心脏起搏器专业知识讲座

Cardiacpacemakerconstituteandprinciple1catalogue

Moveto

artificialheartpacemakersystem2

Permanentcardiacpacemakercomplications3

Thesafetyofthepacemaker4CThereasonofcardiacpacemakerreplacement5

Cardiacpacemakerwithwirelesschargingsystem6心脏起搏器专业知识讲座第1页

Cardiacpacemakerconstituteandprinciple1-1Cardiacpacemaker

isaelectronicinstrumentthatcanmoveintointra-individual.Throughthepulsegeneratorelectricalimpulses,viatheconductivewireelectrodeconduction,stimulatingelectrodecontactbytheheartmuscle，maketheheartexcitedandcontraction.Pulsegeneratorpulsecurrentwiresandelectrodesheartmusclelocalmyocardialcellsexciteintercellulargapjunctions、intercalateddiscconnectionsurroundingmyocardiumconductionatrialorventricularexcite,producecontraction心脏起搏器专业知识讲座第2页Cardiacpacemakerconstituteandprinciplele1-2PacemakersystemcompositionPulsegenerator+electrodewires.Pacemakerismainlycomposedofpowersupply(i.e.batteries,nowmainuselithiumbattery-iodine)andtheelectroniccircuitprocess，cangenerateandoutputelectricalpulse.Electrodeconductoristheconductivewirewithinsulationwrappedoutside,itsfunctionistotransfertheelectricalimpulsesofthepacemakertotheheart,andthelumenelectrocardiogramtransmittedtothepacemakeroftheheartofthesensingline心脏起搏器专业知识讲座第3页

Movetoartificialheartpacemakersystem2-1Temporarycardiacpacing

percutaneouspacemaker,approvedbyesophagealpacemaker,thechestwallpuncturepacemaker,openchestepicardialpacemakerandtransvenouspacemaker.PermanentpacemakerAtpresent,mostoftheuseoftheendocardialelectrodewires.Technicalpointsincludingveinselection,fixedandpacemakerwireelectrodeembedment。心脏起搏器专业知识讲座第4页Permanentcardiacpacemakercomplications3-1PermanentpacemakercomplicationsImplantsurgeryrelatedcomplicationsarrhythmia

localbleeding

cardiacperforation

infection

thediaphragmaticmusclestimulation心脏起搏器专业知识讲座第5页

Permanentcardiacpacemakercomplications3-2thecomplicationsrelatedtotheelectrodewireandtreatmentmeasureThresholdincreasingElectrodedislocationandmicrodislocationElectrodewirebrokenorinsulatinglayerbreakdown心脏起搏器专业知识讲座第6页

Permanentcardiacpacemakercomplications3-3thecomplicationsrelatedtothepacemakersystemandtreatmentmeasurePacemakersyndrome(PMS)Pacemakermediatedtachycardia(PMT)心脏起搏器专业知识讲座第7页

Thesafetyofthepacemaker

4-1ItissafetoInstallpacemaker.

Theoverallincidenceofitisonlyabout1%。

Ifitcanbestandardizedtreatmentandregularfollow-up,benefitisfargreaterthanitsdisadvantages.心脏起搏器专业知识讲座第8页

Thedevelopmentoftheinvitrocardiacpacemaker4-2

Thedevelopmentofinvitropacemakerisinkeepingwiththenationalconditionsofourcountry.Invitropacemakershapeandsizelikeapackofcigarettes.Puttingonthepatient'schestwall,invitropacemakercanproduce1~2Gselectromagneticfield.Itcanbeusedinthebath,swimming,andphysicalexercise。

IfthereisnoswitchelectromagneticvalveY111orswitchisnotcomplete,thatwillcausethecalibrationwithoutoxygenorinpureoxygenintotheair,causingcalibrationgasisnotpure,eventuallyleadingtooxygenmonitoringisnotallowed.心脏起搏器专业知识讲座第9页

Thereasonofcardiacpacemakerreplacement5-1clinicaldata:Thisgroupof30cases,male18patients,12caseswerefemale;Agefrom20to88;26casesreplace1times,3casesreplace2times,1casereplace3times;

Pacemakeroperatinglife：Batterydepletion23cases，batterydepletioninadvance4cases,infection2cases,Wireelectrodedislocation2cases,rejectionreaction2cases,rejectionreaction1cases,Pacemakermalfunction1cases.analysisofcauses：Thedepletionofthebattery；infection；Wireelectrodedislocation心脏起搏器专业知识讲座第10页

Cardiacpacemakerwithwirelesschargingsystem6-1Need

Usingthebuilt-inbatteryasapowersource，thisbatteryalwayshave5~10yearsofworkinglife心脏起搏器专业知识讲座第11页Cardiacpacemakerwithwirelesschargingsystem6-2DesignThewirelesstransmitterdivideintothreeparts：oscillatingcircuitamplificationcircuit

themaincoil

Thereceivingterminaldivideintothreeparts：

Rechargeableelectricroadrectifyingcircuit

secondarycoil心脏起搏器专业知识讲座第12页

心脏起搏器用无线充电系统6-3心脏起搏