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
20
Timing: Upper rate
Timing: Mode switching
Timing: Ventricular pacing supression
Timing: Ventricular pacing
Timing: Refractory periods and blanking periods
Timing: PMT protection
Parameter Range of values Standard
VR
DX
DR
HF
Upper rate N.n. bpm N.n. bpm x x x
Atrial upper rate OFF; N.n. bpm N.n. bpm x x
Parameter Range of values Standard
VR
DX
DR
HF
Intervention rate OFF; N.n. bpm N.n. bpm x x x
Onset criterion N.n. N.n. x x x
Resolution criterion
Modification of basic rate OFF; N.n. bpm N.n. bpm x x x
Mode After mode VDD(R): VDI(R) VDI x x x
After mode DDD(R): DDI(R) DDI x x
After mode switching:
– Rate OFF; N.n. bpm N.n. bpm x x x
– Duration N.n. min N.n. min
Parameter Range of values Standard
VR
DX
DR
HF
Vp suppression OFF; ON OFF x x
Pacing suppression [consec-
utive Vs]
N.n. N.n. x x
Pacing support
[out of 8 cycles]
N.n. N.n. x x
Parameter Range of values Standard
VR
DX
DR
HF
Permanent RV; BiV; LV BiV x
Triggering OFF; RVs; RVs+PVC RVs x
LV T-wave protection OFF; ON ON x
Maximum trigger rate:
– DDD(R) and VDD(R) UTR N.n. bpm UTR +
N.n.
x
– DDI(R), VDI(R) and VVI(R) N.n. bpm N.n. bpm
Initially paced chamber RV; LV LV x
VV delay after Vp N.n. ms N.n. ms x
Parameter Range of values Standard
VR
DX
DR
HF
PVARP AUTO; N.n. ms N.n. ms x x x
Blanking after atrial pacing N.n. ms N.n. ms x x
LV blanking after RV pacing N.n. ms x
RV blanking after LV pacing
Far-field protection after Vs OFF; N.n. ms N.n. ms x x x
Far-field protection after Vp N.n. ms N.n. ms x x x
Parameter Range of values Standard
VR
DX
DR
HF
PMT detection/termination OFF; ON ON x x x
VA criterion N.n. ms N.n. ms x x x