Use Instructions

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• Post LS Refractory Period: The time interval after the LS event where all
signals are masked from detection. With the OPTIMIZER Smart Mini
Programmer application, the duration can be set to values between 15 ms and
250 ms in 5 ms increments.
10.8 CCM Therapy Delivery
CCM therapy is a pulse train comprising a programmable number of consecutive pulses, each
with two phases of opposite polarity and programmable duration.
10.8.1 CCM Train Parameters
The following are the CCM Train Parameters that can be programmed using the
OPTIMIZER Smart Mini Programmer application:
• CCM Train Delay: CCM therapy delivery is triggered by the Local Sense event.
The CCM Train Delay is the time interval between the leading edge of the Local
Sense triggering event and the start of CCM pulse train delivery. With the
OPTIMIZER Smart Mini Programmer application, the delay parameter can be set
to values between 3 ms and 140 ms, in 1 ms increments.
Note: When the OPTIMIZER Smart Mini IPG is in OVO-LS-CCM mode, the
maximum allowable setting for this parameter is 45 ms.
• CCM Amplitude: This parameter sets the voltage of the CCM therapy pulse.
With the OPTIMIZER Smart Mini Programmer application, the amplitude can be
set to values between 4.5 V and 7.5 V, in 0.5 V increments.
• Number of Biphasic Pulses: With the OPTIMIZER Smart Mini Programmer
application, the number of biphasic CCM therapy pulses can be set to 1, 2, or 3.
• Balancing: Delivery of each CCM pulse train is completed by a Balancing
phase, which discharges any residual polarization at the electrode/tissue
interface. Balancing is accomplished by short-circuiting the channels used to
deliver the CCM therapy. With the OPTIMIZER Smart Mini Programmer
application, the Balancing phase can be set to values between 40 ms and
100 ms, in 10 ms increments.
• First Phase Polarity: The first phase polarity of the CCM therapy pulse can be
set with the OPTIMIZER Smart Mini Programmer application to “Positive” or
“Negative”. When the polarity of the first phase is set to one value, the polarity of
the second phase is automatically set to the opposite value.
• Phase Duration: The width of each CCM therapy pulse phase can be set with
the OPTIMIZER Smart Mini Programmer application to one of 4 possible values
between 5.13 ms and 6.60 ms. The duration of both phases are automatically set
to identical values.
Note: Do not change the Phase Duration from the default setting of 5.13 ms
unless directed by a physician.
• Interval: The interval is the time delay between each CCM therapy pulse. With
the OPTIMIZER Smart Mini Programmer application, the interval can be set to
values between 0 ms and 7 ms, in 1 ms increments.
• CCM Channels: CCM therapy can either be delivered through one or both of the
following channels:
o RV
o LS