and VCM minimum adapted values at out-of-box settings * Lithium-iodine2.8 V1.3 Ah8.9 years*9.4 years*Versa SpecificationsHospitalization for CHFModelSize (HxWxD)Ma

29、ssVolumeConnectorRadiopaque IDVEDR0144.7 x 47.9 x 7.5 mm27.1 g12.1 ccIS-1 BI or UNIPWHBatteryTypeVoltageAverage Projected CapacityLongevityDDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V 0.4 ms pulse width, 1000 ohm pacing impedance, pre-arrhythmia EGM storage ON for 8 weeks per y

30、ear SAV+ ON 50% pacing ACM and VCM minimum adapted values at out-of-box settings * Lithium-iodine2.8 V1.3 Ah11.3 years*12.0 years*Adapta 經(jīng)過循證驗證的起搏雙腔起搏的最佳選擇SensingAssuranceAuto P- and R-Wave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate Resp

31、onseAuto LeadImpedance TrendsPMOPRate DropResponseConducted AF ResponseSinus PreferenceCardiacCompassMVPAPPAdaptaVersaSensiaRelia減少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+閾值管理VCMACMVCMACMVCMACMVCM自動調(diào)整感知靈敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趨勢圖P&R Wave TrendsP&R Wave Trends

32、P&R Wave TrendsNO治療顧問YesYesYesNo房性快速心律失常干預(yù)YesYesNoNo腔內(nèi)電圖48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控儀2090979020909790209097902090ModelSize (HxWxD)MassVolumeConnectorRadiopaque IDADDR01ADDR03ADDR06ADDRS1ADDRL144.7 x 47.9 x 7.5 mm46.7 x 47.9 x 7.5 mm50

33、.3 x 47.9 x 7.5 mm44.7 x 42.9 x 7.5 mm45.4 x 52.3 x 7.5 mm27.1 g28.1 g28.5 g23.6 g31.3 g12.1 cc13.0 cc14.2 cc11.1 cc13.1 ccIS-1 BI or UNI3.2 mm LP BI,IS-1 BI or UNI5 or 6 mm UNI*IS-1 BI or UNIIS-1 BI or UNIPWBPWBPWBPWBPWBBatteryTypeVoltageAverage Projected CapacityLongevityAdapta Specifications *Lit

34、hium-iodine2.8 VModels ADDR01/03/06Model ADDRS1Model ADDRL1Models ADDR01/03/06Model ADDRS1Model ADDRL1Parylene coating on backside of caseDDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial 1.5 V, 0.4 ms pulse width, 1000 ohm pacing impedance MVP Mode ON 50% atrial pacing and 5% ventricular

35、pacing 1.3 Ah.91 Ah1.6 Ah8.9 years* 9.6* with MVP On6.7 years* 7.2* with MVP On11.0 years* 11.9* with MVP OnModelSize (HxWxD)MassVolumeConnectorRadiopaque IDADDR01ADDR03ADDR06ADDRS1ADDRL144.7 x 47.9 x 7.5 mm46.7 x 47.9 x 7.5 mm50.3 x 47.9 x 7.5 mm44.7 x 42.9 x 7.5 mm45.4 x 52.3 x 7.5 mm27.1 g28.1 g2

36、8.5 g23.6 g31.3 g12.1 cc13.0 cc14.2 cc11.1 cc13.1 ccIS-1 BI or UNI3.2 mm LP BI,IS-1 BI or UNI5 or 6 mm UNI*IS-1 BI or UNIIS-1 BI or UNIPWBPWBPWBPWBPWBBatteryTypeVoltageAverage Projected CapacityLongevityAdapta Specifications *Lithium-iodine2.8 VModels ADDR01/03/06Model ADDRS1Model ADDRL1Models ADDR0

37、1/03/06Model ADDRS1Model ADDRL1Parylene coating on backside of caseDDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial 1.5 V, 0.4 ms pulse width, 1000 ohm pacing impedance MVP Mode ON 50% atrial pacing and 5% ventricular pacing 1.3 Ah.91 Ah1.6 Ah8.9 years* 9.6* with MVP On6.7 years* 7.2* wit

38、h MVP On11.0 years* 11.9* with MVP On14.014.911.312.08.59.111.312.010.4EnRhythmMVP最強的AT/AF管理 EnRhythm型號 單/雙腔頻率應(yīng)答使用年限體積重量P1501DRDualYes5.4 12.3 yrs13 cc21 gEnRhythmMVP自動調(diào)整感知靈敏度可程控的PVABARSAPPPMOP反應(yīng)性ATP生理性起搏起搏安全房性心律失常管理特殊功能Quick look II心臟指南針（14個月）16.5分鐘EGM診斷功能VRS最新上市產(chǎn)品Advisa DR整合了Adapta和EnRhythm的優(yōu)勢Surescan產(chǎn)品EnRhythm MRIAdvisa MRI唯一突破MRI