Remote monitoring of medical devices in Australia

Bradley Wilsmore and James Leitch
Med J Aust 2017; 206 (2): 62-63. || doi: 10.5694/mja16.00730

The current industry-involved system may present a conflict of interest

More patients, and therefore medical professionals at all levels, are encountering devices that are being remotely monitored. While all currently implanted pacemakers and defibrillators are now remote-monitoring capable, there has also been a substantial increase in the use of implantable loop monitors — from 987 in the 2013–14 financial year to 2269 in 2015–16 (Medicare Benefits Schedule item 38285; This increase has forced the health care system to engage with remote monitoring.

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  • Bradley Wilsmore
  • James Leitch

  • John Hunter Hospital, Newcastle, NSW


Competing interests:

No relevant disclosures.

  • 1. Hindricks G, Taborsky M, Glikson M, et al. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet 2014; 384: 583-590.
  • 2. Spencker S, Coban N, Koch L, et al. Potential role of home monitoring to reduce inappropriate shocks in implantable cardioverter-defibrillator patients due to lead failure. Europace 2009; 11: 483-488.
  • 3. Burri H, Sticherling C, Wright D, et al. Cost-consequence analysis of daily continuous remote monitoring of implantable cardiac defibrillator and resynchronization devices in the UK. Europace 2013; 15: 1601-1608.
  • 4. Slotwiner D, Varma N, Akar JG, et al. HRS Expert Consensus Statement on remote interrogation and monitoring for cardiovascular implantable electronic devices. Heart Rhythm 2015; 12: e69-e100.
  • 5. Lau CP, Zhang S. Remote monitoring of cardiac implantable devices in the Asia-Pacific. Europace 2013; 15 Suppl 1: i65-i68.
  • 6. Australian Government Department of Health. Medicare Benefits Schedule book. Operating from 1 July 2016. Canberra: Commonwealth of Australia, 2015.$File/201607-MBS.pdf (accessed Nov 2016).
  • 7. Australian Government Department of Health. The prostheses list. (accessed Nov 2016).
  • 8. Ricci RP, Vicentini A, D'Onofrio A, et al. Impact of in-clinic follow-up visits in patients with implantable cardioverter defibrillators: demographic and socioeconomic analysis of the TARIFF study population. J Interv Card Electrophysiol 2013; 38: 101-106.


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