User's Manual

US-ENGLISH – 41
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 SonR CRT-D 9770 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.