User's Manual

38 – US-ENGLISH
CAUTION: Do not shake or tap sharply on the ICD package with the
ICD inside, because the ICD's sensing circuits can interpret this as P-
waves or R-waves and record these as an arrhythmia episode.
If unusual shaking or tapping of the package results in a stored
arrhythmia episode, erase the recording before using the ICD.
14.6. DEVICE PLACEMENT
The pocket should be prepared in the left pectoral position, either
subcutaneously or submuscularly. Subcutaneous device implantation
is recommended for optimal RF communication efficacy.
Implantation in an abdominal position is not advisable.
In its final position, the defibrillator should be no more than 4 cm
below the skin surface.
14.7. CHOOSING THE TYPE OF LEAD
The defibrillator should be connected to:
─ one bipolar atrial sensing/pacing lead with or without dedicated
SonR sensor
─ one right ventricular lead with bipolar sensing/pacing electrodes,
and one or two defibrillation coils,
─ one unipolar or bipolar left ventricular pacing lead.
The choice of leads and their configuration is left to the implanting
physician’s judgment according to the clinical investigation.
Note: In case no atrial lead is implanted, the atrial port should be
plugged with IS-1 insulating plug and a single chamber mode (VVI-
VVIR) should be programmed. PARAD and PARAD+ should not be
used.