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Healthcare Professionals Cardiac Rhythm Management Pacemakers TEO

WORLD’S SMALLEST TRANSVENOUS PACEMAKER.1

1.5 T and 3 T full body MR conditional.

Therapies activated automatically at implant. Minimizes ventricular pacing for SND and AV Block patients. 12 years of longevity* in 8 cc.

TEO DR Micro Port 2018

SafeR™

Dramatically reduces unnecessary RV pacing in all pacemaker patients, including AV block patients.

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AutoMRI™

Making MRI scans easy and safe for pacemaker patients.

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Dual Sensor™

Designed to physiologically modulate heart rhythm by combining Accelerometer and Minute Ventilation sensors.

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Preset Fit

Optimal settings automatically programmed

Automatic lead polarity configuration
Evolves and learns with the patient
Automatic launch of key features

One-click follow-up test sequence

Suite of tests launched sequentially in one click
Detailed snapshot of key results displayed in one screen

High definition EGM

Eases reading for a quick and precise diagnosis
Eliminates the need for ECG electrodes to do threshold tests

Key information at first sight on the programmer

φ Intelligence

Physio-inspired design

Mimics the natural way the heart works and minimizes artificial intervention.

Wave to wave thinking

Permanent adaptive strategy for real time decisions that respond to all levels of patient activity, day and night, evolving and learning with the patient.

Symbiotic programming

Programming is driven only by hemodynamic needs. All therapeutic features are independently programmable, designed to work simultaneously together with no conflict.

CRM Intelligence

Ratio Design

8 cc

  • Smaller incision & reduced pocket size
  • Boosts psychological adoption for patients

Ellipse Shape

  • Natural lead wrap around
  • Facilitates insertion and lead connection

12 years longevity*

  • Avoid complications due to risky replacement procedures 2,3

Best longevity per cc

  • MicroPort CRM’s technology brings together size and longevity.
  • 12 years longevity* in 8 cc.

AutoMRI

Visit. Scan. Go.

Automatic switch in and out of MRI mode upon detection of MR field.
No need to accompany the patient during or after the scan.
Multiple MRI scans possible during the programmed window.
No post MRI follow-up.

Ease the workflow.

  1. Patient visits the cardiologist
  2. 10 day window where the patient can have an MRI scan.
  3. Patient enters MRI scan.
  4. Patient can go home.

AutoMRI comes as standard

2014 Innovation award.
Longest experience in automatic MRI detection.

TECH CORNER

PICTO Paper article

SafeR Pacing Mode

Unnecessary ventricular pacing increases the risk of atrial fibrillation and heart failure hospitalization. SafeR is an algorithm found in the current MicroPort dual chamber models and ensures 99,9% intrinsic conduction, significantly reducing unnecessary pacing. SaferTM reduces unnecessary right ventricular pacing in both Sinus Node Disease patients and unselected AV Block patients.

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PICTO Paper article

Dual Sensor

The goal of rate adaptive pacing is to provide an increase in heart rate via an increase in cardiac pacing in response to metabolic needs: this would include during periods of exercise, but also during disease states and emotional reactions. The dual sensor technology is a combination of an accelerometer and minute ventilation for efficient rate response to chronotropic incompetence. It has been designed to blend information from accelerometer and minute ventilation sensors for a more physiologic rate response.

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PICTO Paper article

Rest Rate

Rest Rate is related to rate adaptive pacing. While rate adaptive pacing increases the pacing rate to address patient demands, the rest rate algorithm uses similar data to slow the pacing rate below the programmed basic rate. In this manner, it can reproduce circadian variations without the constraint of being set by a clock schedule. In addition, rest rate has the added benefits of potentially reducing percent pacing and therefore extending battery life, and may offer patients a more physiological pacing rate.

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PICTO Paper article

Sleep Apnea Monitoring (SAM)

With the Sleep Apnea Monitoring (SAM) function, MicroPort pacemakers provide the physician with automatic screening of pacemaker patients for the risk of severe Sleep Apnea. SAM has been designed to detect, count and report abnormal breathing events during the night. These events are detected using the minute ventilation signal. This allows the calculation of respiratory disturbances over the last six months, representing sleep disordered breathing events at night.

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PICTO Paper article

Window of Atrial Rate Acceleration Detection (WARAD)

The WARAD is designed to monitor the atrial activity in order to discriminate pathological atrial waves (Atrial Fibrillation, Atrial Flutter, Atrial Tachycardias) from sinus P waves. This atrial discriminator uses atrial prematurity to trigger mode switching. Refer also to the Fallback Mode Switch Tech Corner article for more details on the Fallback Mode Switch algorithm.

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PICTO Paper article

Fallback Mode Switch

The FMS function is designed to diagnose atrial arrhythmias and manage their occurrence using the WARAD (Window of Atrial Rate Acceleration Detection): in the event of atrial arrhythmia, FMS switches from DDD®, SafeR® or Dplus® pacing mode to an inhibited dual- chamber pacing mode DDI® to avoid prolonged ventricular pacing at a high rate for the entire duration of the sustained atrial arrhythmia.

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PICTO Paper article

Automatic Implantation Detection

Automaticity at Implantation allows the pacemaker to automatically detect if the device is implanted. It has been designed to provide a secure functioning of the device during implantation without prior or post implantation interrogation.

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PICTO Paper article

Anti-PMT (Pacemaker Mediated Tachycardia) algorithm

The Anti-PMT algorithm is intended to protect the patient from Pacemaker-Mediated Tachycardia (PMT) without reducing the atrial sensing capability of the device.

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Availability of select products and their functions varies by country. Please check with your representative for further information.

Related products:
Orchestra Plus programmer; Leads; Vega; Xfine

*SafeR Mode (5% V pacing, 50% A pacing), 60 min-1, 2.5 V, 0.4 ms, 750 Ω, SENSORS ON, EGMs ON

REFERENCES

  1. Competition comparison across transvenous pacing systems made as of October 2018, refer to manufacturers manuals.
  2. Stockburger M, Defaye P, Boveda S et al. Safety and efficiency of ventricular pacing prevention with an AAI-DDD changeover mode in patients with sinus node disease or atrioventricular-block: impact on battery longevity-a substudy of the ANSWER trial. Europace; 18:739–746, 2016.
  3. Polyzos KA. et al. Risk factors for cardiac implantable electronic device infection: a systematic review and meta-analysis. Europace ; 17 :167-777,2015.