User's Manual

US-ENGLISH – 11
Lead System: Do not use a lead system other than those with
demonstrated compatibility because undersensing cardiac activity
and failure to deliver necessary therapy may result.
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.