LATITUDE™ Programming System
Boston Scientific — Демо-режим (учебный симулятор)
Выберите пациента для демонстрации
Ivanov V.V.
Простой кейс. Стабильная стимуляция, минимум аритмий. 4 follow-up визита, 13 изменений настроек на последнем визите.
Petrov P.P.
Сложный случай. Растущий порог V (0.4 → 1.4 В), 5 PMT-эпизодов, DDDR при стимулятор-зависимости — спорная конфигурация.
Sidorov S.S.
CRT-D, persistent AF, BiV-pacing 98% (target). LVEF 30→38% post-CRT. 4 устойчивых VT за 6 мес: 3×ATP, 1×shock 25J. Atrial threshold trending up.
Smirnova M.A.
Подозрение на перелом V-лида. Импеданс V вырос с 580 до 1850 Ω. Множественные NSVT — вероятно oversensing. Срочная радиография.
Kovalenko I.M.
Pacemaker-mediated tachycardia: 6 эпизодов за месяц, endless loop через ретроградную P-волну. Лиды в норме. Решение — удлинить PVARP.
Yakovleva G.P.
Пароксизмальная ФП, AF burden нарастает (1% → 8.4% за 6 мес). Mode Switch работает, но эпизоды учащаются. Настройка ATR threshold и duration.
Morozov V.S.
Pacemaker-induced cardiomyopathy после 4 лет RV-pacing 99%. NYHA II-III, ОМТ. По HRS/ESC показан upgrade на CRT-D — обсуждение HF-team.
Tarasov K.D.
Растущий порог V (0.9 → 4.5 V за 6 мес) при стабильном импедансе. Output 2.5 V ниже порога — capture loss. Решение: Output ≥ 9 V.
Kuznetsov A.V.
Pacemaker-dependent. Батарея в ERI (Elective Replacement) — замена в течение 1-3 мес. Амплитуда снижена до 2.5 V для экономии заряда.
Самопроверка: режимы, маркеры EGM, базовые понятия программирования
A Rate
—
V Rate
—
SYSTEM SUMMARY
👤 Patient Info
Last Follow Up
—
Implant Date
—
Device Model
—
Leads OK
Daily lead measurements are within range.
POST is complete. See results on Quick Notes and Follow-up reports.
Battery OK
Approximate time to explant: > 8 years
EVENTS SUMMARY
Since Last Reset
—
SVT Episodes (V≤A)
—
Nonsustained Episodes
—
Atrial Episodes > 48 hr
—
SAM Episodes
—
VT Episodes (V>A)
—
Percent Paced
A—
V—
SETTINGS SUMMARY
Mode
—
LRL — MSR
—
Paced AV Delay
—
Sensed AV Delay
—
Trends
Arrhythmia Logbook
Patient Diagnostics
Real-time Log
View
Events
Heart Rate min⁻¹
Intrinsic Amplitude No data collected
| ▽ Event | Date/Time | Type | Summary | Duration | ||
|---|---|---|---|---|---|---|
| Загрузите пациента | ||||||
Last Follow Up: —
HISTOGRAMS
Since Last Reset · —
BRADY COUNTERS
Since Last Reset · —
—
TACHY COUNTERS
Since Last Reset · —
Tachy Episodes 0 Nonsustained Episodes 0
| ▽ No. | Date/Time | Duration | Type | Notes | ||
|---|---|---|---|---|---|---|
| Загрузите пациента | ||||||
Lead Tests
EP Tests
Temp Brady
POST
●A
■V
◆LV
Intrinsic Amplitude
DDD 60 min⁻¹, AV Delay 300 ms
Ventricular Rate
—
(N/R)
—
—
(N/R)
—
—
(LV не sense)
—
Pace Impedance
—
(—)
—
(—)
—
(—)
Atrial Threshold
—
(—)
V Threshold
—
(—)
LV Threshold
—
(—)
Settings Summary
Brady
Tachy
Timing
Sensor
Leads
Ventricular Tachy EGM Storage
Scale
ATRIAL TACHY
Therapy
BRADY
Settings
Mode—
Paced AV Delay—
Sensed AV Delay—
Amplitude
Pulse Width
Sensitivity
Polarity
●A
—
—
—
—
■V
—
—
—
—
PARAMETERS
Mode
Lower Rate Limit
min⁻¹
Maximum Tracking Rate
min⁻¹
Maximum Sensor Rate
min⁻¹
Paced AV Delay
−ms
Sensed AV Delay
−ms
A-Refractory (PVARP)
−ms
V-Refractory (VRP)
−ms
🔍 Timing,
Rate Enhancements,
Magnet, Noise
Rate Enhancements,
Magnet, Noise
PACING AND SENSING
Amplitude
Pulse Width
Sensitivity
●A
V @
ms
mV
■V
V @
ms
mV
Sensing Method
🔍 LEADS
●A Pace/Sense
■V Pace/Sense
🔍 RATE ADAPTIVE PACING
Accelerometer
Minute Ventilation
MV Sensor Status
🛡 PICM RISK MANAGEMENT
RYTHMIQ™
AV Search+
Effective V Pacing
—
SETTINGS - TACHY
ℹ Tachy Therapy для ЭКС-only: у простых кардиостимуляторов (без ICD) tachy-терапия не запускает шок или ATP. Устройство только детектирует эпизоды и сохраняет в Logbook. Эти пороги используются для классификации.
VENTRICULAR TACHY DETECTION
VT Detection Rate
min⁻¹
VT Detection Duration
beats
Sustained Rate Duration
sec
Tachy EGM Storage
ATRIAL TACHY DETECTION (ATR)
ATR Detection Rate
min⁻¹
ATR Trigger
beats
ATR Mode Switch
ATR Fallback Rate
min⁻¹
SETTINGS - TIMING, RATE ENHANCEMENTS, MAGNET, AND NOISE
TIMING
PVARP after PVC
ms
AV Search +
Search AV Delay
ms
Search Interval
cycles
🔍 Blanking
MAGNET AND NOISE
Magnet Response
Noise Response
RATE ENHANCEMENTS
Rate Smoothing
Up
%
Down
%
Maximum Pacing Rate
min⁻¹
Rate Hysteresis
Hysteresis Offset
min⁻¹
Search Hysteresis
cycles
🔍 Sudden Brady Response
SETTINGS - RATE ADAPTIVE PACING
Sensor Trending — 30 Second Average
——
Actual Rate — min⁻¹
Sensor Replay — min⁻¹
🔍 RightRate™ Pacing
Minute Ventilation
Response Factor
Fitness Level
🔍 Motion-Based Pacing
Accelerometer
Response Factor
Activity Threshold
Maximum Sensor Rate
min⁻¹
Lower Rate Limit
min⁻¹
ⓘ To update sensor trending information, press Interrogate.
ⓘ Telemetry may affect MV sensor status.
SETTINGS - LEADS (Diagnostics & Configuration)
⚠ Lead Configuration — критические параметры. Изменения требуют верификации с проверкой импеданса и порога.
● A Lead
Pace Configuration
Sense Configuration
Safety Switch
Auto Lead Recognition
Impedance Limits Low
Ω
Impedance Limits High
Ω
■ V Lead
Pace Configuration
Sense Configuration
Safety Switch
Auto Lead Recognition
Impedance Limits Low
Ω
Impedance Limits High
Ω
📊 Lead Switch Details: History of Bipolar→Unipolar switches: None recorded · Implant Lead Impedance A: —, V: — ▸ History
UTILITIES
Setup
Date and Time
About
Device Memory
Heart Connect™
🎓 Training
CONFIGURE SETTINGS
Communication Mode
PROGRAMMER CLOCK
Date
Time : hh:mm
TIME ZONE
DEVICE CLOCK
Date 04 May 2026
Time 15:16 hh:mm
Time 15:16 hh:mm
System Information
Acknowledgements
| Device Model | L110 |
| Device Serial Number | 945727 |
| Device Type | Single Chamber Pacemaker |
| Software Application | 3869 |
| Software Version | 1.10 |
| Programmer Model | 3300 |
| Programmer Serial Number | 032251 |
| Institution | Demo / babab.ru |
This product includes software components provided under the terms of the Apache Software License, Mozilla Public License, GNU Lesser General Public License, and GNU General Public License. This product includes software developed by the Apache Software Foundation (http://www.apache.org/). Copyright (c) 1999 The Apache Software Foundation. All rights reserved. For further information regarding licenses and source code availability, call BOSTON SCIENTIFIC Technical Services at 1-800-CARDIAC (within USA) or 651-638-4000 (outside USA). ────────────────────────────────────────────────────────── This simulator (v3.5.3) is an educational interface mock-up © 2026 Михмель А.В. Original Boston Scientific™ trademarks are property of Boston Scientific Corporation. This simulator is independent educational content and is not endorsed by, affiliated with, or representative of Boston Scientific Corporation.
ⓘ This function is intended for engineering use only. Device memory is read and saved. Reading device memory will not affect device function. Saving data for clinician use can be performed on the Data screen.
DOWNLOAD ALL DEVICE MEMORY
ⓘ It may take several minutes to fully interrogate the device.
MEETING
PROGRAMMER AUDIO
VIDEO
Heart Connect™
IMPORTANT: Local users must know how to use the connected medical equipment correctly, because delays or loss of network communication can occur at any time.
If the local user is too reliant on a remote user, lost or delayed network communication could result in harm to the patient.
If the local user is too reliant on a remote user, lost or delayed network communication could result in harm to the patient.
Эти возможности добавлены автором симулятора и отсутствуют в реальном программаторе Boston.
🎓 Help Mode
Постоянное отображение всех тултипов с описанием параметров и норм. Удобно для обучения студентов и знакомства новых врачей с программой.
📚 Show Tutorial
Пошаговое введение в основной workflow: загрузка пациента, чтение настроек, изменение параметров, программирование изменений.
📋 Visit Summary
Печать сводки текущего визита для архива пациента: настройки, события, тесты, рекомендации.
🔄 Compare with Last Visit
Сравнение текущих настроек с предыдущим визитом — что изменилось.
📝 Patient Notes
Заметки врача по этому follow-up визиту. Сохраняются с пациентом.
💾 Save Session / Print Report
Сохранение текущей сессии или печать полного отчёта.
DATA MANAGEMENT
REPORTS
EPISODES
(Choose One)
REAL-TIME LOG
(Choose One)
SAVE
DATA TRANSFER
SUMMARY — BATTERY STATUS
Time Remaining
Approximate time to explant: > 8 years
| Magnet Rate | 100 min⁻¹ |
| More than One Year Remaining | 100 min⁻¹ |
| One Year or Less Remaining | 90 min⁻¹ |
| Explant | 85 min⁻¹ |
SUMMARY — BATTERY DETAIL
| Charge Remaining | 1.10 ampere-hours |
| Power Consumption | N/R |
| (Measured with programmed parameters) | |
ⓘ
This device is using N/R% of the power it would use at the following parameters:
100% pacing, 60 min⁻¹, 2.5 V, 0.4 ms, 500 Ω
(These parameters are used to quote device longevity)
SUMMARY — PATIENT INFORMATION
General
Indications
Leads
Implant Data
Physician
- -
%
Lead
Setup
Тренды Daily Measurements за 12 месяцев. Канал:
Intrinsic AmplitudeNo data collected
Pace ImpedanceΩ
Pace ThresholdV
Last Daily
Measurement
—
Measurement
—
Intrinsic
—
—
Impedance
—
—
Auto Threshold
—
—
—
—
- -
Intrinsic Amplitude
Impedance
Pace Threshold
● A
mV
Ω
V @ ms
■ V
mV
Ω
V @ ms
TESTS - ATRIAL THRESHOLD TEST
● A Rate
60
■ V Rate
60
STARTING TEST VALUES
Test Type
Mode
Lower Rate Limitmin⁻¹
Paced AV Delayms
Pacing Lead Config
AmplitudeV
Pulse Widthms
Cycles per Step
Today's Test — V @ — ms
Last Daily
Measurement — V @ — ms
Measurement — V @ — ms
Previous Session — V @ — ms
Implant N/R @ N/R
● A Start Threshold Test