User's Manual

US-ENGLISH – 43
Caution: 1. One single set screw is located on the side of the
connection header. 2. Do not tighten the pre-inserted screws when
there is no lead (this could damage the connector). 3. Do not loosen
the screws before inserting the connector (subsequent risk of being
unable to reinsert the screw). 4. Removing the screwdriver: to avoid all
risk of loosening screws during removal, hold the screwdriver by its
metal part and not by the handle. 5. When mineral oil or sterile water is
used to make lead insertion easier, the screwdriver should remain
inserted into the pre-inserted screw socket when checking the
tightness. As a matter of fact, when the lead port is filled with a liquid,
the physics piston effect can give the feeling the lead is properly
tightened.
NOTE: To optimise cardioversion/defibrillation shocks, electrodes must
be positioned so that the electric field between anode (s) and cathode
covers the largest myocardial mass. In normal conditions, the anode
and cathode are adequately separated. In case of a short-circuit, the
shock may be aborted to prevent damaging the defibrillator.
In the case of an external defibrillation shock delivered to the patient,
always check the programming and functioning of the device, in
particular its capacity to deliver shocks.
14.10. DEVICE IMPLANTATION
PARADYM RF CRT-D 9750 should be implanted with the engraved
side facing outwards for optimal communication with the programming
head and radiographic identification.
Carefully wind excess lead and place in a separate pocket to the side
of the defibrillator. It is recommended to not place any excess wire
between the can and the heart.
Suture the casing connector to the muscle using the hole provided for
this purpose, in order to avoid potential migration of the device into the
pectoral muscle.