User's Manual

12 – US-ENGLISH
In situations where an ICD and a pacemaker are implanted in the same
patient, interaction testing should be completed. If the interaction
between the ICD and the pacemaker cannot be resolved through
repositioning of the leads or reprogramming of either the pacemaker or
the ICD, the pacemaker should not be implanted (or should be
explanted if previously implanted).
Failure to properly insert the torque screwdriver into the perforation at
an angle perpendicular to the connector receptacle may result in
damage to the sealing system and its self-sealing properties.
It is recommended that a security margin of at least 10 J be
demonstrated between the effective shock energy and maximum
programmable energy. Carefully confirm that true ventricular fibrillation
has been induced because the DFT for ventricular tachycardia or flutter
may be lower.
The defibrillator should be implanted with the engraved side facing outwards
in order to facilitate telemetric communication with the programming head
and to display the radiographic identification correctly.