VirtualEPG

© 2025 Medtronic, Inc. Powered by Epicardio Ltd.

Developed for healthcare professionals who want to be trained on temporary external cardiac pacing using the Medtronic 53401 and 5392 EPG pacemakers.

The course consists of interactive tutorials based on real-time 3D heart simulation, complete guide of the single-chamber temporary external pacemaker Medtronic model 53401 EPG and overview and basic operation of the dual-chamber Medtronic model 5392 EPG.

All text is available in English, French, Italian and Spanish. Voice-over text facility is available in English only.

Use of Apple Pencil or a soft rubber tip pen is recommended for better interaction. This app executes in landscape mode only.

TRAINING OBJECTIVES
Identify the device control knobs, buttons and switches and be able to explain how to use them to program the device
Distinguish over-sensing, under-sensing, and loss of capture
Identify the basic components of a temporary external pacemaker
Identify the basic steps of rapid atrial pacing
Locate resources for the pacemaker device
Describe the key steps in changing the batteries
Identify do’s and don’ts for cleaning the device
Identify compatible cables
Describe when the device should be returned to Medtronic for cleaning or maintenance.

At the end of each tutorial there is a knowledge check section. You need to achieve a score of at least 80% to receive a certificate from Medtronic Academy.

The app starts in “self-study” mode. You may set it in “tutor” mode by selecting “Main menu - Additional features - Settings - Tools/settings - Tutor mode”.

Pacemaker device: The single or dual chamber device appears depending on which chapter you are visiting. You can drag the device around by tap-dragging the device. All of the device controls are operational: power on/off, lock/unlock, pause, pacing rate, output, sensitivity, mode, RAP, DOO, etc. Follow the instructions on each tutorial page. You can place the pacing wire tip anywhere inside the heart.

3D heart view: You can change the heart view and zoom in/out by dragging your mouse, pad or finger on the screen. You may switch on/off the action potential wavefront simulation on the 3D hear. When in tutor mode you can pick-drag-place the pacing wire tip anywhere inside the heart anatomy.

ECG: Tap on the up/down arrows on the left of the ECG to display any of the 12 leads. You can pause the simulation by tapping anywhere on the live ECG at the top of the screen. Tap again on the ECG to resume the simulation. When paused, you can use the caliper tool on the right side of the ECG, to take measurements in ms or bpm. When paused a slider allows you to drag the ECG back and forth and see the ECG waves in parallel with the action potential wavefront on the 3D heart view.

Apart from the single and dual chamber course content, you can explore multiple patient cases (3rd degree AV block, sinus bradycardia, sick sinus syndrome), additional features and adjust the settings, like intrinsic heart rate parameters (in tutor mode), DCCV, anatomical views, simulation speed and many more, to fit your needs.

If you would like to learn more about the pacing concepts, visit Medtronic Academy or check out Temporary Cardiac Pacing app by Epicardio Ltd.

What is new in version 3
Separate knowledge check for single and dual chamber tutorials.
Improved accuracy on the conduction system anatomy.
Improved accuracy of ECG signal and action potential wavefront simulation.
Improved GUI.

© 2025 Medtronic, Inc. Powered by Epicardio Ltd.