Use Instructions

45
Troubleshooting Wireless Connection between OPTIMIZER Smart Mini IPG
and Vesta Charger
If you experience issues with establishing a wireless connection between the
OPTIMIZER Smart Mini IPG and the Vesta Charger, try the following:
• Whenever the Vesta Charger is not being used to charge the
OPTIMIZER Smart Mini IPG, place it in an area that is frequented by the
patient (e.g., bedside table in the bedroom), connected to its AC Adapter,
and the AC Adapter plugged into the wall outlet. This will ensure regular
communications between the OPTIMIZER Smart Mini IPG and the Vesta
Charger.
• Remain stationary during the charging or data transfer process.
• Decrease the distance between the devices.
• Move the devices so they share line of sight.
• Move the devices away from other devices that may be causing
interference.
• Do not operate other wireless devices (i.e., programmers for other
devices, laptop, tablet, mobile phone, or cordless phone) at the same
time.
• Wait a few minutes and try connecting again.
NOTE: Wireless communications equipment, such as wireless home network
devices, mobile and cordless telephones, and tablets, could affect the quality of
the wireless connection.
APPENDIX V
Procedure for IPG-ICD Interaction Testing:
Patients with a concomitantly-implanted defibrillator (ICD) require additional testing at the end of
the implant procedure to ensure the appropriate function of both the OPTIMIZER Smart Mini IPG
and the concomitant device. The steps of the required testing procedure are as follows:
1. Program the ICD so that it does not deliver antitachycardic therapy during this test.
2. Enable CCM therapy and program the sensing windows of the OPTIMIZER Mini IPG to
consistently deliver CCM therapy in the presence of the concomitant device.
3. Extend the CCM Train Delay by a minimum of 40 ms up to 50 ms beyond the chronic
CCM Train Delay setting repeatedly and observe the real-time intracardiac electrograms
(ICD-EGM) to determine the maximum amount of CCM Train Delay allowed before the
ICD begins to inappropriately sense the CCM therapy pulses as R waves.
4. Document the maximum CCM Train Delay and enter the information as part of the
Implant data.
5. Reprogram the CCM Train Delay to the pre-test value.
6. Document reprogramming of the CCM Train Delay with a parameter printout of the IPG
setting.
7. Reprogram the ICD so that it is able to deliver antitachycardic therapy.
8. Obtain the minimum R-R interval ICD VT zone from the ICD programmer or printout and
enter the information as part of the Implant data.
9. Document reactivation of the antitachycardic therapy with a parameter printout of the ICD
setting.