• • • • • • • • • Date Issued: January 9, 2017 Audience: • Patients with a radio frequency (RF)-enabled St. Jude Medical implantable cardiac device and corresponding Merlin@home Transmitter • Caregivers of patients with an RF-enabled St. Jude Medical implantable cardiac device and corresponding Merlin@home Transmitter • Cardiologists, electrophysiologists, cardiothoracic surgeons, and primary care physicians treating patients with heart failure or heart rhythm problems using an RF-enabled St. Jude Medical implantable cardiac device and corresponding Merlin@home Transmitter Medical Specialties: Cardiac Electrophysiology, Cardiology, Cardiothoracic Surgery, Heart Failure Device: St. Jude Medical implantable cardiac devices (pacemakers, defibrillators, and resynchronization devices) provide pacing for slow heart rhythms and electrical shock or pacing to stop dangerously fast heart rhythms.

These cardiac devices are implanted under the skin in the upper chest area with connecting insulated wires called 'leads' that go into the heart. A patient may need an implantable cardiac device if their heartbeat is too slow (bradycardia), too fast (tachycardia), or needs coordination to treat heart failure. Jude Medical Merlin@home Transmitter uses a home monitor that transmits and receives RF signals used to wirelessly connect to the patient's implanted cardiac device and read the data stored on the device. The transmitter, located in the patient's home, sends the patient's data to his or her physician(s) via the Merlin.net Patient Care Network using a continuous landline, cellular, or wireless ('wi-fi') Internet connection. When connected to the Merlin.net Patient Care Network, patients can direct their data to be uploaded or it can be automatically uploaded. Uploading a patient's data to the Merlin.net Patient Care Network allows his or her physician(s) to more frequently receive, assess, and monitor the patient's implantable cardiac device's function, which supports patient safety, and may reduce the number of in-office visits a patient needs.

Stamp Duty » Principal Documents - Will be charged on ad valorem basis. Refinance rumah bank rakyat pinjaman. Late Payment Charge » Monthly Instalments in Arrears × 1% × Number Of Days Overdue ⁄ 365.

Jeanne Prevost on St. Jude Medical introduces Wireless USB Adaptor for [email protected] transmitter in the U.S. Jeanne Prevost says: February 10, 2016 at 3:52 PM.

Purpose: The FDA is providing information and recommendations regarding St. Jude Medical's radio frequency (RF)-enabled implantable cardiac devices and Merlin@home Transmitter to reduce the risk of patient harm due to cybersecurity vulnerabilities. For the purposes of this safety communication, cybersecurity—also sometimes referred to as 'information security'—focuses on protecting patients' medical devices and their associated computers, networks, programs, and data from unintended or unauthorized access, change, or destruction. Summary of Problem and Scope: Many medical devices—including St.

Jude Medical's implantable cardiac devices—contain configurable embedded computer systems that can be vulnerable to cybersecurity intrusions and exploits. As medical devices become increasingly interconnected via the Internet, hospital networks, other medical devices, and smartphones, there is an increased risk of exploitation of cybersecurity vulnerabilities, some of which could affect how a medical device operates. The FDA has reviewed information concerning potential cybersecurity vulnerabilities associated with St. Jude Medical's Merlin@home Transmitter and has confirmed that these vulnerabilities, if exploited, could allow an unauthorized user, i.e., someone other than the patient's physician, to remotely access a patient's RF-enabled implanted cardiac device by altering the Merlin@home Transmitter.

The altered Merlin@home Transmitter could then be used to modify programming commands to the implanted device, which could result in rapid battery depletion and/or administration of inappropriate pacing or shocks. There have been no reports of patient harm related to these cybersecurity vulnerabilities.

To improve patient safety, St. Jude Medical has developed and validated a software patch for the Merlin@home Transmitter that addresses and reduces the risk of specific cybersecurity vulnerabilities. The patch, which will be available beginning January 9, 2017, will be applied automatically to the Merlin@home Transmitter. Patients and patient caregivers only need to make sure their Merlin@home Transmitter remains plugged in and connected to the Merlin.net network to receive the patch. The FDA has reviewed St. Jude Medical's software patch to ensure that it addresses the greatest risks posed by these cybersecurity vulnerabilities, and reduces the risk of exploitation and subsequent patient harm. The FDA conducted an assessment of the benefits and risks of using the Merlin@home Transmitter, and has determined that the health benefits to patients from continued use of the device outweigh the cybersecurity risks.