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Content Definition of telemedicine 2. Follow- Up using the Remote Monitoring Technology

Remote Monitoring of Patients with Cardiac Disease and ICDs. Content Definition of telemedicine 2. Follow- Up using the Remote Monitoring Technology Study Data. Remote Monitoring of Patients with Cardiac Disease and ICDs. Content Definition of telemedicine

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Content Definition of telemedicine 2. Follow- Up using the Remote Monitoring Technology

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  1. Remote Monitoring of Patients with Cardiac Disease and ICDs Content Definition oftelemedicine 2. Follow-Upusingthe Remote Monitoring Technology Study Data

  2. Remote Monitoring of Patients with Cardiac Disease and ICDs Content Definition oftelemedicine 2. Follow-Upusingthe Remote Monitoring Technology Study Data

  3. Remote Monitoring of Patients with Cardiac Disease and ICDs Telemedicine according to WHO „The delivery of healthcare service, where distance is a critical factor, by healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of diseases and injuries, research and evaluation, and for the continuing education of healthcare providers, all in the interest of advancing the health of individuals and their communities“

  4. Remote Monitoring of Patients with Cardiac Disease and ICDs Content Definition oftelemedicine 2. Follow-Upusingthe Remote Monitoring Technology Study Data

  5. Remote Monitoring of Patients with Cardiac Disease and ICDs The ultimate system delivers intelligent early detection Patient Cardio Messenger Cellular data transmission BIOTRONIK Service Center Review data Fully mobile system immediately detects acute status changes

  6. Remote Monitoring of Patients with Cardiac Disease and ICDs CardioMessenger II-SSimplicity + CM II-S: Cellular bedside device with automatic transmission CM II: Cellular and portable device with automatic transmission

  7. Remote Monitoring of Patients with Cardiac Disease and ICDs 1.Clinic staff can preschedule up to 6 automatic device checks for each patient 2.The device automatically “wakes up” at the scheduled time and communicates with the Medtronic CareLink Monitor. Data are transferred automatically as the patient sleeps. 3.Data are transferred to a secure server via the patient’s standard phone line. 4.The clinician reviews the patient’s device data on the secure website Wireless Remote Follow-upollo

  8. Remote Monitoring of Patients with Cardiac Disease and ICDs • At home the patient will: • 1. Set up the CareLink™ • Monitor near where they sleep or rest. • Note: Operating range is 3 meters • Plug the power cord into the power outlet – must remain plugged in at all times. • Connect the monitor to a telephone wall jack – must remain plugged in at all times.

  9. Remote Monitoring of Patients with Cardiac Disease and ICDs Data transmission from implant to CardioMessenger - integratedantenna • Assured frequency transmission Medical Implant Communications Service (MICS) 402-405 MHz; • CE / FDA approval • Minimum energy consumption (< 2% = 1 x 30 J shock1)

  10. Remote Monitoring of Patients with Cardiac Disease and ICDs

  11. Remote Monitoring of Patients with Cardiac Disease and ICDs Conventional FUP versus remote FUP -uncomplicatedconventional FUP : 31 minutes (administration, ECG, FUP, documentation, doctor`sletter) - uncomplicated remote FUP: 5 minutes (doctor`s letter)

  12. Remote Monitoring of Patients with Cardiac Disease and ICDs uncomplicated remote FUP

  13. Remote Monitoring of Patients with Cardiac Disease and ICDs medical history: P.S., male, 57 a, DR –Defi (Virtuoso DR - Medtronic) indication: dilated CMP, hypertension, obesity

  14. Remote Monitoring of Patients with Cardiac Disease and ICDs

  15. Remote Monitoring of Patients with Cardiac Disease and ICDs Remote Follow Up: technical FUP (battery, leads, tresholds..) monitoring of congestive heart failure quick diagnosis of arrhythmias quick diagnosis of technical problems

  16. Remote Monitoring of Patients with Cardiac Disease and ICDs Content Definition of telemedicine 2. Follow-Up using the Remote Monitoring Technology Study Data

  17. Remote Monitoring of Patients with Cardiac Disease and ICDs Time from Event to Clinical Decision by Alert Type (median days) Crossley GH. Late breaking clinical trial. Presented at the 59th annual scientific session of the American College of Cardiology (ACC), Atlanta, Georgia, Mar 14–16, 2010. Anm.: Daten der CONNECT-Studie (1.997 Pts. Implantierte Devices: ICD, CRT-D).

  18. Remote Monitoring of Patients with Cardiac Disease and ICDs Remote Arm = 3.3 days per hospitalization In-office Arm = 4 days per hospitalization Mean reduction 18% Estimated savings per hospitalization $1,659* The Remote Arm had significantly shorter hospitalization length of stays than In-office Arm (p=0.002) Crossley GH. Late breaking clinical trial. Presented at the 59th annual scientific session of the American College of Cardiology (ACC), Atlanta, Georgia, Mar 14–16, 2010. Anm.: Daten der CONNECT-Studie (1.997 Pts. Implantierte Devices: ICD, CRT-D).

  19. Remote Monitoring of Patients with Cardiac Disease and ICDs Remarkable Reduction of Costs 1 Fauchier L et al. (France) 2 Raatikainen MJP et al. (Finland)PACE 2005; 28: S255-9 Europace 2008;10(10):1145–51

  20. Remote Monitoring of Patients with Cardiac Disease and ICDs Advantages of remote FUP Cardiologist/Patient: - time saving - costs saving - flexibility - monitoring of patients with problems - better compliance of patients Health system: - Costs savings due to reduced transportion with the ambulance - Costs savings due to monitoring of patients with problems, early adjustment of the medication and thereby an expected reduction of hospitalisation ( OptiVol )

  21. Remote Monitoring of Patients with Cardiac Disease and ICDs Thank you for your attention!

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