User's Manual

― the alert transmission will take place when the implant has recorded an abnormal
events. The list of abnormal event is available in a following paragraph. Alert conditions
are checked daily.
― the on-demand follow-up transmission is triggered by the patient himself through the
use of a specific button on the SMARTVIEW monitor.
Data transmitted
The data transmitted are identical to the data available during a standard interrogation with
the dedicated programmer. All counters, histograms, IEGMs and diagnosis available in the
device are transmitted containing (not an exhaustive list):
― programmed parameters
― information on patient and system implanted
― battery status
― lead status (brady leads and defibrillation coils)
― pacing counters and mean heart rate (brady)
― atrial and ventricular arrhythmia counters and episodes
― ventricular therapy counters
Data are presented in the form of 2 reports to the physician: the first one contains a summary
of major counters, histograms, warnings and diagnosis. The second one presents the most
important IEGM episodes automatically selected based on the degree of severity for the
patient.
User website
On the website, the physician is able to:
― consult and schedule the remote follow-ups of their patient
― configure additional ways of being notified of alerts (for instance by SMS, fax or e-mail)
― consult, print and export patient reports
Alert system
The following set of alert triggers can be independently programmed ON/OFF by the
physician using the dedicated programmer and can trigger an alert transmission:
― Low or high lead impedance (A, RV, LV) (if MP is ON, both MP1 and MP2 can trig the
alert)
― Abnormal coil impedance (shock lead)
― Low or high shock impedance
― Inefficient high energy shock
― All shocks programmed OFF
― Shock treated VT/VF
― ATP treated VT/VF
― Lack of V pacing in CRT device
― Suspicion of noise on the V lead
― AT/AF occurrence
― Fast V rate during AT/AF
16.8.3.
16.8.4.
16.8.5.
16. MAIN FUNCTIONS
44 SORIN – PLATINIUM 4LV CRT-D 1744 – U904A