Pacing System Analyzer
Psa · Pacing Systems Analyzer · Programmer with PSA · Device Programmer
A portable box or tablet-style unit, often built into the maker's pacemakerPAYS-may-kerA small device that sends electrical pulses to the heart to keep it beating at a set rate; also the heart's own natural rhythm center.Full entry programmer, with a screen and connections for sterile patient cables. The cables end in alligator clips that clip onto the pacing lead's pins on the field.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Tests a new pacing or defibrillator lead before it is connected to the generator: it measures pacing threshold, sensed signal (electrogram) amplitude and lead impedance. Used for pacemakerPAYS-may-kerA small device that sends electrical pulses to the heart to keep it beating at a set rate; also the heart's own natural rhythm center.Full entry and ICD insertions and lead revisions, usually run by the maker's representative.
Lengths and variants
Each device maker has its own programmer; for example the Biotronik Renamic Neo programmer has an on-board PSA.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
Know it on sight.
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On 2 setups
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3 sources
- Cohn LH. Cardiac Surgery in the Adult. 3rd ed. Chapter 60 (Surgical Implantation of Pacemakers and Automatic Defibrillators), p. 1403
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 25 (Cardiac Surgery), p. 992
- biotronik.com
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