{"id":1354,"date":"2020-09-09T18:00:15","date_gmt":"2020-09-09T18:00:15","guid":{"rendered":"http:\/\/site.tamthuvn.com\/?page_id=1354"},"modified":"2022-07-02T02:57:32","modified_gmt":"2022-07-01T18:57:32","slug":"may-tham-do-dien-sinh-ly-tim","status":"publish","type":"page","link":"https:\/\/tamthuvn.com\/en\/san-pham\/may-tham-do-dien-sinh-ly-tim\/","title":{"rendered":"M\u00e1y th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd tim"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1354\" class=\"elementor elementor-1354\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-780aea79 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"780aea79\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a9bc786\" data-id=\"4a9bc786\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f1e33cc elementor-widget elementor-widget-text-editor\" data-id=\"2f1e33cc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><\/p>\n<h1 class=\"wp-block-heading\">&nbsp;<\/h1>\n<p><\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<p><\/p>\n<p>C\u00f4ng ty Northwest Signal Processing v\u00e0 Cty T\u00e2m Thu l\u00e0 \u0111\u1ea1i di\u1ec7n cho c\u00e1c c\u00f4ng ty<\/p>\n<p><\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.biotronik.com\/\">Biotronik<\/a> <img decoding=\"async\" style=\"width: 150px;\" src=\"\/\/tamthuvn.com\/wp-content\/uploads\/2022\/01\/BIoLogoSmall.jpg\" alt=\"\"><\/li>\n<li><a href=\"https:\/\/systolicvn.com\/CardioTek.html\">Schwarzer-Cardiotek<\/a> <img decoding=\"async\" style=\"width: 98px;\" src=\"\/\/tamthuvn.com\/wp-content\/uploads\/2022\/01\/SchwarzerLogosmall.jpg\" alt=\"\"><\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p>v\u00e0 hi\u1ec7n nay cung c\u1ea5p m\u00e1y th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd, m\u00e1y k\u00edch th\u00edch tim, m\u00e1y \u0111\u1ed1t c\u01a1 tim, m\u00e1y b\u01a1m dung d\u1ecbch v\u00e0 c\u00e1c \u1ed1ng th\u00f4ng th\u0103m d\u00f2 v\u00e0 \u0111\u1ed1t<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>\u1ed0ng th\u00f4ng ch\u1ea9n \u0111o\u00e1n\n<ul>\n<li>bu\u1ed3ng tim:&nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#MultiCath\">MultiCath<\/a>,&nbsp;<\/li>\n<li>xoang v\u00e0nh:&nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#ViaCath\">ViaCath<\/a><\/li>\n<\/ul>\n<\/li>\n<li>\u1ed0ng th\u00f4ng \u0111\u1ed1t &nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#AlCath\">AlCath<\/a><\/li>\n<li>M\u00e1y k\u00edch th\u00edch tim&nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#QubicStim\">Qubic Stim<\/a><\/li>\n<li>M\u00e1y \u0111\u1ed1t c\u01a1 tim&nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#QubicRF\">Qubic RF<\/a><\/li>\n<li>M\u00e1y b\u01a1m dung d\u1ecbch&nbsp;<a href=\"https:\/\/systolicvn.com\/EP.html#Qiona\">Qiona<\/a><\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p><a href=\"https:\/\/systolicvn.com\/Ablation.html\">M\u1ed9t s\u1ed1 b\u00e0i gi\u1edbi thi\u1ec7u k\u1ef9 thu\u1eadt \u0111\u1ed1t c\u01a1 tim<\/a><br>C\u00e1c m\u00e1y th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd Ep-Tracer \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf VN:<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>B\u1ed9 m\u00e1y Ep-Tracer 70 \u1edf Vi\u1ec7n Tim M\u1ea1ch Qu\u1ed1c Gia, BV B\u1ea1ch Mai<\/li>\n<li>B\u1ed9 m\u00e1y Ep-Tracer 38 \u1edf BV Qu\u1ed1c T\u1ebf Hu\u1ebf<\/li>\n<li><a href=\"https:\/\/systolicvn.com\/EpTracer201812.html\">B\u1ed9 m\u00e1y Ep-Tracer 70 \u1edf BV \u0110K t\u1ec9nh Qu\u1ea3ng Nam, v\u1edbi Qubic RF v\u00e0 Qiona<\/a>.<\/li>\n<li><span style=\"font-size: 14.4px;\">B\u1ed9 m\u00e1y Ep-Tracer 102 \u1edf BV \u0110a Khoa L\u00e2m \u0110\u1ed3ng, v\u1edbi Qubic RF v\u00e0 Qiona.<\/span><br><\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<h4 class=\"wp-block-heading\"><strong>\u1ed0ng th\u00f4ng ch\u1ea9n do\u00e1n&nbsp;<\/strong><\/h4>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>t\u1eeb&nbsp;4 \u0111\u1ebfn 10 c\u1ef1c v\u1edbi nhi\u1ec1u \u0111\u01b0\u1eddng cong c\u1ed1 \u0111\u1ecbnh \u0111\u1ec3 d\u00f9ng trong c\u00e1c bu\u1ed3ng tim \u2013<a href=\"https:\/\/systolicvn.com\/pdfFiles\/TechnicalDataMultiCath.pdf\">Biotronik MultiCath.<\/a>&nbsp;&nbsp;\u0110\u01b0\u1edbng k\u00ednh t\u1eeb 4F \u0111\u1ebfn 6 F.&nbsp;<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/MultiCath.jpg\" alt=\"MultiCath\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>t\u1eeb 4 \u0111\u1ebfn 20 \u0111i\u1ec7n c\u1ef1c v\u1edbi \u0111\u00f9ng cong \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c, \u0111\u1ec3 d\u00f9ng trong xoang v\u00e0nh \u2013&nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/TechnicalDataMultiCath.pdf\">Biotronik ViaCath<\/a><\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/ViaCath.jpg\" alt=\"ViaCath\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<h4 class=\"wp-block-heading\"><strong>\u1ed0ng th\u00f4ng \u0111\u1ed1t &nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/TechnicalDataAlCath.pdf\">AlCath<\/a><\/strong><\/h4>\n<p><\/p>\n<p><\/p>\n<p>C\u00e1c \u1ed1ng th\u00f4ng AlCath v\u1edbi b\u1ed9 ph\u1eadn thermocouple v\u00e0 \u0111\u1ea7u Pt-Ir. C\u00e1n \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u khi\u1ec3n \u0111\u1ea7u \u1ed1ng th\u00f4ng b\u1eb1ng \u0111\u1ed9ng t\u00e1c \u0111\u1ea9y ra v\u00e0o ch\u1ec9 c\u1ea7n d\u00f9ng m\u1ed9t tay.<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"http:\/\/old.tamthuvn.com\/\/NVUImage\/AlCath.jpg\" alt=\"AlCath\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c \u1ed1ng th\u00f4ng \u0111\u1ed1t th\u1ebf h\u1ec7 m\u1edbi AlCath Full Circle l\u00e0 c\u00f3 th\u1ec3 cong l\u1ea1i 270 \u0111\u1ed9.<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/AlCathFC.jpg\" alt=\"AlCath Full Circle\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Biotronik c\u0169ng cung c\u1ea5p \u1ed1ng th\u00f4ng c\u00f3 th\u1ec3 b\u01a1m dung d\u1ecbch&nbsp;v\u00e0o tim \u0111\u1ec3 h\u1ea1 nhi\u1ec7t.&nbsp;<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/AlCathFlux.jpg\" alt=\"AlCathFlux\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Loai \u1ed1ng th\u00f4ng \u0111\u1eb7c bi\u1ec7t, ch\u1ec9 \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1edfi c\u00f4ng ty&nbsp; Biotronik, l\u00e0 lo\u1ea1i v\u1edbi \u0111\u1ea7u b\u1eb1ng v\u00e0ng (Au thay v\u00ec Pt-Ir) d\u00f9ng \u0111\u1ec3 \u0111\u1ed1t s\u00e2u v\u00e0o c\u01a1 tim m\u00e0 kh\u00f4ng t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ebf b\u00e0o ph\u00eda tr\u00ean.<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/AlCathGold.jpg\" alt=\"AlCathGold\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Ngo\u00e0i c\u00e1c \u1ed1ng th\u00f4ng \u0111\u1ed1t d\u00e0i 4 mm th\u00f4ng d\u1ee5ng, Biotronik c\u00f2n c\u00f3 s\u1ea3n xu\u1ea5t lo\u1ea1i \u1ed1ng th\u00f4ng d\u00e0i 8 mm v\u1edbi \u0111\u1ea7u Pt-Ir ho\u1eb7c Au. C\u00e1c \u1ed1ng th\u00f4ng n\u00e0y d\u00f9ng khi \u0111\u1ed1t c\u00e1c \u0111\u01b0\u1eddng d\u00e0i trong nh\u0129 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cu\u1ed3ng \u0111\u1ed9ng nh\u0129.<\/p>\n<p><\/p>\n<p><\/p>\n<p><a href=\"https:\/\/systolicvn.com\/References.html\">GS Lewalter<\/a>&nbsp;b\u00e1o c\u00e1o so s\u00e1nh gi\u1eefa AlCath 4 mm v\u00e0 AlCath Gold 4 mm trong cu\u1ed9c th\u1eed nghi\u1ec7m v\u1edbi tim heo:<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>AlCath: \u0111\u1ed9 s\u00e2u trung b\u00ecnh 2.96 mm, 6.2 W<\/li>\n<li>AlCath Gold: \u0111\u1ed9 s\u00e2u trung b\u00ecnh 4.85 mm, 13.2W<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p>V\u1edbi nhi\u1ec7t \u0111\u1ed9 \u0111\u00edch (target temperature) l\u00e0 60\u00baC, n\u0103ng xu\u1ea5t t\u1ed1i \u0111a 30W, th\u1eddi gian 60 s. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 h\u00ecnh v\u1ebft s\u1eb9o v\u1edbi hai lo\u1ea1i \u1ed1ng th\u00f4ng.<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img fetchpriority=\"high\" decoding=\"async\" src=\"\/\/tamthuvn.com\/wp-content\/uploads\/2022\/05\/AlCathGoldPigHeart.jpg\" alt=\"\" width=\"546\" height=\"196\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Trong th\u1eed nghi\u1ec7m European Multicenter Register with a Catheter with Gold Tip Electrode, k\u1ebft qu\u1ea3 s\u01a1 kh\u1edfi l\u00e0 th\u1eddi gian \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cu\u1ed3ng \u0111\u1ed9ng nh\u0129 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn g\u1ea7n ph\u00e2n n\u1eefa khi d\u00f9ng \u0111i\u1ec7n c\u1ef1c Au so v\u1edbi khi d\u00f9ng \u0111i\u1ec7n c\u1ef1c Pt-Ir. Quan tr\u1ecdng h\u01a1n h\u1ebft l\u00e0 th\u1eddi gian d\u00f9ng X-quang \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn 1\/2!<\/p>\n<p><\/p>\n<p><\/p>\n<p>B\u00e0i &#8220;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/MoultonRFACooled2007.pdf\">Cooled tip catheter ablation<\/a>&#8221; c\u1ee7a Linda Moulton gi\u1ea3i th\u00edch ho\u1ea1t \u0111\u1ed9ng c\u00e1c \u1ed1ng th\u00f4ng \u0111\u1ed1t v\u00e0 \u1ed1ng th\u00f4ng \u0111\u1ed1t b\u01a1m n\u01b0\u1edbc mu\u1ed1i.&nbsp;<\/p>\n<p><\/p>\n<p><\/p>\n<p>C\u00e1c \u1ed1ng th\u00f4ng c\u1ea7n ph\u1ea3i gi\u1eef nhi\u1ec7t \u0111\u1ed9 tr\u00ean \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t d\u01b0\u1edbi 100\u00b0C h\u1ea7u tr\u00e1nh c\u00e1c c\u01a1 b\u1ecb ch\u00e1y (charring), b\u1ecb kh\u00f4 (dessication), l\u00e0m m\u00e1u b\u1ed1c h\u01a1i n\u01b0\u1edbc hay t\u1ea1o kh\u1ed1i \u0111\u00f4ng. B\u1eaft \u0111\u1ea7u t\u1eeb 50\u00b0C c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim s\u1ebd b\u1ecb ti\u00eau h\u1ee7y, t\u1ea1o n\u00ean v\u1ebft s\u1eb9o. &nbsp;Th\u00f4ng th\u01b0\u1eddng c\u00e1c b\u00e1c s\u0129 ch\u1ec9 d\u00f9ng nhi\u1ec7t \u0111\u1ed9 trong kho\u1ea3ng 45 \u0111\u1ebfn 65\u00baC \u0111\u1ec3 t\u1ea1o c\u00e1c v\u1ebft s\u1eb9o. \u0110\u00e2y l\u00e0 c\u00e1ch \u0111\u1ed1t c\u00e1c \u1ed5 lo\u1ea1n nh\u1ecbp, hay t\u1ea1o c\u00e1c \u0111\u01b0\u1eddng s\u1eb9o d\u00e0i h\u1ea7u ng\u0103n c\u00e1c s\u00f3ng rung nh\u0129. Trong tr\u01b0\u1eddng h\u1ee3p cu\u1ed3ng \u0111\u1ed9ng nh\u0129, th\u00ec c\u00e1c \u0111\u01b0\u1eddng s\u1eb9o d\u00e0i n\u00e0y s\u1ebd c\u1ea3n c\u00e1c s\u00f3ng trong c\u00e1c v\u00f2ng v\u00e0o l\u1ea1i to, kh\u00f4ng v\u00f2ng tr\u1edf l\u1ea1i \u0111\u01b0\u1ee3c. C\u00f4ng su\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ed1t ch\u1ec9 kho\u1ea3ng&nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/FDATemperatureLimits1997.pdf\">50 Watts<\/a>. V\u00ec th\u1ebf c\u01a1 quan FDA (Food and Drug Administration &#8211; C\u01a1 quan qu\u1ea3n l\u00fd th\u1ef1c ph\u1ea9m v\u00e0 d\u01b0\u1ee3c ph\u1ea9m) Hoa K\u1ef3, th\u01b0\u1eddng gi\u1edbi h\u1ea1n c\u00f4ng su\u1ea5t c\u00e1c m\u00e1y \u1edf m\u1ee9c&nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/BardEducationPowerLimit.pdf\">kho\u1ea3ng 50 Watts<\/a>.<\/p>\n<p><\/p>\n<p><\/p>\n<p>Tuy nhi\u00ean m\u1ed9t s\u1ed1 m\u00e1y c\u1ea7n c\u00f3 c\u00f4ng su\u1ea5t cao h\u01a1n 50 Watts l\u00e0 \u0111\u1ec3 d\u00f9ng v\u1edbi c\u00e1c \u1ed1ng th\u00f4ng v\u1edbi \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t 8 hay 10 mm. V\u00ec \u0111i\u1ec7n c\u1ef1c d\u00e0i, n\u00ean c\u00e1c \u1ed1ng th\u00f4ng n\u00e0y kh\u00f3 d\u00f9ng h\u01a1n v\u00e0 th\u01b0\u1eddng ch\u1ec9 d\u00f9ng khi \u0111\u1ed1t c\u00e1c \u0111\u01b0\u1eddng d\u00e0i \u1edf nh\u0129 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb rung nh\u0129 hay cu\u1ed3ng \u0111\u1ed9ng nh\u0129. Tuy nhi\u00ean khi d\u00f9ng c\u00f4ng su\u1ea5t cao, nhi\u1ec7t \u0111\u1ed9 \u1edf \u0111i\u1ec7n c\u1ef1c d\u00e0i c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u (xem h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y). V\u00ec v\u1eady FDA ch\u1ec9 cho d\u00f9ng c\u00f4ng su\u1ea5t tr\u00ean 50 Watts v\u1edbi c\u00e1c m\u00e1y \u0111\u1ed1t d\u00f9ng lo\u1ea1i d\u00e2y v\u1edbi \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t d\u00e0i 8 mm tr\u1edf l\u00ean v\u00e0 trong khi \u0111\u1ed1t m\u00e1y ph\u1ea3i&nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/SJM100WRFA2005.pdf\">theo d\u00f5i nhi\u1ec7t \u0111\u1ed9 \u1edf hai \u0111i\u1ec3m \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t<\/a>&nbsp; v\u00e0 b\u00e1c s\u0129 ph\u1ea3i theo d\u00f5i&nbsp;<a href=\"https:\/\/systolicvn.com\/pdfFiles\/spec_Maestro_01_us_ep.pdf\">tr\u1edf kh\u00e1ng<\/a>&nbsp;(tr\u1edf kh\u00e1ng t\u0103ng b\u1ea5t ng\u1edd l\u00e0 d\u1ea5u hi\u1ec7u m\u00e1u b\u1ecb \u0111\u00f4ng l\u1ea1i). V\u00ec nhi\u1ec7t \u0111\u1ed9 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u d\u01b0\u1edbi \u0111i\u1ec7n c\u1ef1c 8 mm, n\u00ean ph\u1ea3i gi\u1edbi h\u1ea1n nhi\u1ec7t \u0111\u1ed9 \u0111o \u0111\u01b0\u1ee3c l\u00e0 60-70\u00ba C.<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/NVUImage\/LongAblationElectrodeTempProfile.jpg\" alt=\"Long Electrode Temp Profile\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p><small>Tr\u00edch t\u1eeb&nbsp;<a href=\"https:\/\/systolicvn.com\/References.html\">&nbsp;McRury1997<\/a>.B\u1ea3n \u0111\u1ed3 nhi\u1ec7t \u0111\u1ed9 m\u1ed9t \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t 12,5 mm d\u00e0i, n\u1eb1m trong d\u00f2ng m\u00e1u v\u00e0 tr\u00ean c\u01a1 tim. Nhi\u1ec7t \u0111\u1ed9 \u1edf kho\u1ea3ng gi\u1eefa ch\u1ec9 \u0111\u1ebfn 71 \u00baC trong khi nhi\u1ec7t \u0111\u1ed9 hai \u0111\u1ea7u l\u00ean \u0111\u1ebfn 161 \u00baC! \u0110\u00e2y l\u00e0 l\u00fd do c\u1ea7n hai b\u1ed9 ph\u1eadn \u0111o nhi\u1ec7t \u1edf hai \u0111\u1ea7u \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t khi d\u00f9ng \u0111i\u1ec7n c\u1ef1c \u0111\u1ed1t d\u00e0i v\u1edbi c\u00f4ng su\u1ea5t tr\u00ean 50 Watt.<\/small><\/p>\n<p><\/p>\n<p><\/p>\n<p>Trong m\u1ed9t nghi\u00ean c\u1ee9u v\u1edbi 166 b\u1ec7nh nh\u00e2n (<a href=\"https:\/\/systolicvn.com\/References.html\">Feld 2004<\/a>) c\u1ea7n \u0111\u1ed1t c\u01a1 tim \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cu\u1ed3ng \u0111\u1ed9ng nh\u0129, khi d\u00f9ng m\u00e1y v\u1edbi c\u00f4ng su\u1ea5t \u0111\u1ed1t t\u1ed1i \u0111a 100 Watts v\u00e0 \u0111i\u1ec7n c\u1ef1c d\u00e0i 8mm v\u00e0 10 mm, m\u00e1y chi th\u1eadt s\u1ef1&nbsp;d\u00f9ng c\u00f3 55\u00b120 Watts (xem b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y).<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/FeldLargeAblationCathResults.jpg\" alt=\"Feld\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Trong c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean, \u0111\u1ea7u \u0111i\u1ec7n c\u1ef1c b\u1eb1ng ch\u1ea5t Pt-Ir. C\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u1edbi \u0111\u1ea7u Au ch\u01b0a \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 \u0111\u1ea7y \u0111\u1ee7. Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean \u0111\u00e3 ch\u1ee9ng minh l\u00e0 \u0111i\u1ec7n c\u1ef1c n\u00e0y an to\u00e0n (<a href=\"https:\/\/systolicvn.com\/pdfFiles\/BraunAlCathG2005.pdf\">Braun2005<\/a>)<a href=\"https:\/\/systolicvn.com\/EP.html#TopPage\">Tr\u1edf l\u1ea1i trang \u0111\u1ea7u<\/a><\/p>\n<p><\/p>\n<p><\/p>\n<h4 class=\"wp-block-heading\">M\u00e1y k\u00edch th\u00edch Qubic Stim<\/h4>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/EP\/Qubic_Stim.jpg\" alt=\"Qubic Stim\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>&nbsp;M\u00e1y ph\u00e1t xung d\u00f9ng trong th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd. M\u1ed9t k\u00eanh c\u00f3 th\u1ec3 n\u1ed1i v\u1edbi 1 trong 3 c\u1eb7p \u0111i\u1ec7n c\u1ef1c. M\u00e1y c\u00f3 2 b\u1ed9 ph\u1eadn:<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>M\u00e1y ph\u00e1t xung (b\u00ean d\u01b0\u1edbi trong h\u00ecnh). C\u00f3 th\u1ec3 ph\u00e1t \u0111\u1ee3t xung (S1) + 4 xung ph\u1ee5 (S2\/S3\/S4\/S5). Nhip \u0111\u1ebfn 250 n\/p.<\/li>\n<li>M\u00e1y \u0111i\u1ec1u khi\u1ec3n, c\u00f3 th\u1ec3 \u0111\u1eb7t c\u00e1ch xa m\u00e1y ph\u00e1t xung v\u00e0 n\u1ed1i v\u1edbi c\u00e1p ethernet. V\u1edbi m\u00e0n h\u00ecnh ch\u1ea1m (touch screen) \u0111\u1ec3 ch\u1ecdn c\u00e1c th\u00f4ng s\u1ed1 d\u1ec5 d\u00e0ng.<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p>K\u00edch th\u01b0\u1edbc<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>M\u00e1y ph\u00e1t xung: 228 x 61 x 234 mm<\/li>\n<li>M\u00e1y \u0111i\u1ec1u khi\u1ec3n: 220 x 78 x 218 mm<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<h4 class=\"wp-block-heading\"><a>M\u00e1y \u0111\u1ed1t c\u01a1 tim Qubic RF<\/a><\/h4>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/EP\/QubicRF.jpg&quot;\" alt=\"Qubic RF\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>M\u00e1y \u0111\u00f3t c\u01a1 tim v\u1edbi c\u00f4ng su\u1ea5t t\u1ed1i \u0111a 150 Watt v\u1edbi m\u00e1y \u0111i\u1ec1u khi\u1ec3n t\u1eeb xa v\u1edbi m\u00e0n h\u00ecnh ch\u1ea1m v\u1edbi \u0111\u1ea7y \u0111\u1ee7 ch\u1ee9c n\u0103ng. Khi k\u1ebft n\u1ed1i v\u1edbi b\u01a1m Qiona c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh 4 m\u1ee9c dung l\u01b0\u01a1ng dung d\u1ecbch t\u00f9y theo c\u00f4ng su\u1ea5t s\u00f3ng RF \u0111ang \u0111\u01b0\u1ee3c ph\u00e1t.<\/p>\n<p><\/p>\n<p><\/p>\n<p>K\u00edch th\u01b0\u1edbc<\/p>\n<p><\/p>\n<p><\/p>\n<ul class=\"wp-block-list\">\n<li>M\u00e1y \u0111\u00f4t: 230 x 149 x 230 mm<\/li>\n<li>M\u00e1y \u0111i\u1ec1u khi\u1ec3n: 220 x 78 x 218 mm<\/li>\n<\/ul>\n<p><\/p>\n<p><\/p>\n<p><a href=\"https:\/\/systolicvn.com\/EP.html#TopPage\">Tr\u1edf l\u1ea1i trang \u0111\u1ea7u<\/a><\/p>\n<p><\/p>\n<p><\/p>\n<h4 class=\"wp-block-heading\">M\u00e1y b\u01a1m dung d\u1ecbch Qiona<\/h4>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/Qiona.jpg\" alt=\"QAiona\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng c\u00e1c m\u00e1y b\u01a1m dung d\u1ecbch c\u1ea7n ph\u1ea3i do nh\u00e0 s\u1ea3n xu\u1ea5t m\u00e1y \u0111\u1ed1t cung c\u1ea5p. L\u00fd do l\u00e0 c\u1ea7n ph\u1ea3i t\u1ef1 \u0111\u1ed9ng t\u0103ng c\u00f4ng su\u1ea5t m\u00e1y b\u01a1m t\u1eeb d\u00f2ng dung dich th\u1ea5p l\u00ean d\u00f2ng dung dich cao khi m\u00e1y \u0111\u1ed1t b\u1eaft \u0111\u1ea7u ph\u00e1t \u0111i\u1ec7n. R\u1ed3i sau khi ng\u01b0ng \u0111\u1ed1t, th\u00ec c\u1ea7n h\u1ea1 c\u00f4ng su\u1ea5t m\u00e1y b\u01a1m xu\u1ed1ng.<\/p>\n<p><\/p>\n<p><\/p>\n<p>Ch\u1ec9 duy c\u00f3 m\u00e1y Qiona do C\u00f4ng Ty Biotronik cung c\u1ea5p l\u00e0 c\u00f3 th\u1ec3 d\u00f9ng \u0111\u01b0\u1ee3c v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c m\u00e1y \u0111\u1ed1t. M\u00e1y Qiona d\u00f9ng m\u1ed9t b\u1ed9 ph\u1eadn \u0111o d\u00f2ng \u0111i\u1ec7n trong d\u00e2y \u0111i\u1ec7n n\u1ed1i li\u1ec1n \u1ed1ng th\u1ed1ng \u0111\u1ed1t v\u1edbi m\u00e1y \u0111\u1ed1t. C\u00e1c b\u1ea1n c\u00f3 kinh nghi\u1ec7m v\u1edbi \u0111o d\u00f2ng \u0111i\u1ec7n ngu\u1ed3n s\u1ebd nh\u00ecn ra ngay nguy\u00ean t\u1eafc v\u1eadt l\u00fd \u0111\u01b0\u1ee3c d\u00f9ng \u1edf \u0111\u00e2y l\u00e0 \u0111o t\u1eeb tr\u01b0\u1eddng c\u1ee7a d\u00f3ng \u0111i\u1ec7n!<\/p>\n<p><\/p>\n<p><\/p>\n<div>\n<figure><img decoding=\"async\" src=\"\/\/tamthuvn.com\/\/NVUImage\/QionaSensor.jpg\" alt=\"Qiona Sensor\"><\/figure>\n<\/div>\n<p><\/p>\n<p><\/p>\n<p>T\u1ea1i sao n\u00ean mua m\u00e1y Qiona. B\u1ea1n nh\u00ecn h\u00ecnh \u1edf \u0111\u1ea7u \u0111o\u1ea1n n\u00e0y, s\u1ebd th\u1ea5y l\u00e0 m\u00e1y b\u01a1m n\u00e0y hi\u1ec7n \u0111\u1ea1i h\u01a1n c\u00e1c m\u00e1y b\u01a1m \u0111\u01b0\u1ee3c c\u00f4ng ty m\u00e1y \u0111\u1ed1t cung c\u1ea5p! Ngo\u00e0i ra, kh\u00f4ng t\u00f9y thu\u1ed9c c\u00f4ng ty cung c\u1ea5p m\u00e1y \u0111\u1ed1t c\u00f3 ngh\u0129a l\u00e0 trong t\u01b0\u01a1ng lai, khi c\u1ea7n, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ed5i m\u00e1y \u0111\u1ed1t m\u00e0 kh\u00f4ng c\u1ea7n mua th\u00eam m\u1ed9t m\u00e1y b\u01a1m dung d\u1ecbch!<\/p>\n<p><\/p>\n<p><\/p>\n<p>K\u00edch th\u01b0\u1edbc: &nbsp;225 x 240 x 170 mm, 5 Kg.<\/p>\n<p><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; C\u00f4ng ty Northwest Signal Processing v\u00e0 Cty T\u00e2m Thu l\u00e0 \u0111\u1ea1i di\u1ec7n cho c\u00e1c c\u00f4ng ty &nbsp; Biotronik Schwarzer-Cardiotek v\u00e0 hi\u1ec7n nay cung c\u1ea5p m\u00e1y th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd, m\u00e1y k\u00edch th\u00edch tim, m\u00e1y \u0111\u1ed1t c\u01a1 tim, m\u00e1y b\u01a1m dung d\u1ecbch v\u00e0 c\u00e1c \u1ed1ng th\u00f4ng th\u0103m d\u00f2 v\u00e0 \u0111\u1ed1t \u1ed0ng th\u00f4ng ch\u1ea9n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":969,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"zakra_page_container_layout":"customizer","zakra_page_sidebar_layout":"customizer","zakra_remove_content_margin":false,"zakra_sidebar":"customizer","zakra_transparent_header":"customizer","zakra_logo":0,"zakra_main_header_style":"default","zakra_menu_item_color":"","zakra_menu_item_hover_color":"","zakra_menu_item_active_color":"","zakra_menu_active_style":"","zakra_page_header":true,"footnotes":""},"class_list":["post-1354","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/pages\/1354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/comments?post=1354"}],"version-history":[{"count":18,"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/pages\/1354\/revisions"}],"predecessor-version":[{"id":1937,"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/pages\/1354\/revisions\/1937"}],"up":[{"embeddable":true,"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/pages\/969"}],"wp:attachment":[{"href":"https:\/\/tamthuvn.com\/en\/wp-json\/wp\/v2\/media?parent=1354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}