Insertable Loop Recorders (ILR) and how they are used.
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- Опубликовано: 11 июл 2024
- Learn about Insertable Loop Recorders (ILR), like the Medtronic LINQ. In this video I talk about what an IRL is, how they work, how they are inserted into your body, and how to use one after it is inserted.
***WARNING*** I am not a medical professional giving medical advice, nor do I work for any device manufacturer. If you have additional questions about Insertable Loop Recorders please contact your physician, or you can find information on the manufacturer's website.
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I can't praise the loop recorder enough. 18 months ago I had a loop recorder inserted following a questionable heart reading whilst having an EEG. As a result my neurologist referred me to the cardiologist. 18 months later I collapsed. The loop recorder showed a 20 second pause in my heart output. I am now the proud owner of a pacemaker. Amazing tech.
Glad to hear it Anthony! The loop recorder did exactly what it was supposed to do. I love hearing stories like this. Thanks for watching, and for sharing.
I needed to hear this. The docs that implanted mine basically sent a nurse to my room with the box and told me to take it home. And that, with the instructions inside (basically plug it in and press the button, nothing about when/why, etc.) was all the info I ever got.
Thanks. I found this info excellent as I suffer Dyslexia and the writen words were so hard to comprehend , even my wife who an competent reader, could not fully comprehend the literature. Made my understanding So Much Clearer
Thank you Douglas Ive been waiting for this to be inserted
Very informative! Many thanks!
Great video!!! Great information. I just got my Loop recorder implamented
Brilliant video! Thank you so much.
Really good video. Clean and simple on what to expect. I am having one installed tomorrow. Thanks!
Thank you, my mother has just had a device inserted and found your video very informative and clear to understand.
That was an excellent video very clear and informative thank you. I'm having mine fitted soon
excellent presentation! Really helped!
I've just had mine fitted today and this was really informative! Much more than what the clinician told me
Had mine in about 8 months, its good to know its their in case i feel faint and breathless again and they can diagnose whats going on. Cool piece of kit.
Ik val ook zomaar en heb nu ook een reveal recorder geïmplanteerd. Ben er erg blij mee. Bedankt voor de mooie video.
Bedankt Ineke, ik hoop dat de informatie nuttig was.
I just had this put in on 10/28/2020 and you are giving me more info than hospital did. Thank you
How are you feeling with it now?
@@fashiongal4595 the monitor did it’s job I guess, I am having a pacemaker put in first part of may
Thank you for sharing this useful information. I feel much better now knowing what to expect from the procedure and how the data is recorded and transmitted to my doctor's office.
Thank you so much for this video. I’m having one done this coming Thursday. I’ve already had a cardiac ablation and AFib continues.
Wonderful experience
Thank you for your explanation - I actually understand how it works now. I Had one fitted last week due to possible intermittent A/V block.
Thanks for this video. I am having one inserted on December 24th.
janet puddicombe good luck on your procedure. I hope your loop recorder will capture what you need to get the right treatment.
@@DouglasRachac ha ha, me too. I would rather not break my face again. Ever.
OMG thank you!!! I was not told what you’ve said about the bed so I’ve had this in for almost three years and when do the man trans it says it’s “fine”. I have never been told the num of clicks so I have prob been wiping everything off(zig it was even recording, since I did not have it plugged within sleeping area. I’m happy I watched this but at the same time, would like to cry over this wasted TWO years!! You were a blessing for sure. Thank you and thank God for you and your video!
Thank you so much for that information I'm having mine implanted Thursday 27th April 2023
Well Done! Thanks a lot!
Wow, I didn’t know that there’s a limit number for pressing the button! Both of my cardiologists didn't tell me that and I don't see them very often. I just keep pressing the button whenever I get symptoms! I should get back to them soon thanks for the useful video
Thank you for sharing this video. It was very helpful to me.
Thanks
I just got my LINQ on May 26th. Wasn’t bad having it put in. Just had the clue and scab fall off after a week. Wish I knew about this awhile ago.
Just got mine. Information prior to it being installed was next to none. Tried calling the Medtronic's and got a cold shoulder from them. Not very helpful. not at all!. Finally had my first checkup and got more detailed information. Shame on the Medtronic's and cardiologist for not providing detailed info regarding how the device works. Doctors should have handouts to give to patients that are candidates for the device. There was some great literature given to me when it was installed that answered a lot more questions. Mine says it could be good for 5 years. They will send me a copy of the monthly report sent to my doctor. However there was even more info in this video. I'd suggest you update your video regularly.
Fantastic information. Thankyou.Had my monitor fitted this week ..was painless. Numbing the skin no more than Tiny bee sting. Very poor pre implant explanation..implanting is so simple...but the tech side is huge. My tech side caused problems before I could leave. Medtronic rep who was present had to phone her i.t dept at Head office. I called patient helping later to register .I wasn't quite registered her end from hospital. No one explains about your phone . Certain phones have the App..Some do not. Oppo phones .my phone doesn't. But they can send a device to put beside your bed .or have an App on your phone. It's quite a minefield...but little by little it all becomes Clearer ..if your not very tech savvy ..that side of it ..is overwhelming. And should be explained much more prior to insertion. It could put some people off having it.
Thank you so much for the video. I just had mine put in this past Friday. When you are out and about or not by your bedside monitor, and something happens, how does that info get to your doc? Does it record on the device inside me and then at the end of the day when I go to bed, does it transmit to my doc then?
I assume it was synched up correctly to work right when they put it in me? Thanks again.
Very informative video.Thank you. I am scheduled to have the loop recorder procedure this Wednesday (Sept 30/2020.I presently use a cardiogram app and use the heart app on my i-phone 11 pro and apple watch. Will these interfere if I have the loop recorder? I like to refer to my apple watch when I am exercising so I can back off if my HR is getting too high.
How are you feeling with it now?
Thank you very much❤Super good... but I need your exactly infomations of the PA assistant in german, please.
Hi there, and am I glad I found your videos, they’ve been a great source of info. Had a Reveal Linq fitted this Jan 2020 at my local hospital clinic but they only gave me basic info so you’ve been really helpful in filling in the gaps for me. Thank you. Anyway I’ve adjusted to life with it & am letting it do it’s job. Just wondering whether patients with ICM/ICD’s/pacemakers etc would have to take anticoagulant meds once implanted? Cheers
Thanks for watching, and for the comment! Some patients do take anticoagulant meds, but not because they have an implanted device. The device and leads do not require that a person be on blood thinners, however their on-going heart condition may require it. It's best to speak to a physician about that.
Douglas Rachac Thanks so much for replying. Great job!
I have one of these. My VT was ablated, so for nearly a year now, I haven't needed to use the fob, so my question is regarding the units automatic function. For three months solid last summer, the unit never once transmitted any data, so I presume it was because your mentioned parameters hadn't been triggered, but since September, it is now transmitting automatically more than half the time. I contacted both the London hospitals who monitored me, and neither can tell me the reason.
Hi Peter, The LINQ should transmit a small data set every night, and then the full data set only when you transmit manually. It's odd that it stopped and started on its own, and that it's only transmitting the daily info intermittently. It might be a good idea to contact the Patient Services phone number on the back of your ID card and see if they can help trouble shoot.
Hi Douglas
I am getting the Boston Scientific ILR. I know this a brand new and I was wondering if I should be worry about having this one compare to a Medtronic ILR? How do I capture my event if I don't have the remote command Key (Like the Medtronic one has)? I am very scared to get something new and youtube barely has any info about the Boston Scientific ILR.
Thanks for your advice...
Hi Ashley, thanks for watching! I’m afraid I don’t know much about the Boston ILR. There must be some way for you to capture a rhythm on your own, but I just don’t have any knowledge of that device. Sorry that I can’t help you there...
Thanks for the video! When the battery is completely depleted, do they charge it or do they replace it completely?
Thanks for watching rosako. There isn’t a way to recharge these devices, so they will replace the entire thing. The good news about loop recorders is that they last 3-4 years, so you hopefully won’t need more than one.
Hi Doc.
I had my Reveal Linq implanted a few days ago and I did not remember to ask if every time I go to sleep outside I should take the device or just with the remote command (key ring) it already works for me.
Thank you in advance
Hi Marc, you do t need to take your bedside monitor with you, just the small patient activator. Your LINQ will be able to save several events internally, so as long as you can connect with your bedside monitor every few days your clinic should be notified of any events you save manually. I hope that helps.
Hi Doug, I’ve had my loop recorder a few months now. I’m in the UK & mine is monitored remotely every 3 months via the hospital cardiac people for my area. Seems I get short bursts of NSVT which I have to record via the patient assistant as they’re too short for the loop to record automatically. Once I have a couple of episodes recorded I send in the download. But my question is - how would I know if the monitor has recorded something automatically, for eg a long NSVT episode taken during sleep perhaps, which needs to be downloaded & examined straight away before it gets recorded over by my own shorter episodes that I record? And, talking about the info sent from the loop rec to the bedside monitor each night which is then transmitted onto the cardiac clinic as ‘markers’......are there different types of markers to denote type (& urgency) of recording captured? Sorry this is a bit long but hope you can help. Great videos, just what we monitor patients need 👍 Hannah
Hi Hannah. Thanks for watching, and I hope the videos are helpful. The markers that are sent into the clinic don't really denote a difference between urgent or non-urgent. They do denote the difference between a patient captured event and one that the device captured on its own. Either way when the clinic sees an event was captured they can look at the other data points that were sent in and determine if they need you (the patient) to perform a full download so they can see the entire event. Also, the only events you will record over by clicking the patient activator is other events you decide to save by using the patient activator. You won't record over any events the device records on its own with one of your self recorded events. One good thing is that every time you perform a full download both the patient tagged events and the ones the device captured on its own will be sent and saved. I hope that answers your question.
Douglas Rachac Thanks very much for replying. It’s reassuring to learn its not possible to record over loop captured events. Really appreciate all your extra info. Hannah
How are you notified if you are requested to do a full manual download.
Thanks for the information.
I'm due to be fitted with an older model, I think it's the reveal xt.
I'm quite concerned about the procedure (nervous patient) and the size of the device.
I'm not getting much information from my hospital in the UK.
Is there anything you can tell me that will reassure me.
Kind regards
FEEL THE NEED Thanks for leaving a comment. The Reveal XT is a very old version of the Medtronic loop recorder. In fact, I didn’t think there were any left in the wild to implant. If you’re given an option I would suggest you opt for the Reveal LINQ loop recorder as it is significantly smaller than the Reveal XT. You can see a picture of the two devices here: www.fiercebiotech.com/medical-devices/medtronic-s-tiny-heart-monitor-gets-more-accurate-gains-fda-nod Still, the procedure is similar, just with a slightly larger incision and larger product that is inserted under the skin. The recovery will be similar too, perhaps with a bit more soreness due to the larger size. Hopefully they find something that will lead you to the answers you’re trying to find. Best of luck to you!
I was wandering now you got on with your device. I'm having mine put in next Friday I'm dreading it. I think we must get the old ones because it's the NHS l know it's a year ago but I thought it was worth a try as I'm not sure which one I'm getting.
Thank You. Do I have to inform TSA when I fly?
No you don't, and a loop recorder is small enough that it likely won't be picked up by the security systems they use. Also, airport/venue security systems are entirely safe for our devices. That includes the archways, the millimeter wave scanners, and the hand held wands. Pacemaker and defibrillator patients are also free to go through airport security as normal, but the security systems will occasionally pick up the device, and then they have to explain that they have an implanted device.
Personally, I never mention I have an implanted device. I go through security normally, just like everyone else. In the past 6 years a security system at an airport has picked up on my ICD only twice. Otherwise I glide through without a problem. Happy travels!!
Doug, Like yours, my patient activator is set up to record a maximum of 4 events. However, can you please clarify how I send the data once I have reached the maximum of 4. My doctor did tell me at the time that it was inserted but I have forgotten!
StrollingRoan, you can use your bedside monitor to transmit your data. Or, I believe the new loop recorders have an app that can be used, and with the newer loop recorders the transmission may even be automatic (I need to check in with my industry connections to learn more about the latest loop recorders). You can contact the Patient Services number that should be on your patient ID card to find out for sure. Its always best to check with your clinic before sending a manual transmission just to make sure they want and need that data. Take care!
Do you get the opportunity to view the recordings on your own? Or do you have to specifically ask for a recording, such as the one shown in this video?
As patients we do not have an easy way of seeing the data that comes from the loop recorder. Some clinics will put a copy of the reports in your electronic chart, which you may be able to access remotely through an app like MyChart. For other clinics you will need to call and ask specifically for a copy of the report. This is how I recevied a copy of my report.
Having this inserted today actually but confused on cost. Are there ongoing fees for the uploads and does it use cellular service to transmit? If cellular, will I have a monthly cellular bill? Thanks for the good video.
M Thompson - No, actually, the manufacturer of your device covers the cellular costs, and your insurance will cover the cost of the doctor reviewing your transmission data. You might have a co-pay every 3 months, but the majority of the costs are already covered.
I have to have this Friday and im having anxiety but this video lessened it a bit ❤
Hi Doug.....hope you can help me with a link transmission problem. I am 2 months into using my loop recorder. Everything fine until about 10 days ago. I check my base station by awakening it in the morning to see if the nightly transmission went thru. For the past several days all I see is the picture signal indicating what appears as transmission from the device to the base station. I let the base station go dark and check it again later. It shows that no transmission occurred by showing a previous date, several days earlier. I have sent manual transmission instead but customer service tells me not to do that. Why are transmissions not occurring? By awakening the device, am I disrupting the transmission process? Customer service has not been helpful. Thanks.
Hmmmm... interesting problem. First of all, you aren’t interrupting anything by pressing the button on the Carelink transmitter. I used to do exactly the same thing to make sure it went every night. But it is interesting that it’s not transmitting every night. Here’s what I would try first... Try unplugging the base unit for 1-2 minutes, then plug it back in and let it finish reloading. This might take 2-4 minutes. Then, if you’re seeing an image of what looks like TV antenna it may mean that you have a poor cellular connection. Try moving the base station closer to a window. Remember that you don’t *have* to have the unit by your bed, it just needs to be in a place you visit every day for several minutes. If you brush your teeth every morning you could have it in your bathroom and it would work just fine there.
Try those two things first. If you still have problems, contact the Carelink Patient Services team at 1-800-929-4043 during normal business hours. They should be able to help you troubleshoot further.
Thanks Doug. I tried something yesterday and it worked. Hopefully, I found the problem. I got a wireless phone charger for Christmas and put it on my bedside table next to the base station. I moved it and the transmission worked I am guessing that maybe the magnet in the charger was interfering with the transmission.
Ah, yes! I have heard of phone chargers interfering with the transmission from the base station. Good catch! I'm glad you were able to figure it out.
You mentionned that the device will send a full report daily, but then why do you again need to used to wand over devicecto send a full download? I will prob be having implanted folliwing afib ablation next month. I was told I would not need to wear the traditional tele monitor for a month after if I had this implanted, but it seems like the MCOT-standard outpt tele is more real time, alerting drcright away??
The loop recorder will send a specific set of data to the doctor's office every day. If the device recorded an event on itself, or if you use the patient activator, one of the data points that gets sent is a flag that alerts the clinic that there is a recorded event on the device. The only way to send the full set of data that is on the loop recorder is to perform a full manual download of the device. One possible exception is if there has been an update to the LINQ loop recorder in the past few years. I don't know the specifics of the latest generation, but that is a good question to ask when you have the chance. As for a wearable device, I am not aware of any that provide real-time data to a doctor's office. This would likely require a smart phone app with a constant connection, and I don't think any of the wearables are connected like that.
I have a loop recorder for 3months now in uk. It detected a very fast rate 200bpm. I have been refered for ablation and pacing. Prior to this i collapsed with a rate of 38bpm. I hope i will feel well again. I am well some days but 50% of the time i feel awful.
I have a bedside monitor and an event marker. Can i use the app as well? I chose the bedside as internet is poor in our sleepy littly uk village.
How long before i can drive after it is fitted?
Hi Susan, thanks for watching! I don't know the driving rules in the UK. I believe with a pacemaker you are able to drive immediately, or within 1 week. I am not sure, but your physician should know. And some of the newer pacemakers can be connected to a smart phone. You would need to chose one or the other, the app or the bedside monitor. And, as long as you're in an area with good cell coverage every few days the app can still be a viable option. Make sure to check the device manufacturer's website regarding which smart phones are compatible with their app. If its a newer phone (less than a couple of years old) you shouldn't have a problem, but it's always best to check. Good luck! I hope you find relief with the ablation and pacemaker implant.
I have long QT my body suffer alot other day I faint on busy road scare to go outside
QUESTION..........The monitor only sends to your Dr. when you tell the key chain to do so?? It does not save the info for say a full day??
It depends on your device and how it is programmed. I have a different brand and it holds over a month of information. they wipe its memory when you have a device check. Be sure and ask your doctor, your nursing assistant, and the company exactly all your questions. I was given three different explanations and mine will have to be removed because of complications. But don't worry, what happened to me only happens to something like two to three percent of patients.
Be sure you ask a lot of questions of a lot of people and make sure you are all on the same page. Had I done that, I would have realized it was too risky with my pre-existing conditions.
If you have had it done, I hope you are doing well and that it is being a very helpful tool. If you read this, please let us know how you are doing.
So what happens when you are through monitoring or the battery wears out? Do they remove the device or does it stay inside you?
Hi Brad, it could remain in the body if you wanted to avoid a removal procedure. There’s no harm in leaving it there. But most people have it removed either during a procedure to implant a different cardiac device, like a pacemaker, or, it’s removed through its own stand-alone procedure. They most likely will not knock you out for that since it’s a fairly simple procedure.
You can leave it in if it doesn’t bother you. I had mine removed. I kept thinking about an old flashlight with leaky batteries.Haha!
They just used a local anesthetic. Simple procedure.
What about Non-sustained Vtach runs? Because most of them don’t cause any symptoms.
A loop recorder will pick up runs of NSVT if they are long enough. NSVT is what my LINQ captured for me, but I had to initiate a recording with my patient activator because it was about a second too short for the device to record the event on its own. I did feel symptoms, though (nearly passed out). Short runs won't be picked up by the LINQ mainly because there's a belief that everyone experiences some runs of NSVT, even if their heart is healthy. So very short runs (0-3 seconds) aren't recorded. There's an algorithm the device uses to determine what is recorded and what isn't, and I don't fully understand the algorithm myself. But, if the event is long enough the loop recorder will save the event for your doctor to view.
What if I'm not by the device that sends the recordings for an extended period of time like a week?
No worries, your device will try to connect with the remote monitor several times over the next few days. If it still can't connect it will save the data for the next transmission or in-office visit. The only problem with this is if you record more events than the loop recorder can hold. If you're concerned about this happening it would be best to take your remote monitor with you on your trip. I hope that helps!
Is there a rental fee for you to use the device that you put up against you loop??
There shouldn’t be a rental fee for the bedside monitor. But a small number of insurance companies do not cover the reading of the remote transmission by the doctor. Most people do not pay an additional fee for the remote monitoring service.
What's the down time after implement of the device?
Hi David, thanks for watching! There's not really much down time after a loop recorder implant. One should take it easy for at least a few days, but I returned to work the same day (desk work) and was coaching my kids sports teams after a couple of days. I suppose it might slow you down for a few days, but it won't require long stretches away from work or activities.
So this only sits in your skin it doesnt go into your heart? My doctor mentioned this yesterday and I freaked out
Correct Star, the loop recorder does not go inside the heart, or even touch the heart. It lives in the pectoral muscle where it can get a very good recording of your heart rhythm.
@@DouglasRachac thank you so much for your reply I feel so much more at ease
I'm having a loop recorder inserted tomorrow. Nothing has really been explained to me except for why it's needed. I'm scared and don't know why
Rebecca how are you doing now? Hope okay.
Most informations of this are only in english here. From Medtronic also😢
I just had mine removed. It lasted 3 1/2 years.
In uk, I didn’t do anything.. loop recorder let hospital know everything. ……at no cost btw
I very much disliked the zio patch. Glue fell off at day 4
Thank you so much for this video. I’m having one done this coming Thursday. I’ve already had a cardiac ablation and AFib continues.
Leslie Hernandez Thanks for the note! I hope everything went well for you last week and that they’re able to learn a bit more with your loop recorder.
Douglas Rachac thanks for answering my post. Still having issues. Hope all is well