心脏起搏器培训资料：美敦力起搏器产品串讲

1、美敦力起搏器产品串讲 2 | Level 2 功能是药片 3 | Level 2 产品是药瓶 4 | Level 2 学习产品需要掌握的要点 产品系列及具体型号 物理特征 重量、体积、三围（厚度）、外形、导线兼容性 电学特征 电池容量、使用寿命 功能特征 血流动力学管理：房室传导、 UTR、滞后、 变时反应管理： 房性心律失常管理：诊断、节律控制、频率控制、 室性心律失常管理：诊断 晕厥管理： 随访工具：患者、疾病、电（感知、夺获、导线、寿命） 高级诊断功能：选择性事件记录及分析工具 起搏系统管理：寿命、感知、夺获、导线 5 | Level 2 还需要知道 价格 卖点 竞争 市场策略 6 |

2、Level 2 Sigma 7 | Level 2 Sigma系列产品 Sigma 100 Sigma SVVI100/3Sigma SS100/3/6 Sigma 200 Sigma SS200/3Sigma SSR200/3 Sigma SD200/3Sigma SDR200/3 Sigma 300 Sigma SS300/3/6Sigma SSR300/3/6 Sigma SD300/3/6Sigma SDR300/3/6 Sigma SVDD300/3 8 | Level 2 Sigma系列产品 型号型号 单单/双腔双腔频率应答频率应答使用年限使用年限体积体积重量重量 SS103Sin

3、gleNo6.4 11.1 yrs10.5 cc21.5 g SSR203SingleYes6.4 11.1 yrs10.5 cc21.5 g SDR203DualYes5.5 11.7 yrs12.8 cc27.2 g SSR303SingleYes6.4 11.1 yrs10.5 cc21.5 g SDR303DualYes5.5 11.7 yrs12.8 cc27.2 g SVDD303VDD Yes5.8 9.7 yrs 11.6 cc22.8 g 9 | Level 2 Sigma 300 Auto-PVARP RAAV 频率应答 睡眠功能 单腔滞后 电极阻抗 长期监测 AMS （自

4、动模式转换） NCAP （非竞争性心房起搏） PMTI （起搏器介导 心动过速干预） 生理性起搏起搏安全 房性心律失常房性心律失常 管理管理 特殊功能 2.5sEGM； 6项诊断图表 诊断功能 10 | Level 2 Kappa 400 双传感器频率应答 11 | Level 2 Kappa 400 型号型号 单单/双腔双腔频率应答频率应答使用年限使用年限体积体积重量重量 KSR401SingleYes5.8 8.4 yrs11.6 cc34 g KDR401DualYes5.1 8.5 yrs13.9 cc34 g 12 | Level 2 Kappa 400 双感知频率应答 窦性优先 电

5、极阻抗 长期监测 AMS （自动模式转换） NCAP （非竞争性心房起搏） RDR 生理性起搏起搏安全 房性心律失常 管理 特殊功能 15sEGM； 9项诊断图表 诊断功能 增加增加 13 | Level 2 Kappa 700 自动化与生理性起搏的开端 14 | Level 2 Kappa 700 型号型号 单单/双腔双腔频率应答频率应答使用年限使用年限体积体积重量重量 KD701DualNo4.4 8.6 yrs12.1 cc27.1 g KDR701DualYes4.4 8.6 yrs12.1 cc27.1 g 15 | Level 2 Kappa 700 窦性优先 Search AV

6、自动植入识别 自动感知保障 VCM AMS （自动模式转换4/7） 空白期房扑搜索 生理性起搏起搏安全 房性心律失常房性心律失常 管理管理 特殊功能 16sEGM； 10项诊断图表 诊断功能 RDR 增加增加增加增加 16 | Level 2 EnPulse 心房阈值自动管理 房性心律失常全程诊断记录 17 | Level 2 EnPulse 型号型号 单单/双腔双腔频率应答频率应答使用年限使用年限体积体积重量重量 E2SR01SingleYes4.8 7.7 yrs9.7 cc21.5 g E2DR01DualYes4.4 8.5 yrs12.1 cc27.1 g 18 | Level 2

7、EnPulse Search AV+ VCM+ ACM PMOP VRP 生理性起搏起搏安全 房性心律失常房性心律失常 管理管理 特殊功能 Quick look II 心脏指南针 诊断功能 增加增加增加 19 | Level 2 Adapta Versa Sensia Relia Adapta Family 20 | Level 2 Adapta MVP& Search AV+ PMOP CAFR APP 生理性起搏起搏安全 房性心律失常房性心律失常 管理管理 特殊功能 AT/AFObser vation（AT 房扑/AF房 颤事件的监 测记录） Quick look II 心脏指南针 （6个

8、月） 诊断功能 Rate response新程控界面 TherapyGuide 增加增加 21 | Level 2 AdaptaVersaSensiaRelia 减少心室起搏 MVP Search AV+ Search AV+Search AV+Search AV+ 阈值管理 VCM ACM VCM ACM VCM ACM VCM 自动调整感知灵敏度 Sensing AssuranceSensing Assurance Sensing Assurance NO 感知趋势图 P&R Wave TrendsP&R Wave Trends P&R Wave Trends NO 治疗顾问 YesYes

9、YesNo 房性快速心律失常干预 YesYesNoNo 腔内电图 48 seconds Dual Trigger 48 seconds Dual Trigger 24 seconds Dual Trigger 16 seconds Single Trigger 程控仪 2090 9790 2090 9790 2090 9790 2090 22 | Level 2 Auto Implant Detection VCM Bipolar Lead Monitor SAV+ Auto Longevity Estimator Dual Zone Rate Response Auto Lead Imped

10、ance Trends EGM Storage Relia 经过循证验证的起搏值得信赖的成熟技术 23 | Level 2 AdaptaVersaSensiaRelia 减少心室起搏 MVP Search AV+ Search AV+Search AV+Search AV+ 阈值管理 VCM ACM VCM ACM VCM ACM VCM 自动调整感知灵敏度 Sensing AssuranceSensing Assurance Sensing Assurance NO 感知趋势图 P&R Wave TrendsP&R Wave Trends P&R Wave Trends NO 治疗顾问 Ye

11、sYesYesNo 房性快速心律失常干预 YesYesNoNo 腔内电图 48 seconds Dual Trigger 48 seconds Dual Trigger 24 seconds Dual Trigger 16 seconds Single Trigger 程控仪 2090 9790 2090 9790 2090 9790 2090 24 | Level 2 Relia Specifications Hospitalization for CHF Battery Type Voltage Average Projected Capacity PWL PWL PWL PWL PWL

12、IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI 12.1 cc 12.1 cc 11.1 cc 9.7 cc 9.7 cc 27.1 g 27.1 g 23.6 g 21.5 g 21.5 g 44.7 x 47.9 x 7.5 mm 44.7 x 47.9 x 7.5 mm 44.7 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm REDR01 RED01 REVDD01 RESR01 RES01 Radiopaque ID

13、ConnectorVolumeMassSize (HxWxD)Model * * * Lithium-iodine 2.8 V Model REDR01 Model RED01 Model REVDD01 Model RESR01 Model RES01 Model REDR01 Model RED01 Model REVDD01 Model RESR01 Model RES01 DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 pacing impedanc

14、e DDDR or DDD, 60 ppm, SAV+ ON, 50% pacing, ventricular 2,0 V, atrial 1,5 V, 0,4 ms pulse width, 1000 pacing impedance VDD 60 ppm, 100% pacing, ventricular 2,0 V, 0,4 ms pulse width, 1000 pacing impedance 1.2 Ah 1.2 Ah .86 Ah .86 Ah .86 Ah 8.9 years* 9.4* 8.9 years* 9.4* 7.0 years* 8.4 years 8.4 yea

15、rs ACM and VCM minimum adapted values at out-of-box settings SSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 25 | Level 2 Relia Specifications Hospitalization for CHF Battery Type Voltage Average Projected Capacity PWL PWL PWL PWL PWL IS-1 BI or UNI IS-1 BI or

16、UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI 12.1 cc 12.1 cc 11.1 cc 9.7 cc 9.7 cc 27.1 g 27.1 g 23.6 g 21.5 g 21.5 g 44.7 x 47.9 x 7.5 mm 44.7 x 47.9 x 7.5 mm 44.7 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm REDR01 RED01 REVDD01 RESR01 RES01 Radiopaque IDConnectorVolumeMassSize (H

17、xWxD)Model * * * Lithium-iodine 2.8 V Model REDR01 Model RED01 Model REVDD01 Model RESR01 Model RES01 Model REDR01 Model RED01 Model REVDD01 Model RESR01 Model RES01 DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 pacing impedance DDDR or DDD, 60 ppm, SAV

18、+ ON, 50% pacing, ventricular 2,0 V, atrial 1,5 V, 0,4 ms pulse width, 1000 pacing impedance VDD 60 ppm, 100% pacing, ventricular 2,0 V, 0,4 ms pulse width, 1000 pacing impedance 1.2 Ah 1.2 Ah .86 Ah .86 Ah .86 Ah 11.3 years* 12.0* 11.3 years* 12.0* 9.0 years* 10.4 years 10.4 years ACM and VCM minim

19、um adapted values at out-of-box settings SSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 26 | Level 2 Sensia 经过循证验证的起搏完全自动化和生理性的标准选择 Sensing Assurance Auto P- and R- Wave Trends Auto Implant Detection ACM & VCM Bipolar Lead Monitor SAV+ Therapy Guide Auto Longe

20、vity Estimator Dual Zone Rate Response Auto Lead Impedance Trends 27 | Level 2 AdaptaVersaSensiaRelia 减少心室起搏 MVP Search AV+ Search AV+Search AV+Search AV+ 阈值管理 VCM ACM VCM ACM VCM ACM VCM 自动调整感知灵敏度 Sensing AssuranceSensing Assurance Sensing Assurance NO 感知趋势图 P&R Wave TrendsP&R Wave Trends P&R Wave

21、Trends NO 治疗顾问 YesYesYesNo 房性快速心律失常干预 YesYesNoNo 腔内电图 48 seconds Dual Trigger 48 seconds Dual Trigger 24 seconds Dual Trigger 16 seconds Single Trigger 程控仪 2090 9790 2090 9790 2090 9790 2090 28 | Level 2 Sensia Specifications Hospitalization for CHF Longevity Battery Type Voltage Average Projected C

22、apacity PWL PWL PWL PWL PWL IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI 12.1 cc 13.1 cc 9.7 cc 9.7 cc 9.7 cc 27.1 g 31.3 g 21.5 g 21.5 g 21.5 g 44.7 x 47.9 x 7.5 mm 45.4 x 52.3 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm SEDR01 SEDRL1 SED01

23、SESR01 SES01 Radiopaque IDConnectorVolumeMassSize (HxWxD)Model * * Lithium-iodine 2.8 V Model SEDR01 Model SEDRL1 Model SED01 Model SESR01 Model SES01 Model SEDR01 Model SEDRL1 Model SED01 Model SESR01 Model SES01 DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width

24、, 1000 ohm pacing impedance SAV+ ON 50% pacing ACM and VCM minimum adapted values at out-of-box settings SSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 1.3 Ah 1.6 Ah 1.3 Ah .91 Ah .91 Ah 8.9 years* 9.4* 11.0 years* 11.5* 8.9 years* 9.4* 8.4 years 8.4 years 29

25、| Level 2 Sensia Specifications Hospitalization for CHF Longevity Battery Type Voltage Average Projected Capacity PWL PWL PWL PWL PWL IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI IS-1 BI or UNI 12.1 cc 13.1 cc 9.7 cc 9.7 cc 9.7 cc 27.1 g 31.3 g 21.5 g 21.5 g 21.5 g 44.7 x 47.9 x 7.5 m

26、m 45.4 x 52.3 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm 40.2 x 42.9 x 7.5 mm SEDR01 SEDRL1 SED01 SESR01 SES01 Radiopaque IDConnectorVolumeMassSize (HxWxD)Model * * Lithium-iodine 2.8 V Model SEDR01 Model SEDRL1 Model SED01 Model SESR01 Model SES01 Model SEDR01 Model SEDRL1 Model SED01 Model

27、 SESR01 Model SES01 DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V, 0.4 ms pulse width, 1000 ohm pacing impedance SAV+ ON 50% pacing ACM and VCM minimum adapted values at out-of-box settings SSIR or SSI, 60 ppm, 100% pacing, 2.0 V, 0.4 ms pulse width, 1000 ohm pacing impedance 1.

28、3 Ah 1.6 Ah 1.3 Ah .91 Ah .91 Ah 8.9 years* 9.4* 11.0 years* 11.5* 8.9 years* 9.4* 8.4 years 8.4 years 14.014.9 11.312.0 11.312.0 10.4 10.4 30 | Level 2 Versa 经过循证验证的起搏全面起搏管理的选择 Sensing Assurance Auto P- and R- Wave Trends Auto Implant Detection ACM & VCM Bipolar Lead Monitor SAV+ Therapy Guide Auto

29、 Longevity Estimator Dual Zone Rate Response Auto Lead Impedance Trends PMOP Rate Drop Response Conducted AF Response Sinus Preference Cardiac Compass 31 | Level 2 AdaptaVersaSensiaRelia 减少心室起搏 MVP Search AV+ Search AV+Search AV+Search AV+ 阈值管理 VCM ACM VCM ACM VCM ACM VCM 自动调整感知灵敏度 Sensing Assurance

30、Sensing Assurance Sensing Assurance NO 感知趋势图 P&R Wave TrendsP&R Wave Trends P&R Wave Trends NO 治疗顾问 YesYesYesNo 房性快速心律失常干预 YesYesNoNo 腔内电图 48 seconds Dual Trigger 48 seconds Dual Trigger 24 seconds Dual Trigger 16 seconds Single Trigger 程控仪 2090 9790 2090 9790 2090 9790 2090 32 | Level 2 Versa Speci

31、fications Hospitalization for CHF ModelSize (HxWxD)MassVolumeConnector Radiopaque ID VEDR01 44.7 x 47.9 x 7.5 mm 27.1 g12.1 ccIS-1 BI or UNIPWH Battery Type Voltage Average Projected Capacity Longevity DDDR or DDD, 60 ppm, 100% pacing, ventricular 2.0 V, atrial, 1.5 V 0.4 ms pulse width, 1000 ohm pa

32、cing 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-iodine 2.8 V 1.3 Ah 8.9 years* 9.4 years* 33 | Level 2 Versa Specifications Hospitalization for CHF ModelSize (HxWxD)MassVolumeConnector Radiopa

33、que ID VEDR01 44.7 x 47.9 x 7.5 mm 27.1 g12.1 ccIS-1 BI or UNIPWH Battery Type Voltage Average Projected Capacity Longevity DDDR 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 year SAV+ ON 50%

34、 pacing ACM and VCM minimum adapted values at out-of-box settings * * Lithium-iodine 2.8 V 1.3 Ah 11.3 years* 12.0 years* 34 | Level 2 Adapta 经过循证验证的起搏双腔起搏的最佳选择 Sensing Assurance Auto P- and R- Wave Trends Auto Implant Detection ACM & VCM Bipolar Lead Monitor SAV+ Therapy Guide Auto Longevity Estima

35、tor Dual Zone Rate Response Auto Lead Impedance Trends PMOP Rate Drop Response Conducted AF Response Sinus Preference Cardiac Compass MVP APP 35 | Level 2 AdaptaVersaSensiaRelia 减少心室起搏 MVP Search AV+ Search AV+Search AV+Search AV+ 阈值管理 VCM ACM VCM ACM VCM ACM VCM 自动调整感知灵敏度 Sensing AssuranceSensing A

36、ssurance Sensing Assurance NO 感知趋势图 P&R Wave TrendsP&R Wave Trends P&R Wave Trends NO 治疗顾问 YesYesYesNo 房性快速心律失常干预 YesYesNoNo 腔内电图 48 seconds Dual Trigger 48 seconds Dual Trigger 24 seconds Dual Trigger 16 seconds Single Trigger 程控仪 2090 9790 2090 9790 2090 9790 2090 36 | Level 2 ModelSize (HxWxD)Mas

37、sVolumeConnectorRadiopaque ID ADDR01 ADDR03 ADDR06 ADDRS1 ADDRL1 44.7 x 47.9 x 7.5 mm 46.7 x 47.9 x 7.5 mm 50.3 x 47.9 x 7.5 mm 44.7 x 42.9 x 7.5 mm 45.4 x 52.3 x 7.5 mm 27.1 g 28.1 g 28.5 g 23.6 g 31.3 g 12.1 cc 13.0 cc 14.2 cc 11.1 cc 13.1 cc IS-1 BI or UNI 3.2 mm LP BI, IS-1 BI or UNI 5 or 6 mm U

38、NI* IS-1 BI or UNI IS-1 BI or UNI PWB PWB PWB PWB PWB Battery Type Voltage Average Projected Capacity Longevity Adapta Specifications * * * Lithium-iodine 2.8 V Models ADDR01/03/06 Model ADDRS1 Model ADDRL1 Models ADDR01/03/06 Model ADDRS1 Model ADDRL1 Parylene coating on backside of case DDDR or DD

39、D, 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 Ah 1.6 Ah 8.9 years* 9.6* with MVP On 6.7 years* 7.2* with MVP On 11.0 years* 11.9* with MVP On 37 | Level 2 ModelSize (HxWxD)Mass

40、VolumeConnectorRadiopaque ID ADDR01 ADDR03 ADDR06 ADDRS1 ADDRL1 44.7 x 47.9 x 7.5 mm 46.7 x 47.9 x 7.5 mm 50.3 x 47.9 x 7.5 mm 44.7 x 42.9 x 7.5 mm 45.4 x 52.3 x 7.5 mm 27.1 g 28.1 g 28.5 g 23.6 g 31.3 g 12.1 cc 13.0 cc 14.2 cc 11.1 cc 13.1 cc IS-1 BI or UNI 3.2 mm LP BI, IS-1 BI or UNI 5 or 6 mm UN

41、I* IS-1 BI or UNI IS-1 BI or UNI PWB PWB PWB PWB PWB Battery Type Voltage Average Projected Capacity Longevity Adapta Specifications * * * Lithium-iodine 2.8 V Models ADDR01/03/06 Model ADDRS1 Model ADDRL1 Models ADDR01/03/06 Model ADDRS1 Model ADDRL1 Parylene coating on backside of case DDDR or DDD

42、, 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 Ah 1.6 Ah 8.9 years* 9.6* with MVP On 6.7 years* 7.2* with MVP On 11.0 years* 11.9* with MVP On 14.014.9 11.312.0 8.59.1 11.312.0 1

43、0.4 38 | Level 2 EnRhythm MVP 最强的AT/AF管理 39 | Level 2 EnRhythm 型号型号 单单/双腔双腔频率应答频率应答使用年限使用年限体积体积重量重量 P1501DRDualYes5.4 12.3 yrs13 cc21 g 40 | Level 2 EnRhythm MVP 自动调整 感知灵敏度 可程控的PVAB ARS APP PMOP 反应性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 心脏指南针 （14个月） 16.5分钟EGM 诊断功能 VRS 41 | Level 2 最新上市产品 Advisa

44、DR 整合了Adapta和EnRhythm的优势 Surescan产品 EnRhythm MRI Advisa MRI 唯一突破唯一突破MRI禁忌、禁忌、 并取得并取得FDA认证的认证的 起搏系统起搏系统 翻译：申雪婷 詹军峰 邹鹏 FY12 Medtronic Brady 新产品系列 系列型号 EnRhythm MRIEMDR01 AdvisaDR MRIA3DR01 AdvisaDRA5DR01 ConnectedConnectedConnectedConnectedConnectedConnected AutomaticAutomaticAutomaticAutomaticAutomaticAutomatic Sensia Versa Adapta AutomaticAutomaticAutomaticAutomaticPhysiologic Physiologic DiagnosticsDiagnosticsDiagnosticsDiagnostics Extended DxExtended Dx