User Manual
Table Of Contents
- 1. General description
- 2. Indications
- 3. Contraindications
- 4. Warnings and precautions
- 5. Adverse events
- 6. Clinical studies
- 7. Patient selection and treatment
- 8. Patient counselling information
- 9. Conformance to standards
- 10. Physician guidelines
- 11. Patient information
- 12. How supplied
- 13. Device description
- 14. Implant procedure
- 14.1. Necessary equipment
- 14.2. Packaging
- 14.3. Optional equipment
- 14.4. Before opening the package
- 14.5. Prior to implantation
- 14.6. Device placement
- 14.7. Choosing the type of lead
- 14.8. Shock configuration (+ -> -)
- 14.9. Measurement of thresholds at implant
- 14.10. Lead connection
- 14.11. Device implantation
- 14.12. Tests and programming
- 15. Special modes
- 16. Main functions
- 17. Patient follow-up
- 18. Physical characteristics
- 19. Electrical characteristics
- 20. Programmable parameters
- 21. Non programmable parameters
- 22. Limited warranty
- 23. Patents
- 24. Explanation of symbols

14. IMPLANT PROCEDURE
Connectors:
The quadripolar connector is compatible with the DF-4 standard (refer to the “Lead
evaluation and lead connection” sub-section in the “Warnings and precautions” section).
14.8. SHOCK CONFIGURATION (+ -> -)
The shock configuration is the energy pathway between the defibrillation electrodes. If an
atrial coil is present, the shock configuration can be programmed for bi-directional shocks.
Programming:
When active case and SVC are both programmed to Yes, the shock configuration can be
programmed to:
─ RV to Case (or Case to RV),
─ or RV to SVC (or SVC to RV),
─ or RV to Case+SVC (or Case+SVC to RV).
RV to Case+SVC RV to Case RV to SVC
The polarity of shock is determined by the parameter itself.
14.9. MEASUREMENT OF THRESHOLDS AT IMPLANT
Pacing and sensing thresholds should be measured at implant.
Pacing threshold:
Acute thresholds should be lower than 1 V (or 2 mA) for a 0.35 ms pulse width.
Sensing threshold:
For proper ventricular sensing, the amplitude of the R-wave should be greater than 5 mV.
Pacing impedance measurement:
Ventricular pacing impedance should range from 200 to 3000 ohms (refer to the lead
characteristics, especially if high impedance lead is used).
14.10. LEAD CONNECTION
Implant the ventricular lead.
The lead must be connected to the corresponding connector port. The position of each
connector is indicated on the casing.
Tighten only the distal insert.
SORIN – INTENSIA VR 124 – U153A
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CAUTION: