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Remote monitoring of implantable pacemakers and cardioverters-defibrillators

Czech version

Authors: J. Lipoldová;  M. Novák
Published in: Kardiol Rev Int Med 2006, 8(3): 129-139
Category: Editorial

Overview

Necessity of remote monitoring of implantable devices emerged with early pacemakers development, firstly for unreliability of pacing systems. First transtelephonic transmission of pacing rate was introduced in late sixties and widely used in seventies of 20th century. Next motivation for telemedicine progress was hardware and software boom of pacing techniques, development of implantable cardioverter-defibrillator. Modern generation of pacemakers and defibrillators is able to sense intracardiac signals (IEGM) with high sensitivity, to analyze these signals, store data in real time and perform automatic documentation. System of remote monitoring with no need of receiver compliance were developed for better comfort of patients. New generation of remote monitoring uses GSM data transmission. We compare contemporary possibilities of telemetric surveillance of pacemakers and defibrillators of 4 manufacturers.

Keywords:
transtelephonic transmission – Telkostim – GSM transmission – wireless transmission – Biotronik Home Monitoring – CardioMessenger – CardioReport – Medtronic CareLink – Conexus Wireless Telemetry – Guidant Latitude – St. Jude Medical HouseCall plus

Sources

1. Eintho­ven W. Le te­le­cardiogramme. Arch Intern Phy­siol 1906; 4: 132.

2. Furman S, Parker B, Escher DJW, Schwe­del JB. Instru­ments for eva­lua­ting function of cardiac pa­ce­ma­kers. Med Res Eng 1967; 6: 29–32.

3. Furman S, Parker B, Escher DJW. Transte­lepho­ne pa­ce­ma­ker cli­nic. J Tho­rac Cardio­vasc Surg 1971; 61: 827–834.

4. Furman S, Escher DJ. Transte­lepho­ne pa­ce­ma­ker mo­ni­to­ring: Fi­ve years la­ter. Ann Tho­rac Surg 1975; 20: 326–338.

5. Furman S, Escher DJW. Transte­lepho­ne pa­ce­ma­ker mo­ni­to­ring. In: Schaldach M, Furman S (eds). Advances in Pa­ce­ma­ker Tech­no­lo­gy. Berlin: Springer 1975: 177–194.

6. Drei­fus L, Pennock R, Feldman M. Expe­rience with 3835 pa­ce­ma­kers uti­li­zing transte­lepho­nic surveillance. Am J Cardiol 1975; 35: 133.

7. Gessman LJ, Vielbig RE, Waspe LE et al. Accu­ra­cy and cli­ni­cal uti­li­ty of transte­lepho­nic pa­ce­ma­ker follow–up. PA­CE 1995; 18: 1032–1036.

8. Dubner S, Sztyglic E, Boskis P et al. Eva­lua­tion of Outpa­tient Arrhythmias and Pa­ce­ma­kers Uti­li­zing Transte­lepho­nic Mo­ni­to­ring De­vi­ces. A N E 1996; 1(3): 301–305.

9. Ka­ma­rýt P, Říč­ný V, Ha­bán J. Te­le­fo­nic­ké sle­do­vá­ní kmi­to­čtu im­pul­sů implanto­va­ných kardiosti­mu­lá­to­rů. Vnitř Lék 1979; 25 (4): 366–373.

10. Schaldach M, Hutten H. Te­le­cardio­lo­gy – Opti­mi­zing the diagnostic and the­ra­peu­tic effi­ca­cy of the next implant ge­ne­ra­tion. Prog Biomed Res 1998; 3: 1–4.

11. An­der­son MH, Paul VE, Jo­nes S et al. Transte­lepho­nic interro­ga­tion of the implantable cardio­verter de­fibrilla­tor. PA­CE 1992; 15: 1144–1150.

12. Fetter JG, Stanton MS, Benditt DG et al. Transte­lepho­nic mo­ni­to­ring and transmission of sto­red arrhythmia de­tection and the­ra­py da­ta from an implantable cardio­verter de­fibrilla­tor. PA­CE 1995; 18: 1531–1539.

13. Hutten H. Eva­lua­tion of an advanced cardiac te­le­mo­ni­to­ring system for multi­center stu­dies ba­sed on da­ta transmission via internet. Prog Biomed Res 1999; 4: 221–224.

14. Hutten H, Schreier G, Kastner P. Cardiac te­le­mo­ni­to­ring using pa­ce­ma­kers and the Internet. Me­di­cal & Biolo­gi­cal Engi­nee­ring & Compu­ting. 1999; 35 (Suppl 2): 1295.

15. Porterfield JG, Porterfield LM, Bray L et al. A prospecti­ve stu­dy uti­li­zing a transte­lepho­nic electro­cardiographic transmission pro­gram to ma­na­ge pa­tients in the first se­ve­ral months post–ICD implant. PA­CE 1991; 14: 308–311.

16. Steinberg JS, Su­galski JS. Cardiac rhythm pre­ci­pi­ta­ting auto­ma­tic implantable cardio­verter de­fibrilla­tor discharge in outpa­tients as de­tected from transte­lepho­nic electro­cardiographic re­cordings. Am J Cardiol 1991; 67: 95–97.

17. Ha­mer ME, Clair WK, Wilkinson WE et al. Eva­lua­tion of outpa­tients expe­riencing implantable cardio­verter de­fibrilla­tor shocks asso­cia­ted with mi­ni­mal symptoms. PA­CE 1994; 17: 938–943.

18. Blitzer ML, Ma­rieb MA, Schoenfeld MH. Ina­bi­li­ty to commu­ni­ca­te with ICDs: An underre­ported failu­re mo­de. PA­CE 2001; 24: 13–15.

19. Jung W, Birke­meyer R. Ho­me Mo­ni­to­ring with implantable ICD – a diagnostic inno­va­tion? Herzschrittma­cherther Elektrophy­siol 2005; 16(3): 183–190.

20. Hayes DL, Hy­berger LK, Lloyd MA. Should the me­di­ca­re transte­lepho­nic pa­ce­ma­ker follow–up sche­du­le be alte­red? PA­CE 1997; 20: 1153.

21. Biotro­nik: Te­le­me­di­ci­ne Fa­ci­li­ta­tes Follow–up Ma­na­ge­ment for De­fibrilla­tor Pa­tients 2006. The Me­di­cal Di­gest – The Middle East and North Afri­ca 2003; 16(1): 40. http://www.biotro­nik.com/content/de­tail.php?id=3705.

22. Schoenfeld MH, Marko­witz HT. De­vi­ce follow–up in the age of auto­ma­ti­ci­ty. PA­CE 2000; 23: 803–806.

23. Schoenfeld MH, Marko­witz HT. Pa­ce­ma­ker auto­ma­ti­ci­ty: Real progress or increa­sed comple­xi­ty and costs? In: Ra­vie­le A (ed). Cardiac Arrhythmias 2001– Pro­cee­dings of the 7th In­ter­na­tio­nal Workshop on Cardiac Arrhythmias. Mi­lan: Springer–Ver­lag 2002: 613–617.

24. Niederlag W. Commu­ni­ca­tion Techno­lo­gies for Impro­ve­ment of Pa­ce­ma­ker The­ra­py. Prog Biomed Res 2001; 6: 6–12.XXX

25. The Uni­ted Sta­tes Food and Drug Admi­nistra­tion. New De­vi­ce Appro­val. Ho­me Mo­ni­to­ring System with the BA03 DDDR Pulse Ge­ne­ra­tor – P950037/S19. http://www.fda.gov/cdrh/mda/docs/p950037s019.html

26. Estab­lish­ment of a Me­di­cal Implant Commu­ni­ca­tions Servi­ce in the 402–405 MHz band. Fe­de­ral Commu­ni­ca­tions Commission. Fi­nal ru­le. Offi­ce of the Fe­de­ral Re­gister, Na­tio­nal Archi­ves and Re­cords Servi­ce, Ge­ne­ral Servi­ces Admi­nistra­tion . Fed Re­gist 1999; 64(240): 69926–69934.

27. Fe­de­ral Commu­ni­ca­tions Commission: „Me­di­cal Implant Commu­ni­ca­tions“ 1. 6. 2003.http://wi­re­less.fcc.gov/servi­ces/in­dex.htm?job=servi­ce­_ho­me& id=me­di­ca­l_implant

28. Biotro­nik: „Cardio­Messenger, Mo­bi­le Pa­tient De­vi­ce“ 2001.http://www.biotro­nik.com/content/de­tail.php?id=2465&_subna­vi 3=2465&_subna­vi­2=1799&_subna­vi­1=1797&_topnav=179&_topna­v_aid=62&_ css=2&_bgco­lor=339966&_langua­ge=en

29. Igidbashian D, Lo­nardi G, Barbie­ro M et al. Cli­ni­cal eva­lua­tion of pa­ce­ma­ker me­mo­ry functions using a new com­pu­ter ba­sed ex­pert system. Poster re­port. Cardiostim 12th in­ter­na­tio­nal Congress, Ju­ni 14.–17. 2002, Ni­ce, Fran­ce.

30. Igidbashian D, Lo­nardi G, Ge­melli M et al. Cli­ni­cal Eva­lua­tion of a new com­pu­ter ba­sed ex­pert ma­na­ge­ment sys­tém of pa­ce­ma­ker diagnostic functions. Prog Biomed Res 2000; 5: 471–477.

31. Biotro­nik: „Ho­me Mo­ni­to­ring Servi­ce Cen­ter – Onli­ne help. Pa­ra­me­ters“ 7. 6. 2006. https://www.biotro­nik–ho­me­mo­ni­to­ring.com/hmsc/en_GB/webhelp/cardi o_re­ports/pa­ra­me­ters.htm

32. Biotro­nik: „Ho­me Mo­ni­to­ring Servi­ce Cen­ter – Onli­ne help. Event ty­pes“ 7. 6. 2006. https://www.biotro­nik–ho­me­mo­ni­to­ring.com/hmsc/en_GB/webhelp/cardi o_re­ports/event_ty­pes.htm

33. Biotro­nik: „Lu­mos Auto­ma­ti­cally Transmits Intra­cardiac Electrogram. New De­fibrilla­tor with BIOTRO­NIK Ho­me Mo­ni­to­ring Implanted at Da­nish Hospi­tal“ 2006. http://www.biotro­nik.com/content/de­tail.php?id=3533

34. Wallbruck K, Stellbrink C, Santi­ni M, Gill J, Hartmann A, Wunderlich E. Biotro­nik GmbH, Tech­no­lo­gy & Servi­ce Cen­ter, Erlangen, Germa­ny. The va­lue of perma­nent follow–up of implantable pa­ce­ma­kers––first re­sults of an Euro­pean trial. Biomed Tech (Berl) 2002; 47 (Suppl 1): 950–953.

35. Chan AQ, Chun S. Cost–effecti­ve­ness of wi­re­less ho­me mo­ni­to­ring pa­ce­ma­ker compa­red to conventio­nal pa­ce­ma­ker. Pro­gram and abstracts of the North Ame­ri­can So­cie­ty of Pa­cing and Electrophy­sio­lo­gy 23rd Annual Scienti­fic Sessions, May 8.–11. 2002, San Diego, Ca­li­fornia. (Abstract 101042).

36. Fauchier L, Sa­doul N, Koua­ka C et al. Te­le­me­di­ci­ne in cardio­verter de­fibrilla­tor re­ci­pients: A be­ne­fit re­la­ted to dis­tan­ce from insti­tu­tion. Euro­pa­ce 2004; 6(suppl.): 161.

37. Fauchier L, Sa­doul N, Koua­kam C, Briand F, Chau­vin M, Ba­bu­ty D, Cle­menty J. Po­tential cost sa­vings by te­le­me­di­ci­ne–assisted long–term ca­re of implantable cardio­verter de­fibrilla­tor re­ci­pients. Pa­cing Clin Electrophy­siol 2005; 28(Suppl 1): 255–259.

38. Pe­rings C, Klein G, Toft E, Mo­ro C, Klug D, Böcker D, Trappe HJ, Korte T on be­half of the RIONI Investi­ga­tors. The RIONI stu­dy ra­tio­na­le and de­sign: va­li­da­tion of the first sto­red electrograms transmitted via ho­me mo­ni­to­ring in pa­tients with implantable de­fibrilla­tors. Euro­pa­ce 2006; 8(4): 288–292.

39. Pe­rings C, Korte T, Trappe HJ on be­half of the RIONI investi­ga­tors. IEGM–onli­ne ba­sed eva­lua­tion of implantable cardio­verter de­fibrilla­tor the­ra­py appropria­te­ness. Clin Res Cardiol 2006; 95 (Suppl 3): 22–28.

40. Res JC, Theuns DA, Jordaens L. The ro­le of re­mo­te mo­ni­to­ring in the re­duction of inappropria­te implantable cardio­verter de­fibrilla­tor the­ra­pies. Clin Res Cardiol 2006; 95 (Suppl 3): 17–21.

41. Siaplaou­ras S, Buob A, Neuberger HR, Me­wis C. Re­mo­te de­tection of incessant slow VT with an ICD ca­pable of ho­me mo­ni­to­ring. Euro­pa­ce 2006; 8(7): 512–514.

42. Koos R, Sinha AM, Stellbrink C. Ho­me Mo­ni­to­ring in an ICD pa­tient with incessant ventri­cu­lar ta­chy­cardia. Z Kardiol 2005; 94(7): 461–464.

43. Scholten MF, Thornton AS, Theuns DA, Res J, Jordaens LJ. Twiddler's syndro­me de­tected by ho­me mo­ni­to­ring de­vi­ce. Pa­cing Clin Electrophy­siol 2004; 27(8): 1151–1152.

44. Wildau HJ. Wi­re­less re­mo­te mo­ni­to­ring for pa­tients with atrial ta­chyarrhythmias. Journal of Electro­cardio­lo­gy 2004; 37 (Suppl 1): 53–54.

45. Mulle­ro­va J, No­vak M, Vo­lik P et al. Re­mo­te mo­ni­to­ring of PM and ICD pa­tients in cli­ni­cal practi­ce. 14th Alpe Ad­ria Cardio­lo­gy Meeting & 1st In­ter­na­tio­nal Congress of the Croa­tian Cardiac So­cie­ty, May 2006; Cavtat/Dubrovnik, Croa­tia. (Abstract book 156).

46. Mulle­ro­va J, No­vak M, Vo­lik P, Dvo­rak I, Vy­ky­pel T. Na­še zku­še­nos­ti se sys­té­mem ho­me mo­ni­to­ring fir­my Biotro­nik. Interv Akut Kardiol 2006: (Suppl A): 25.

47. Mulle­ro­va J, No­vak M, Vo­lik P, Ka­ma­ryt P, Dvo­rak I, Vy­ky­pel T. Dál­ko­vé mo­ni­to­ro­vá­ní pa­ci­en­tů s implanto­va­ný­mi pa­ce­ma­ke­ry a de­fibri­lá­to­ry – na­še zku­še­nos­ti. Supple­mentum Cor Va­sa 2006; 48(4): 76.

48. Theuns DAMJ, Res JCJ, Jordaens LJ. Ho­me mo­ni­to­ring in ICD the­ra­py: fu­tu­re perspecti­ves. Euro­pa­ce 2003 5(2): 139–142.

49. Schoenfeld MH, Compton SJ, Mead RH, Weiss DN, Sherfe­see L, Englund J, Mongeon LR. Re­mo­te Mo­ni­to­ring of Implantable Cardio­verter De­fibrilla­tors: A Prospecti­ve Ana­ly­sis. Pa­cing Clin Electrophy­siol 2004; 27(6): 757–763.

50. Wi­re­less week electro­ni­cal ma­ga­zin. FDA OKs Wi­re­less Mo­ni­tor Heart De­vi­ce. Jan 2002. http://www.wi­re­lessweek.com/in­dex.asp?layout=do­cu­mentPrint&do­c_id =63023

51. Stay­lor A. New Pa­ce­ma­kers, ICDs With Ho­me Mo­ni­to­ring Sa­ve Ti­me. North Ame­ri­can So­cie­ty of Pa­cing and Electrophy­sio­lo­gy 23rd Annual Scienti­fic Sessions, News & Daily Session Co­ve­ra­ge, May 8.–11. 2002m, San Diego, Ca­li­fornia. http://www.medsca­pe.com/viewarticle/433442

52. Schoenfeld MH, Compton SJ, Mead RH et al. Re­mo­te mo­ni­to­ring of implantable cardio­verter de­fibrilla­tors: A prospecti­ve ana­ly­sis. Pa­cing Clin Electrophy­siol 2004; 27(11): 1581.

53. Falk D, Straub K. Practi­ce effi­ciency impro­ve­ments re­sulting from the use of Medtro­nic Ca­re­Link Network re­mo­te mo­ni­to­ring servi­ce. Fairfield (Iowa, USA): Hu­man Factors In­ter­na­tio­nal 2004.

54. Medtro­nic Newsroom. Medtro­nic Re­cei­ves FDA Appro­val for New Cardiac Systems with Dis­tan­ce Wi­re­less Te­le­metry. www.medtro­nic.com.

55. Me­di­cal Tech­no­lo­gy Bu­si­ness Euro­pe. Medtro­nic launches implantable cardiac de­vi­ces with wi­re­less te­le­metry in Euro­pe. Jun 2006. http://www.mtbeu­ro­pe.info/news/2006/606015.htm

56. Dressing TJ, Schott R, McDo­well C et al. Transte­lepho­nic ICD follow–up is better: mo­re compre­hensi­ve, less intru­si­ve and mo­re de­si­rable. Pro­gram and abstracts of the North Ame­ri­can So­cie­ty of Pa­cing and Electrophy­sio­lo­gy 23rd Annual Scienti­fic Sessions, May 8.–11. 2002, San Diego, Ca­li­fornia. (Abstract 1028–34).

57. Jo­seph GK, Wilkoff BL, Dre­sing T et al. Re­mo­te interro­ga­tion and mo­ni­to­ring of implantable cardio­verter de­fibrilla­tors. J Interven Card Electrophys 2004; 11: 161–166.

58. La­mai­son D, Motreff P, Jean F, Geoffroy E, Rodri­guez R, Soutey­rand G, Chanseau­me S, Terra­zo­ni S, Cassagnes J. The pla­ce of te­le­me­di­ci­ne in rhythmo­lo­gy and cardiac pa­cing. Arch Mal Coeur Vaiss 2004; 97(11): 1160–1164.

59. De­ha­ro JC, Djia­ne P. Ho­me Mo­ni­to­ring: what can we expect in the fu­tu­re? Clin Res Cardiol 2006; 95 (Suppl 3): 36–39.

60. Schoenfeld MH, Reynolds DW. Sophisti­ca­ted Re­mo­te Implantable Cardio­verter–De­fibrilla­tor Follow–Up: A Sta­tus Re­port. Pa­cing Clin Electrophy­siol 2005; 28 (3): 235–240.

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