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Practical Management of the Remote Device Clinic

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4 General Concepts Table 1. Definitions Term Definition Programmer A manufacturer-specific device designed to receive and transmit information from CIEDs and allow temporary and permanent programming of CIEDs. Device interrogation Data transmission from the CIED to the programmer, including device settings and data stored in the CIED memory. e data can be viewed and stored directly on the programmer or transformed to a report that can be exported to a computer, dedicated CIED follow-up soware, and internet servers. Device programming Bidirectional telemetry allowing the programmer operator to assess CIED function, select CIED settings, and optimize system performance tailored to the individual patient's condition in a noninvasive and reversible manner. Home monitor Remote telemetry device, either a strategically positioned device in the proximity of the patient or a smartphone-based application, able to communicate with the CIED, which serves as a substation to transmit the encrypted data to dedicated servers. RM Automated remote transmissions of predefined alerts related to clinical events (eg, implantable cardioverter-defibrillator [ICD] therapies) or related to device functioning (eg, lead integrity alerts). • Individual-based RM RM where the manufacturer-specific transmitter is assigned to an individual patient at enrollment. • Site-based RM RM where the manufacturer-specific transmitter is assigned to a specific site and could be used to collect device data for many individual patients (even if they are not individually enrolled). RM platform Manufacturer-specific remote web-based communication system allowing access to the encrypted data transmission from the home monitor to individual clinic and/or third-party resources. ird-party resources External services available using manufacturer-specific RM systems to collect and communicate patient data. is could be soware based, which collates data, or personnel based, which can outsource some of the clinics' work. Scheduled transmission Programmable scheduled transmissions during which routine CIED parameters are collected remotely from the RM platform by members of the remote device clinic team in a format like that obtained during a routine in-person clinic visit.

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