Sensor Sensor Optimization for internal use only Normal chronotropic response 60 70 80 90 100 110 120 130 140 150 Rate min -1 Time.

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Presentation transcript:

Sensor Sensor Optimization

for internal use only Normal chronotropic response Rate min -1 Time

for internal use only Chronotropic incompetence Rate min -1 Time

for internal use only Chronotropic incompetence Rate min -1 Time

for internal use only Chronotropic incompetence Rate min -1 Time

for internal use only Omnisense Accelerometer In the following products: Trilogy DR+ Affinity Entity Integrity Identity ADx-family

for internal use only Omnisense Accelerometer

for internal use only First Clinical Experience with a new accelerometer-based Sensor during different daily activities, Candinas R, Erne P, Schönbeck M, European Trilogy DR+ Investigators, EUR.J.C.P.E, 1996:6.177:A706 26/5 Omnisense (literature)

for internal use only Sensor Pacemakers Maximum Rate (Minimum Rate = Basic Rate) Threshold Slope (Rate responsive factor) Reaction time Recovery time Parameters

for internal use only Sensor Parameters

for internal use only Sensor Parameters

for internal use only Sensor Parameters

for internal use only Activity Level and Sensor Signal Z Z Z ZZ Z Z Z

for internal use only Mean Value Max Rate Min Rate Rate Activity Z Z Z ZZ Z Z Z Threshold AUTO -0.5 Sensor Threshold Too low threshold: Sensor driven rate at rest! Too high threshold: Basic rate at low level exercise!

for internal use only Max Rate Min Rate Rate Activity Z Z Z ZZ Z Z Z Sensor Slope Slope 8 Slope 8: This activity level gives a rate increase of 25 min -1

for internal use only Max Rate Min Rate Rate Activity Z Z Z ZZ Z Z Z Sensor Slope Slope 12 Slope 12: The same activity level gives a rate increase of 40 min -1

for internal use only Max Rate Min Rate Rate Activity Z Z Z ZZ Z Z Z Sensor Slope, Basic Rate and Max. Sensor Rate Slope 6 A low slope, a low basic rate or a high max. sensor rate may exclude ability to reach max. sensor rate.

for internal use only Slope and Target Rate Target Rate, slope 8 Target Rate, slope 12

for internal use only Reaction- & Recovery Time Reaction TimeRecovery Time

for internal use only Rate Sensor Slopes Max. Sensor Rate Threshold

for internal use only

Diagnostics % 1% 29%<1%62%

for internal use only Heart Rate Histogram Histogram shows ventricular rate, preceded by AP or AS (or a PVC) …And for total time sampled

for internal use only Chronotropic Incompetence

for internal use only Is Sensor On or Passive?

for internal use only Mix of Sensor Drive & Intrinsic rate

for internal use only Intrinsic Rate Overdriving the Sensor

for internal use only Is Sensor Performing Well?

for internal use only Sensor On or Passive?

for internal use only

Rate Response Optimization

for internal use only