User's Manual

14 – US-ENGLISH
leads. While the ICD is connected to the leads, make sure that the metal
portions of any electrodes do not touch each other.
If a pacing lead is abandoned rather than removed, it must be capped to
ensure that it is not a pathway for currents to or from the heart.
If a thoracotomy is required to place epicardial patches, it should be done
during a separate procedure to reduce the risk of morbidity and mortality.
Do not place the patch lead over nerve tissue as this may cause nerve
damage.
Place the patch lead with the conducting coil side facing the heart to
ensure delivery of energy to the heart.
Place the sutures well outside the coil of the patch lead or in the area
between the coils to avoid possible coil fracture.
If countershock is unsuccessful using external paddles, adjust the
external paddle position (e.g., anterior-lateral to anterior-posterior) and
be sure that the external paddle is not positioned over the patch.
Do not fold, alter, or remove any portion of the patch as it may
compromise electrode function or longevity.
If a header port is unused on the generator, the port must be plugged
to protect the generator.
4.5. GENERATOR EXPLANT AND DISPOSAL
Interrogate the device, and program shock therapy off prior to explanting,
cleaning or shipping the device to prevent unwanted shocks.
Return all explanted generators and leads to the manufacturer.
Never incinerate the device due to the potential for explosion.
The device must be explanted before cremation.