Documentation of Medtronic ERI program changes
I was advised that Medtronic has changed the new devices so that they do not revert to 100% Ventricular pacing "only" (VVI) before replacement is permitted by insurance. However, I have not been able to locate documentation that directly reflects this in a clear and concise statement. Although. I did find the following information that I believe pretty clearly documents it. I hope that someone smarter than me can help and comment on this. It is obviously very important to us that have suffered through the automatic ERI programming changes in the past.
Here is what I found:
Older PM's (like the one that I have) have a combined Recommended Replacement Time (RRT) and Elective Replacement Indicator (ERI) So in essence the recommended replacement time and ERI happened at the same time.
So here is what seems to have changed in the new devices:
The RRT is now 3 months "before" ERI (it is determined by battery voltage of 2.63 or less on 3 consecutive daily automatic measurements).
ERI is now 3 months "after" RRT
Then you have EOS (end of service) 3 months after that
However, I am unsure exactly what happens at ERI in these new PM's. However, I suppose that it may be irrelevant if you have three months prior to that in which to get a replacement. I don't think insurance can object to getting a replacement if the manufacturer recommends it. I think that additional good news is that we now have a 9 month buffer before the battery dies.
Now, this was the best I could come up with, but it sure seems like it is an accurate reflection of the change. I really would like to have a doctor or someone from Metronic or someone smarter than me confirm all of this. I will do that when I have the opportunity. I guess that I am concerned that I could have it wrong and I certainly do not want to misinform anyone. Obviously, if we now look to "RRT" for the time when we can have a replacement, that is a significant meaningful change. So hopefully; someone else can follow-up on this effort and let us know what they come up with.
You know you're wired when...
You participate in the Pacer Olympics.
I wouldn't be here if it were not for this amazing technology inside of me.