User Manual
Table Of Contents
- 1 Product Description
- 2 General Safety Instructions
- 3 Implantation
- Implantation Procedure
- Having parts ready
- Keeping an external defibrillator ready
- Unpacking the device
- Checking parts
- Implantation site
- Preventing leakage currents
- Preventing unintentional shock delivery
- Avoiding damage to the header
- Preventing short circuits in the header
- Ensure that connections are clean
- Connecting the lead connector to the device
- Keeping distance between leads
- Implanting
- Applying the programming head
- Establishing telemetry contact
- Activating ICD therapy
- Precautionary Measures while Programming
- Performing standard tests and monitoring the patient
- Cancelling telemetry
- Avoiding critical parameter settings
- Checking for electrodes suitable for the shock path
- Monitoring the patient when setting asynchronous modes
- Setting sensing
- Preventing device-induced complications
- Preventing conduction of atrial tachycardia
- Observing the shock impedance limit
- Preventing recurrence after therapy shock
- Phrenic nerve stimulation that cannot be terminated
- Avoiding risks in the case of exclusive LV pacing
- Recognizing lead failure
- Considering power consumption and service time
- Magnet Response
- Follow-up
- Patient Information
- Replacement Indications
- Explantation and Device Replacement
- Implantation Procedure
- 4 Parameters
- Bradycardia / CRT
- General ICD therapy
- Timing: Basic rate day/night and rate hystereses
- Timing: AV delay
- Timing: Post-shock pacing
- Timing: Upper rate
- Timing: Mode switching
- Timing: Ventricular pacing supression
- Timing: Ventricular pacing
- Timing: Refractory periods and blanking periods
- Timing: PMT protection
- Timing: Rate adaptation via accelerometer
- Timing CLS-Modes: Closed Loop Stimulation
- Pacing: Pulse amplitude and pulse width
- Pacing: Ventricular capture control
- Pacing: atrial capture control
- LV lead configuration with IS-1
- LV lead configuration with IS4
- MRI program
- Tachycardia
- Sensing
- Diagnostics
- Home Monitoring
- Bradycardia / CRT
- 5 Technical Data
19
4 Parameters
Bradycardia / CRT
General ICD therapy
Timing: Basic rate day/night and rate hystereses
Timing: AV delay
Timing: Post-shock pacing
Parameter Range of values Standard
VR
DX
DR
HF
ICD therapy OFF; ON ON x x x x
Programs Display standard program; Display safe
program; Display first interrogated
program; Individual 1,2,3
– xxxx
Parameter Range of values Standard
VR
DX
DR
HF
Basic rate N.n. bpm N.n. bpm x x
N.n. bpm x x
Night rate OFF; N.n. bpm OFF x x x x
Night begins N.n. hh:mm N.n. hh:mm x x x x
Night ends N.n. hh:mm
Rate hysteresis OFF; N.n. bpm OFF x x x x
Scan/repetitive OFF; ON ON x x x x
Parameter Range of values Standard
VR
DX
DR
HF
AV dynamics Low; Medium; High; Fixed;
(Individual)
Low x x x
AV delay (1 or 2) after:
– Pacing N.n. ms – x x
– Sensing Either automatic: AV delay after
pacing + sense compensation
Or: N.n. ms
–xxx
– At rate 1 N.n. bpm N.n. bpm
– At rate 2 N.n. bpm N.n. bpm
Sense compensation OFF; N.n. ms N.n. ms x x
AV hysteresis mode OFF; Positive; Negative; IRSplus OFF x x
OFF; Positive; Negative OFF x
AV hysteresis (positive) N.n. ms N.n. ms
CLS
modes:
N.n. ms
xxx
AV hysteresis (negative) N.n. ms N.n. ms x x x
AV scan and repetitive
(positive)
OFF; ON ON x x x
Parameter Range of values Standard
VR
DX
DR
HF
Post-shock duration OFF; N.n. s N.n. s x x x x
Post-shock basic rate N.n. bpm N.n. bpm x x x x
AV delay post-shock N.n. ms N.n. ms x x
Ventricular post-shock
pacing
RV; BiV RV x