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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