Biomedical Engineering Reference
In-Depth Information
inv
11
:
Pace
_
Int
_
flag
=
FA L S E
∧
sp <(Pace
_
Int
−
FixedAV)
∧
Atria
_
state
=
FA L S E
⇒
PM
_
Actuator
_
V
=
OFF
∧
PM
_
Actuator
_
A
=
OFF
inv
12
:
Pace
_
Int
_
flag
=
FA L S E
∧
sp >(Pace
_
Int
−
FixedAV)
∧
sp < Pace
_
Int
∧
Atria
_
state
=
TRUE
⇒
PM
_
Actuator
_
A
=
OFF
∧
PM
_
Actuator
_
V
=
OFF
inv
13
:
Pace
_
Int
_
flag
=
FA L S E
∧
PM
_
Actuator
_
A
=
ON
⇒
sp
=
Pace
_
Int
−
FixedAV
inv
14
:
Pace
_
Int
_
flag
=
FA L S E
∧
PM
_
Actuator
_
V
=
ON
⇒
sp
=
Pace
_
Int
In the abstract specification of DOO operating mode, there are five events
Pace_ON_A
to start pacing in atrial,
Pace_OFF_A
to stop pacing in atrial,
Pace_ON_V
to start pacing in ventricular,
Pace_OFF_V
to stop pacing in ventricu-
lar and
tic
to increment the current clock counter
sp
under the real time constraints.
These events are similar to the previously described events but guards, and actions
are changed according to the requirements of the DOO operating mode.
9.8.2 First Refinement: Threshold
The pacemaker control unit delivers stimulation to the heart chambers, on the basis
of measured threshold value under the safety margin. We define two new constants
STA_THR_A
and
STA_THR_V
to hold the standard threshold value in axioms (
axm
1
and
axm
2). The threshold constants are different for the atrial and the ventricular
chambers.
axm
1
:
STA
_
THR
_
A
∈
nat
1
∧
STA
_
THR
_
A
=
75
axm
1
:
STA
_
THR
_
V
∈
nat
1
∧
STA
_
THR
_
V
=
250
The pacemaker's sensor starts sensing after the refractory period but the pace-
maker's actuator delivers a pacing stimulus, when sensing value is greater than or
equal to the standard threshold constants
STA_THR_A
or
STA_THR_V
. In the DOO
operating mode only the pacemaker's actuators paces in the atrial and ventricular
chambers under the automatic pace interval without using any pacemaker's sensors,
so in this mode none of the refinement is given related to the threshold. Table
9.2
shows a list of invariants common in this refinement of other operating modes. First
column shows the group of operating modes and second column shows correspond-
ing common invariants.
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