植入器械钢的远程随访及家庭监测.pptVIP

植入器械的远程随访及家庭监测;中国植入器械现状;传统的随访;中国;存在问题;如何解决以上问题？;Medtronic CareLink Network 是目前建立的第一个远程遥测及程控网络工作站 ;患者在家中完成随访 同到医院一样： 询问：了解发生的事件 打印：所有数据、心电图 ;远程程控及遥测的优点： 医生随访时间灵活 增加治疗效果 任何时间医生可与病人之间保持联系 患者感到更加安全、方便;远程随访的组成;医生可以在家中或办公室内完成随访 可以在任何时间、任何地点了解患者的情况 只需使用常用电脑网路系统 心电图及打印报告简简捷;患者在睡眠时 起搏器/ICD的内的各种信息连续传输到记录器内 所记录的所有信息绝对保密（只有主管医生知道）;The CareLink? Network 为临床医生提供以下功能： 网址、邮箱、打印信息、声讯提示、传呼功能;Automatic follow-up (wireless);The website address is , and takes you to this page. By selecting “I am a Health Care Professional,” you are taken to the Clinician site.;ClinicianA;The Patient List Upon entering the Medtronic CareLink Clinician site, you’ll first see your Patient List. Here are all of your clinic’s patient listed, along with their device type, implant date, the date of their last CareLink transmission, and an Event Summary. In the Event Summary, you’ll be able to quickly see if there have been any events, shocks or anything that might need your immediate attention. It is also from this page that you can print patient reports, and batch process multiple patients’ reports. ;Here is the Quick Look for John Smith. You’ll note the format is very similar to how it is shown on the Programmer. To see additional information, the user can scroll down or select “PRINT.” ;The user can choose to view or print specific reports by clicking on individual boxes in the list, or (as shown here) can opt to SELECT ALL reports. ;BIOTRONIK Home Monitoring? ;Implant;3/4频GSM调制解调器 SMS/GPRS技术 尺寸： 6 cm x 13 cm x 4 cm 重量：220 g 待机时间：24~72 h;CardioMessenger;常规事件每日定点传送、特殊事件随时传送 ;医生如何获知病人信息;医生会有一个自己专用的用户名和密码;病人总览;某个病人事件的预览;Home Monitoring还可传送高清心内电图 HD-IEGM-Online??供了与程控仪同样的视觉效果和清晰度！ 可向医生自动传送整个事件的每个细节;Up to 15 seconds pre-termination w/ IEGM-Online HD;早期发现 在症状出现之前采取有效的预防治疗 有效利用医疗资源 为患者提供最佳的针对性治疗 缓解病人焦虑 帮助病人摆脱植入设备所带来的焦虑情绪;without HM option;病例1;Trend shows a decrease in Impedance;家庭监护显示阻抗 ? 200 ?;病例1;Patient called in for Follow- Up, but due to his occupation (he is captain on merchant ship and has t