MDT-Brady-IPG-串讲-For-LV2--医用产品课件.ppt

1、1|MDT Confidential美敦力起搏器产品串讲功能是药片产品是药瓶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、导线还需要知道 价格 卖点 竞争 市场策略 SigmaSigma系列产品 Sigma 100 Sigma SVVI100/3Sigma SS

2、100/3/6 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 SVDD300/3Sigma系列产品型号型号 单单/双腔双腔频频率率应应答答使用年限使用年限体体积积重量重量SS103SingleNo6.4 11.1 yrs10.5 cc21.5 gSSR203SingleYes6.4 11.1 yrs10.5 cc21.5 gSDR203DualYes5

3、.5 11.7 yrs12.8 cc27.2 gSSR303SingleYes6.4 11.1 yrs10.5 cc21.5 gSDR303DualYes5.5 11.7 yrs12.8 cc27.2 gSVDD303VDD Yes5.8 9.7 yrs 11.6 cc22.8 gSigma 300Auto-PVARPRAAV频率应答睡眠功能单腔滞后电极阻抗长期监测AMS（自动模式转换）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Kappa 400双传感器频率应答Kappa 400型

4、号型号 单单/双腔双腔频频率率应应答答使用年限使用年限体体积积重量重量KSR401SingleYes5.8 8.4 yrs11.6 cc34 gKDR401DualYes5.1 8.5 yrs13.9 cc34 gKappa 400双感知频率应答窦性优先电极阻抗长期监测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Kappa 700自动化与生理性起搏的开端Kappa 700型号型号 单单/双腔双腔频频率率应应答答使用年限使用年限体体积积重量重量KD701DualNo4.4 8.6 yrs12.1 cc

5、27.1 gKDR701DualYes4.4 8.6 yrs12.1 cc27.1 gKappa 700窦性优先Search AV自动植入识别自动感知保障VCMAMS（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EnPulse心房阈值自动管理房性心律失常全程诊断记录EnPulse型号型号 单单/双腔双腔频频率率应应答答使用年限使用年限体体积积重量重量E2SR01SingleYes4.8 7.7 yrs9.7 cc21.5 gE2DR01DualYes4.4 8.5 yrs12.1 cc27

6、.1 gEnPulseSearch AV+VCM+ACMPMOPVRP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AdaptaVersaSensiaReliaAdapta FamilyAdaptaMVP&Search AV+PMOPCAFRAPP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/AFObservation（AT房扑/AF房颤事件的监测记录）Quick look II心脏指南针（6个月）诊断功能Rate response新程控界面TherapyGuide增加增加AdaptaVersaSensiaR

7、elia减少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+阈值管理VCMACMVCMACMVCMACMVCM自动调整感知灵敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趋势图P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治疗顾问YesYesYesNo房性快速心律失常干预YesYesNoNo腔内电图48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger1

8、6 secondsSingle Trigger程控仪2090979020909790209097902090Auto ImplantDetectionVCMBipolarLeadMonitorSAV+Auto Longevity EstimatorDual ZoneRate ResponseAuto LeadImpedance TrendsEGM StorageRelia 经过循证验证的起搏值得信赖的成熟技术AdaptaVersaSensiaRelia减少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+阈值管理VCMACMVCMACMVCMACMV

9、CM自动调整感知灵敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趋势图P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治疗顾问YesYesYesNo房性快速心律失常干预YesYesNoNo腔内电图48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控仪2090979020909790209097902090Relia SpecificationsHo

10、spitalization 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 47.9 x 7.5 mm44.7 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mm40.2 x

11、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 DDD,60 ppm,100%pacing,ventricular 2.0 V,atrial,1.5 V,0.4 ms pu

12、lse 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 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

13、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 impedanceRelia SpecificationsHospitalization for CHFBatteryTypeVoltageAverage Projected CapacityPWLPWLPWLPWLPWLIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNIIS-1 BI or UNI

14、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 RED01Mod

15、el 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,1000 pacing impedan

16、ceVDD 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 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 paci

17、ng impedanceSensia经过循证验证的起搏完全自动化和生理性的标准选择SensingAssuranceAuto P-and R-Wave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate ResponseAuto LeadImpedance TrendsAdaptaVersaSensiaRelia减少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+阈值管理VCMACMVCMAC

18、MVCMACMVCM自动调整感知灵敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趋势图P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治疗顾问YesYesYesNo房性快速心律失常干预YesYesNoNo腔内电图48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控仪2090979020909790209097902090Sensia Specifi

19、cationsHospitalization for CHFLongevityBatteryTypeVoltageAverage 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.

20、9 x 7.5 mm40.2 x 42.9 x 7.5 mmSEDR01SEDRL1SED01SESR01SES01Radiopaque 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.

21、5 V,0.4 ms pulse width,1000 ohm 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 yearsSensi

22、a SpecificationsHospitalization for CHFLongevityBatteryTypeVoltageAverage 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 mm4

23、0.2 x 42.9 x 7.5 mm40.2 x 42.9 x 7.5 mmSEDR01SEDRL1SED01SESR01SES01Radiopaque 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,

24、atrial,1.5 V,0.4 ms pulse width,1000 ohm 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 y

25、ears14.014.911.312.011.312.010.410.4Versa经过循证验证的起搏全面起搏管理的选择SensingAssuranceAuto P-and R-Wave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate ResponseAuto LeadImpedance TrendsPMOPRate DropResponseConducted AF ResponseSinus PreferenceCardiacCom

26、passAdaptaVersaSensiaRelia减少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+阈值管理VCMACMVCMACMVCMACMVCM自动调整感知灵敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趋势图P&R Wave TrendsP&R Wave TrendsP&R Wave TrendsNO治疗顾问YesYesYesNo房性快速心律失常干预YesYesNoNo腔内电图48 secondsDual Trigger48 seconds Dual Trigger24

27、 seconds Dual Trigger16 secondsSingle Trigger程控仪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%p

28、acing,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%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 CHFMode

29、lSize(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,atrial,1.5 V 0.4 ms pulse width,1000 ohm pacing impedance,pre-arrhythmia EGM storage ON for 8 weeks

30、 per year 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 经过循证验证的起搏双腔起搏的最佳选择SensingAssuranceAuto P-and R-Wave TrendsAuto ImplantDetectionACM&VCMBipolarLeadMonitorSAV+TherapyGuideAuto Longevity EstimatorDual ZoneRate Res

31、ponseAuto LeadImpedance TrendsPMOPRate DropResponseConducted AF ResponseSinus PreferenceCardiacCompassMVPAPPAdaptaVersaSensiaRelia减少心室起搏MVPSearch AV+Search AV+Search AV+Search AV+阈值管理VCMACMVCMACMVCMACMVCM自动调整感知灵敏度Sensing AssuranceSensing AssuranceSensing AssuranceNO感知趋势图P&R Wave TrendsP&R Wave Trend

32、sP&R Wave TrendsNO治疗顾问YesYesYesNo房性快速心律失常干预YesYesNoNo腔内电图48 secondsDual Trigger48 seconds Dual Trigger24 seconds Dual Trigger16 secondsSingle Trigger程控仪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*Lith

34、ium-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 pacing 1.3

35、 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 g28.5 g23.6 g31.3 g

36、12.1 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 ADDR01/03/06Model ADDRS

37、1Model 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*with MVP On11.0 years*11.9*with MV

38、P On14.014.911.312.08.59.111.312.010.4EnRhythmMVP最强的AT/AF管理 EnRhythm型号型号 单单/双腔双腔频频率率应应答答使用年限使用年限体体积积重量重量P1501DRDualYes5.4 12.3 yrs13 cc21 gEnRhythmMVP自动调整感知灵敏度可程控的PVABARSAPPPMOP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最新上市产品 Advisa DR 整合了Adapta和EnRhythm的优势 Surescan产品 EnRhyt

39、hm 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 MRIEMDR01AdvisaDR MRIA3DR01AdvisaDRA5DR01ConnectedConnectedConnectedConnectedConnectedConnectedAutomaticAutomaticAutomaticAutomaticAutomaticAutomaticSensiaVersaAdaptaAutomaticAutomaticAutomat

40、icAutomaticPhysiologic Physiologic DiagnosticsDiagnosticsDiagnosticsDiagnosticsExtended Extended DxDxExtended RxExtended RxDiagnosticsDiagnosticsExtended Extended DxDxExtended RxExtended RxAtrialAtrial Overdrive OverdriveMVPMVPConnectedConnectedAutomaticAutomaticPhysiologic Physiologic DiagnosticsDi

41、agnosticsExtended Extended DxDxExtended RxExtended RxAtrialAtrial Overdrive OverdriveMVPMVPAtrialAtrial ATP ATPOptiVolOptiVolHi-Fidelity EGM ViewerAdvisaAdvisa MRI MRI比较概述比较概述SureScanAdvisaTM MRIConnectedConnectedAutomaticAutomaticAdvisa MRIPhysiologic Physiologic DiagnosticsDiagnosticsExtended DxEx

42、tended DxExtended RxExtended RxAtrial OverdriveAtrial OverdriveMVPMVPAtrial ATPAtrial ATPOptiVolOptiVol Hi-Fidelity EGM ViewerSureScanConnectedConnectedPhysiologic Physiologic DiagnosticsDiagnosticsExtended DxExtended DxExtended RxExtended RxAtrial OverdriveAtrial OverdriveMVPMVP Atrial ATPAtrial AT

43、PEnRhythm MRISureScan产品功能AdvisaAdvisa MRI MRI最大化的舒适性和安全性最大化的舒适性和安全性卓越的安全保障卓越的安全保障生理性起搏生理性起搏自动化功能自动化功能房性心律失常管理房性心律失常管理完备的患者管理完备的患者管理SureScanMVP逐跳自适应感知AVM/VCM自动电极导线监测自动植入识别AT/AF干预程序CAFR心房 Reactive ATP治疗治疗顾问增强的EGM记录OptiVol液体潴留监测Cardiac Compass TrendsCharacteristic 性能Advisa DREnRhythm DRVolume 体积12.7 cc

44、12.7 ccMass 重量21 g21 gDimensions 尺寸51 x 45 x 7.751 x 45 x 7.7Longevity 寿命9-11 yr10.5 12.5 yr(*)Battery 电池lithium silver vanadium oxide cell Delta26Hlithium silver vanadium oxide cell Delta26HAdvisa DR 物理参数物理参数如何选择和推荐产品 适应证？病窦 AVB AT/AF 医生观念？生理性 安全性 使用寿命？IPG的大小、体积？经济情况？MDT Brady Prd Compare-update.xls