Medical Device Simulators

Cardiac Pacemaker

A simplified single-chamber demand-timing model for sensing, decision, pacing, and simulated response.

Medical Device Simulators

Timing controls

Synthetic rhythm

Lower-rate waiting interval

1000 ms

Twait = 60,000 / 60 bpm

Why these controls?

These sliders set the timing model: the heart's own rhythm and its beat-to-beat variability, plus the device's lower rate limit. Change them to explore when the pacemaker waits for a natural beat and when it must deliver its own pulse.

0 s2 s4 s6 s8 s10 sNatural eventsSensed eventsPacing pulsesSimulated responses
NaturalSensed naturalSensed noisePaceResponse

Decision 0 of 12

Decision log

Why did it act?

Select “Next decision” to inspect the first event.

Student checks

  • Set natural rhythm below the lower rate and independently compare pacing intervals with 60,000 / rlower.
  • Confirm that a normally sensed natural event restarts the timer.
  • Compare unnecessary pacing suppression in oversensing with ignored natural events in undersensing.
  • In capture failure, evaluate pace delivery and simulated heart response separately.