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Remote Monitoring of Cardiac Rhythm Management Devices in Vietnam The Role of the Biomedical Engineer

机译：越南心律管理设备的远程监控生物医学工程师的作用

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Cardiac rhythm management (CRM) manufacturers of pacemakers, implantable defibrillators, offer remote monitoring of their high end products. In the West, the responsibility for monitoring devices is given to a device nurse at the cardiac center. The nurse performs daily checks of any reported issue by the manufacturer and act upon any alert reported by the device. With the patient group numbering hundreds of patients, a device nurse can be supported by reimbursement for remote monitoring. The situation is different in Vietnam. The number of implant patients at a typical implant center is barely in the low hundreds. Patients are typically not actively followed and irregularly come back for follow-ups. Currently there is no reimbursement program for automated follow-ups. In developing the first Remote Monitoring program for Vietnam, we had to factor in these differences and have developed an alternative approach. A biomedical engineer at the distributor assumes the duty of the device nurse and works with the patients' cardiologists. The engineer will review the daily reports and study alerts reported by the devices or the automatic analysis programs of the manufacturer. When appropriate, the cardiologist will be alerted. The cardiologist will contact the patient to come in for a follow-up. The engineer will not deal directly with the patient, except on technical matters, such as malfunctioning remote monitor. This has enabled us to create a new model for the care of CRM patients in Vietnam. With daily report by the device, the patient does not need to visit the cardiologist, except for a yearly visit, unless contacted. Since the Home Monitoring reports had been analyzed prior to the visit, recommendations about therapy or device parameter changes will be discussed with the cardiologist before the patient arrives.
机译：心脏节奏管理（CRM）起搏器制造商，可植入的除颤器，提供了远端产品的远程监控。在西方，监控设备的责任被给予心脏中心的设备护士。该护士每天按照制造商执行任何报告的问题，并根据设备报告的任何警报行动。随着患者组编号数百名患者，可以通过报销进行远程监控来支持设备护士。越南的情况是不同的。典型的植入中心的植入物患者的数量几乎没有数百次。患者通常不会主动遵循，不规则地回到后续行动。目前没有自动化后续行动的报销计划。在为越南开发第一次远程监测计划时，我们不得不考虑这些差异，并制定了一种替代方法。经销商的生物医学工程师假设设备护士的职责，并与患者的心脏病学家合作。工程师将审查设备报告的每日报告和研究警报或制造商的自动分析程序。适当时，心脏病专家将被警告。心脏病学家将联系患者进入后续行动。除技术问题外，工程师将无法与患者直接处理，例如故障的远程监视器。这使我们能够为越南的CRM患者提供一种新的模型。除非联系，患者患者不需要访问心脏病专家，除非进行联系。由于在访问前进行了分析了家庭监测报告，因此在患者到达之前将与心脏病专家讨论有关治疗或设备参数变化的建议。

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