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Real-world Adoption of Smartphone-based Remote Monitoring Using the Confirm Rx™ Insertable Cardiac Monitor.

Roland R Tilz1, Naushad Shaik2, Christopher Piorkowski3

  • 1Division of Electrophysiology, Medizinische Klinik II (Kardiologie, Angiologie, Intensivmedizin), Universitäres Herzzentrum Lübeck, Lubeck, Germany.

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Summary

The Confirm Rx™ insertable cardiac monitor (ICM) shows excellent patient compliance and connectivity using smartphone-based remote monitoring (RM). This technology enables efficient data transmission for timely clinical review of cardiac events.

Keywords:
Atrial fibrillationconnectivityinsertable cardiac monitorremote monitoringsyncope

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Digital Health

Background:

  • Traditional insertable cardiac monitors (ICMs) relied on bedside monitors for remote monitoring (RM).
  • The Confirm Rx™ ICM integrates Bluetooth®, Wi-Fi/cellular technology, and smart devices for RM.
  • This shift aims to improve patient convenience and data accessibility.

Purpose of the Study:

  • To evaluate patient compliance with the Confirm Rx™ ICM's remote monitoring system.
  • To characterize data connectivity and transmission timing for cardiac events.
  • To assess the time from data transmission to clinical review.

Main Methods:

  • A cohort of American patients receiving the Confirm Rx™ ICM was studied.
  • Compliance was measured by app registration and data transmission rates.
  • Connectivity was assessed by the frequency of data transmissions.
  • Event transmission and clinician review times were recorded.

Main Results:

  • 97% of patients registered the app, and 92% transmitted data, demonstrating high compliance.
  • Remote monitoring connectivity occurred every 1.5 days (4.7 times/week).
  • Symptom-related events transmitted within 2.9 minutes; device-detected episodes transmitted within 18.5 hours.
  • Clinician review occurred within 0.9 days for symptom events and 0.8 days for device-detected events.

Conclusions:

  • The Confirm Rx™ ICM demonstrates excellent real-world patient compliance with smartphone-based RM.
  • The system facilitates efficient data transmission and timely clinical review.
  • This technology shows suitability for future cardiac implantable devices.