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
23
Therapy: atrial HF-Burst
Therapy: ATP
Therapy: Shock
Sensing
Sensitivity and thresholds
S1 decrement N.n. ms N.n. ms x x
Backup Stimulation OFF; N.n. bpm x x
Mode OFF; VVI OFF x x
Parameter Range of values Standard
VR
DX
DR
HF
Therapy OFF; HF burst OFF x x
Rate N.n. Hz N.n. Hz x x
Duration N.n. s N.n. s x x
Backup Stimulation OFF; N.n. bpm OFF x x
Mode OFF; V00 OFF x x
Parameter Range of values Standard
VR
DX
DR
HF
Attempts OFF; N.n. OFF x x x x
ATP type for VT1/VT2 Burst; Ramp Burst x x x x
ATP type for VF OFF; Burst; Ramp Burst x x x x
ATP optimization OFF; ON OFF x x x x
Number S1 for VT1/VT2 N.n. N.n. x x x x
Number S1 for VF N.n.
S1 decrement for VT1/VT2 and
for VF
N.n. ms N.n. ms x x x x
Scan decrement OFF; N.n. ms OFF xxxx
Additional S1 for VT1/VT2 OFF; ON ON x x x x
Ventricular pacing for VT1/VT2 RV; LV; BiV RV x
Ventricular pacing for VF RV
R-S1 interval for VT1/VT2 N.n.% N.n.% x x x x
R-S1 interval for VF N.n.%
Parameter Range of values Standard
VR
DX
DR
HF
Parameter Range of values Standard
VR
DX
DR
HF
Number of shocks VT1/VT2 N.n. N.n. x x x x
Number of shocks VF N.n. N.n. x x x x
1st Shock for VT1/VT2 OFF; N.n. J N.n. J x x x x
2nd Shock for VT1/VT2 OFF; N.n. J N.n. J x x x x
3rd - nth shock for VT1/VT2 OFF; N.n. J N.n. J x x x x
1st Shock for VF N.n. J N.n.J xxxx
2nd Shock for VF N.n. J N.n. J xxxx
3rd - nth Shock for VF N.n. J N.n. J x x x x
For shock in VT1/VT2 and VF:
– Confirmation OFF; ON ON x x x x
– Polarity Normal; Reverse;
Alternating
Normal
– Shock form Biphasic; Biphasic 2 Biphasic
– Shock path RV -> ICD+SVC
RV -> ICD
RV -> SVC
RV->
ICD+SVC
xxx
RV -> ICD x
Parameter Range of values Standard
VR
DX
DR
HF
Sensing A STD; OFF; IND STD x x x
Sensing RV STD; TWS; VFS; IND STD x x x x
Sensing LV STD; OFF; IND STD x
Upper threshold RV N.n.% N.n.% x x x x
Upper threshold LV N.n.% N.n.% x