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Practical Management of the Remote Device Clinic

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18 Programming Considerations for Optimal Remote Monitoring Table 2. Remote Monitoring System Differences Between Manufacturers Manufacturer Abbott Biotronik RM system Merlin.net Home Monitoring Home monitor Merlin@home • CardioMessenger II • CardioMessenger II-S • CardioMessenger Smart Smartphone-based RM applications (apps) • myMerlinPulse mobile app (ICD and cardiac resynchronization therapy defibrillator [CRT-D]) • myMerlin mobile app (ILR) No Patient smartphone applications without RM No Biotronik patient app (Biomonitor III or IIIm) Transmitter Stationary or mobile Stationary or mobile Connectivity Bluetooth; mobile network; Wi-Fi; analog phoneline; radio frequency (RF); inductive telemetry Mobile network; analog phoneline Frequency of transmissions Scheduled follow-up (FU); daily FU; alert events Scheduled FU; daily FU; alert events Programmability of frequency of transmissions Yes No Programmability of alerts and parameters Alerts fully configurable online (settings, such as alert notifications, report settings, and data export settings can be done online; adjustments to the patient's device settings must be done in person). Alerts can be customized by users into high, medium, and low priorities according to their preferences. Some alerts and parameters can be programmed online. Certain life-threatening alerts cannot be changed as a safety feature.

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