Biomedical Engineering Reference
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blanking period (
V_Blank
), and greater than or equal to the fixed atrioventricular
(AV) period (
FixedAV
).
inv
11
:
sp < VRP
∧
AV
_
Count
_
STATE
=
FA L S E
⇒
PM
_
Actuator
_
V
=
OFF
∧
PM
_
Sensor
_
A
=
OFF
∧
PM
_
Sensor
_
V
=
OFF
inv
12
:
Pace
_
Int
_
flag
=
FA L S E
∧
PM
_
Actuator
_
V
=
ON
⇒
(sp
Pace
_
Int
(sp < Pace
_
Int
=
∧
AV
_
Count >V
_
Blank
∧
AV
_
Count
≥
FixedAV))
In the abstract specification of VDD operating mode, there are eight events
Ac-
tuator_ON_V
to start pacing in ventricular,
Actuator_OFF_V
to stop pacing in ven-
tricular,
Sensor_ON_V
to start sensing in ventricular,
Sensor_OFF_V
to stop sens-
ing in ventricular,
Sensor_ON_A
to star sensing in atrial,
Sensor_OFF_A
to stop
sensing in atrial,
tic
to increment the current clock counter
sp
under the real time
constraints and
tic_AV
to count the atrioventricular (AV) interval. All these events
are similar to the DDD operating modes, which are already described.
Abstraction of DOO Mode
In DOO operating mode of the two-electrode pacemaker system, the first letter 'D'
represents that the pacemaker paces both atrial and ventricle, second letter 'O' rep-
resents that the pacemaker does not sense the atrial and ventricular chambers and
final letter 'O' represents that there is no any inhibits or triggers modes in both
chambers [
22
,
35
].
In this model, we formalise the functional behaviours of the pacemaker system
of DOO operating mode, where all variables, constants and invariants (
inv
1
, inv
2
and
inv
5-
inv
10) are similar to the previous operating mode; DDD. New invariant
(inv
11
)
states that the pacemaker's actuator of the atrial and ventricular chambers
are OFF, when the clock counter
sp
is less than the ventriculoatrial (VA) interval,
and the atrial state (
Atria_state
) is FALSE. The next invariant (
inv
12) states that
the pacemaker's actuators of both chambers are OFF, when the clock counter
sp
is greater than the atrioventricular (AV) interval, and the atrial state (
Atria_state
)
is TRUE. The last invariants (
inv
13 and
inv
14) state that, when the pacemaker's
actuator of atrial is ON, then the clock counter
sp
is greater than or equal to the
ventriculoatrial (VA) interval (
Pace_Int-FixedAV
) and when the pacemaker's actua-
tor of the ventricular is ON, then the clock counter
sp
is equal to the pace interval
Pace_Int
, respectively.
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