Biomedical Engineering Reference
In-Depth Information
Abstraction of AAT and VVT Modes
The abstract model of AAT and VVT modes are similar to AAI and VVI
modes. We introduce a new event
Pace_ON_with_Sensor
in place of event
Pace_OFF_with_Sensor
in this abstract model. The guards of this event state, when
the pacemaker's actuator is OFF, the pacemaker's sensor is ON and the current clock
counter
sp
is greater than or equal to the refractory period
RF
and less than or equal
to pace interval
Pace_Int
then it stores the value of current clock counter
sp
to the
variable
last_ss
, and the pacemaker's actuator sets ON under the sensing process.
During the alert period (
Pace_Int
RF
), the pacemaker delivers a pacing stimulus
whenever it senses an intrinsic activity from the heart chamber.
−
EVENT
Pace_ON_with_Sensor
WHEN
grd1
:
Pace
_
Actu
=
OFF
grd2
:
Pace
_
Sensor
=
ON
grd3
:
sp
≥
RF
∧
sp
≤
Pace
_
Int
THEN
act1
:
Pace
_
Actu
:=
ON
act2
:
last
_
ss
:=
sp
END
9.7.2 First Refinement: Threshold
The pacemaker control unit delivers stimulation to the heart chamber, on the basis of
measured value under the safety margin. We define a new constant
THR
as
THR
∈
N
1
to hold standard threshold value, and we use the constant nominal threshold
value for modelling that is different for the atria and the ventricular chambers.
The pacemaker's sensor starts sensing after the refractory period
RF
but pace-
maker's actuator delivers a pacing stimulus when sensing value is greater than or
equal to the standard threshold constant
THR
.
3
The first invariant is introduced in
operating modes (AAI, VVI) that states that the pacemaker's actuator is OFF, when
the pace changing flag (
Pace_Int_flag
) is FALSE, the pacemaker's sensor is ON; an
obtained sensor value is greater than or equal to the standard threshold value, the
current clock counter
sp
is within the alert period (
Pace_Int
RF
) and the state of
threshold
thr_val_state
is TRUE. Similarly, the second invariant is introduced in the
operating modes (AAT, VVT) that states that the pacemaker's actuator is ON, when
the pace changing flag (
Pace_Int_flag
) is FALSE, the pacemaker's sensor is ON,
an obtained sensor value is greater than or equal to the standard threshold constant
THR
, the current clock counter
sp
within the alert period (
Pace_Int
−
−
RF
), and the
state of threshold
thr_val_state
is TRUE.
3
Standard threshold constant values of atria and ventricular chambers are different.
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