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EducationDepartment,GreaterChinaRegion15318型临时起搏器和起搏分析仪EducationDepartment,GreaterChinaRegion2目标•了解5318的性能•对置入过程起搏参数测试–P/R波；–起搏阈值测试；–导线阻抗；–膈肌刺激试验EducationDepartment,GreaterChinaRegion3概述•单腔临时起搏器–按需/同步起搏(VVI,AAI)–·非同步起搏(VOO,AOO)•起搏分析仪–测量P/R波(测感知阈值)–测量起搏阈值–测量起搏阻抗–膈肌刺激试验PACESENSERATEOUTPUTSENSITIVITY3080120200-1minv0.1510mv20ASY1010.5PULSEWIDTHMEASUREPAUSEEMERGENCYOFFONMEDTRONIC5318TemporaryPacemaker/ImplantTool®1.501180EducationDepartment,GreaterChinaRegion4规格模式AAI,AOO,VVI,VOO频率30-200/min感知0.5-20mv输出振幅0.1-10v测量阻抗范围200-4000ohms脉宽0.06-2.0ms不应期250ms空白期起搏:125ms,感知:75ms高21.1cm宽8.1cm厚3.6cm重量510gm(连电池)电池类型标准9v碱性电池寿命14天(典型)EducationDepartment,GreaterChinaRegion5概述1.起搏感知发光二极管2.锁定/解锁键3.锁定指示符4.频率旋钮5.输出旋鈕6.感知度旋钮7.脉宽旋钮8.脉宽显示键9.电极阻抗测试键10.暂停键11.开机键12.关机键13.紧急起搏键14.下部屏幕15.感知度图解表16.输出电压图解表17上部屏幕18.频率图解表19.电池指示灯PACESENSERATEOUTPUTSENSITIVITY3080120200-1minv0.1510mv20ASY1010.5PAUSEEMERGENCYOFFONMEDTRONIC5318TemporaryPacemaker/ImplantTool®1.501180PULSEWIDTHMEASURE191816151731234567891011121314EducationDepartment,GreaterChinaRegion6主要特点•三个调节旋钮–控制心率，输出电压，感知灵敏度•心率易读，输出电压易设定•起搏感知有指示•可作植入分析–脉宽选择幅度大–可测P/R波–可测电极阻抗•显示屏幕读取数据EducationDepartment,GreaterChinaRegion7主要特点更换电池•工作状态的电池–9伏碱性电池–电池极性可掉换–更换电池期间，临时起搏功能能维持约15秒EducationDepartment,GreaterChinaRegion8连接器与5318相连的导线•5433A或5433V病人导线用于临时起搏•5832手术导线用于起搏分析EducationDepartment,GreaterChinaRegion9临时起搏特点•起搏/感知指示灯起搏=绿色感知=橘黄色EducationDepartment,GreaterChinaRegion10临时起搏特点(续)•调节心率和输出电压•控制–心率•范围=30至200脉冲/分•心率可增至120脉冲/分–输出电压•范围=0.1至10伏–脉宽(开机值1.5ms)–感知灵敏度•范围=0.5至20.0毫伏•非同步(无感知)•感知灵敏度可增至1毫伏以下频率旋钮输出旋钮感知旋钮EducationDepartment,GreaterChinaRegion11作起搏分析的特点•控制/显示装置–频率–输出电压–测P/R波(感知灵敏度)–脉宽•范围=0.06至2.0毫秒•易于测量起搏阈值–测试电极导线阻抗(200至4000欧姆·)5000.30EducationDepartment,GreaterChinaRegion12安全装置(1/4)•锁定/解锁键锁定/解锁键钥匙闪动符号锁定符号锁定指示EducationDepartment,GreaterChinaRegion13安全装置(2/4)显示器•低电压提示电池寿命不足24小时低电压提示EducationDepartment,GreaterChinaRegion14安全装置(3/4)•开机：自检•关机:两步操作•紧急键高输出电压:10伏2.0毫伏2.0毫秒按需/同步起搏:AAI/VVI模式•暂停键抑制最多10秒EducationDepartment,GreaterChinaRegion15安全装置(4/4)开机/设定值紧急值频率70脉冲/分70脉冲/分输出电压5.0伏10.0伏感知灵敏度2.0毫伏2.0毫伏脉宽1.5毫秒2.0毫秒