心脏起搏器培训资料：起搏系统分析仪课件.ppt

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1、Pacing System Analyzers起搏系统分析仪 Pacing System AnalyzerslPacing System AnalyzerlReferred to as a PSAlPurposelTest newly or previously implanted leads prior to connection to pulse generatorlLead integritylSensing of P- and R-waveslPacing thresholds起搏系统分析仪l起搏系统分析仪l通常称为PSAl目的l在连接到脉冲发生器之前，测试新近或以前植入的导线l导线完

2、整性lP波与R波的感知l起搏阈值ERA 300ERA 300ERA 300Parts of the PSAlOn/OfflPress to turn power on and offERA 300PSA的部件lOn/Offl电源控制开关ERA 300Parts of the PSAlContrastlPress the clear button to lighten the screenlPress the black button to darken the screenERA 300PSA的部件l对比度l按下clear键可调高屏幕亮度l按下black键可调低屏幕亮度ERA 300Parts

3、 of the PSAlSoundlPress to activate and deactivate sound to indicate sensed and paced eventsERA 300PSA的部件l声音l按下该键可打开或关闭感知或起搏事件的提示音ERA 300Parts of the PSAlSense/Pace IndicatorslLight up to indicate sensed and paced eventsERA 300PSA的部件l感知/起搏指示器l亮灯提示感知和起搏事件ERA 300Parts of the PSAlStandard MenulBrings u

4、p the programming screen for basic pacing optionsERA 300PSA的部件l标准菜单l提供基本起搏参数的程控界面ERA 300Parts of the PSAlSafe ProgramlAKA Emergency VVIlImmediately programs high-output VVI parametersERA 300PSA的部件l安全程控l紧急VVIl即刻程控为高输出的VVI参数ERA 300Parts of the PSAlStart StimlBegins pacing if not already doing solMode

5、dependentERA 300PSA的部件l开始刺激l在非起搏状态下开始起搏l随模式而定ERA 300Parts of the PSAlStop StimlStops pacinglSensing continues in the current mode settingERA 300PSA的部件l停止刺激l停止起搏l在当前设置的模式下持续感知ERA 300Parts of the PSAlHigh RatelBrings up the high rate stimulation screenlDoes not actually begin high rate pacinglMode dep

6、endentERA 300PSA的部件l高频率l切换到高频率刺激界面l但未真正开始高频率起搏l依模式而定ERA 300Parts of the PSAlP/R MeasurelActivates IEGMlWhile depressedlRate slows but allows for pacing if “Start Stim” is activelMeasures P- or R-waves real-timeERA 300PSA的部件lP/R波测量l打开IEGMl当按下此键时l频率减慢，但如果“开始刺激”打开时，允许起搏l实时测量P波或R波ERA 300Parts of the PSA

7、lIEGM On/OfflActivates and deactivates IEGMlMode dependentlTurning off returns to previous menuERA 300PSA的部件lIEGM On/Offl打开和关闭IEGMl依模式而定l关闭后可返回前菜单ERA 300Parts of the PSAlMax AmplitudelIncrease voltage to 10 V in selected chamber while depressedlFor diaphragmatic and vagal nerve stimulation testingER

8、A 300PSA的部件l最大振幅l按下该键可将指定心腔的电压升至10Vl膈肌和迷走神经刺激测试ERA 300Parts of the PSAlRatelProvides immediate control of the pacing rate using the dialERA 300PSA的部件l频率l使用旋钮可即刻调整起搏频率ERA 300Parts of the PSAlAmplitude Pulse WidthlToggles dial control between pacing amplitude and pulse widthERA 300PSA的部件l振幅 脉宽l将旋钮锁定在调

9、整起搏振幅或脉宽ERA 300Parts of the PSAlVoltage CurrentlToggles the amplitude display between voltage (V) and Current (mA)ERA 300PSA的部件l电压 电流l将振幅的显示锁定在电压 (V)或电流 (mA)ERA 300Parts of the PSAlControl WheellIncreases and decreases highlighted valuesERA 300PSA的部件l调节旋钮l调高和调低选定值ERA 300Parts of the PSAlCursor Arrow

10、slMoves the highlight from one programmable parameter to the nextERA 300PSA的部件l指针箭头l将光标从一个可程控的参数移到下一个ERA 300Parts of the PSAlSoftkeyslSelects adjacent optionslSelections vary from screen to screen ERA 300PSA的部件l圆形键l选择相对应的选项l选择随界面的改变而改变ERA 300Parts of the PSAlPacemaker TestlFor older pacemakers lacki

11、ng telemtrylNot used at all todaylRequires special cableERA 300PSA的部件l起搏器测试l老的起搏器型号不能遥测l目前已不再使用l需要特殊的连线ERA 300Parts of the PSAlData StoragelStores test result for later printingERA 300PSA的部件l数据储存l储存测试结果，以后再打印ERA 300Parts of the PSAlPrinterlPrints all resultsERA 300PSA的部件l打印l打印所有结果ERA 300Parts of the

12、 PSAlPrinterERA 300PSA的部件l打印机ERA 300Parts of the PSAlBattery CompartmentERA 300PSA的部件l电池安装处ERA 300Parts of the PSAlDisposable Patient Cable ConnectionsERA 300PSA的部件l通用的患者连线接口ERA 300Pre-Implant SetuplInsert a fully-charged battery packlUses rechargeable batterieslVery important to have a spare with y

13、ou!ERA 300植入前设置l插入一块满幅充电的电池l使用可再充电的电池l携带一块备用电池非常重要！ERA 300Pre-Implant SetuplCheck printer paperlReplace roll if necessaryERA 300植入前设置l检查打印纸l及时更换ERA 300Pre-Implant SetuplUse sterile technique to place alligator clips near implant sitelPatient cablelWhen connecting to the leadlRed to ring, black to ba

14、ckERA 300植入前设置l遵循无菌要求，将鳄鱼夹放置在植入的部位旁l患者连线l当连接导线时l红色夹住环部, 黑色夹住尾部ERA 300Pre-Implant SetuplBiotronik 4043lSingle-pack disposable sterile connectorlBiotronik 5030162-001lNon-disposable, non-sterile adapterlConnect the disposable patient cable to the adapterERA 300植入前设置lBiotronik 4043l通用的单一包装的消毒接头lBiotron

15、ik 5030162-001l非通用, 未消毒的适配器l将通用的患者连线接到适配器ERA 300Pre-Implant SetuplMedtronic 4051lDisposable sterile connectorlRemington ADAP-2R 4053lNon-disposable, non-sterile adapterlConnect the disposable patient cable to the adapterERA 300植入前设置lMedtronic 4051l通用的消毒接头lRemington ADAP-2R 4053l非通用, 未消毒的适配器l将通用的患者连线

16、接到适配器ERA 300Pre-Implant SetuplConnect the 6-pin end to the analyzerERA 300植入前设置l将六插针尾端连接到分析仪ERA 300Pre-Implant SetuplTurn On the PSA by pressing On/OffERA 300植入前设置l按下On/Off键打开PSA ERA 300Stimulation ScreenERA 300刺激界面ERA 300System ScreenERA 300系统界面ERA 300Time/Date ScreenERA 300时间/日期界面ERA 300Define Sta

17、ndard Program ScreenERA 300定义标准程控界面ERA 300Change Mode ScreenERA 300改变模式界面ERA 300IEGM ScreenERA 300腔内心电图界面ERA 300P/R Measure ScreenERA 300P/R波测量界面ERA 300 TestingBasic IEGM/Intraoperative MeasurementsERA 300 测试基本的腔内心电图/手术中测量Ventricular Lead Evaluation心室导线的评价R Wave AmplitudesR波振幅Ventricular Slew Rates心

18、室斜率Ventricular Capture Threshold/ImpedancePart 1心室夺获阈值/阻抗Part 1Ventricular Capture Threshold/ImpedancePart 2心室夺获阈值/阻抗Part 2Atrial Lead Evaluation心房导线的评价P Wave AmplitudesP波振幅Atrial Slew Rates心房斜率Atrial Capture Threshold/ImpedancePart 1心房夺获阈值/阻抗Part 1Atrial Capture Threshold/ImpedancePart 2心房夺获阈值/阻抗Pa

19、rt 2ERA 300 TestingAdvanced Lead AnalysisERA 300 测试进一步的导线分析Atrial Analysis with Ventricular Support心室支持下的心房分析P Wave AmplitudesP 波振幅Atrial Slew Rates心房斜率Atrial Capture Threshold/ImpedancePart 1心房夺获阈值/阻抗Part 1Atrial Capture Threshold/ImpedancePart 2心房夺获阈值/阻抗Part 2Determination of Retrograde Conduction

20、判断有无逆传ERA 300 TestingOptional User FeaturesERA 300 测试可选择的使用特征Back-Up Pacing备用安全起搏Real-Time IEGM Print-Outs实时IEGM打印输出Controlled Burst or Continuos High Rate Stimulation可控的Burst或持续的高频率刺激Safe Program安全程控Virtual IndexlERA 300 OverviewlSeamed PSA OverviewlBasic IEGM/Intraoperative MeasurementslVentricula

21、r Lead EvaluationlR Wave AmplitudeslVentricular Slew RateslVentricular Capture Threshold/ImpedancelAtrial Lead EvaluationlP Wave AmplitudeslAtrial Slew RateslAtrial Capture Threshold/ImpedancelAdvanced Lead AnalysislAtrial Analysis with Ventricular SupportlP Wave AmplitudeslAtrial Slew RateslAtrial

22、Capture Threshold/ImpedancelDetermination of Retrograde ConductionlOptional User FeatureslBack-Up PacinglReal-Time IEGM Print-OutslControlled Burst or Continuous High Rate StimulationlSafe ProgramVirtual IndexlERA 300 OverviewlSeamed PSA OverviewlBasic IEGM/Intraoperative MeasurementslVentricular Le

23、ad EvaluationlR Wave AmplitudeslVentricular Slew RateslVentricular Capture Threshold/ImpedancelAtrial Lead EvaluationlP Wave AmplitudeslAtrial Slew RateslAtrial Capture Threshold/ImpedancelAdvanced Lead AnalysislAtrial Analysis with Ventricular SupportlP Wave AmplitudeslAtrial Slew RateslAtrial Capture Threshold/ImpedancelDetermination of Retrograde ConductionlOptional User FeatureslBack-Up PacinglReal-Time IEGM Print-OutslControlled Burst or Continuous High Rate StimulationlSafe Program