User Manual
Table Of Contents
- 1 Product Description
- 2 General Safety Instructions
- 3 Implantation
- Implantation Procedure
- Having parts ready
- Keeping an external defibrillator ready
- Unpacking the device
- Checking parts
- Implantation site
- Preventing leakage currents
- Preventing unintentional shock delivery
- Avoiding damage to the header
- Preventing short circuits in the header
- Ensure that connections are clean
- Connecting the lead connector to the device
- Keeping distance between leads
- Implanting
- Applying the programming head
- Establishing telemetry contact
- Activating ICD therapy
- Precautionary Measures while Programming
- Performing standard tests and monitoring the patient
- Cancelling telemetry
- Avoiding critical parameter settings
- Checking for electrodes suitable for the shock path
- Monitoring the patient when setting asynchronous modes
- Setting sensing
- Preventing device-induced complications
- Preventing conduction of atrial tachycardia
- Observing the shock impedance limit
- Preventing recurrence after therapy shock
- Phrenic nerve stimulation that cannot be terminated
- Avoiding risks in the case of exclusive LV pacing
- Recognizing lead failure
- Considering power consumption and service time
- Magnet Response
- Follow-up
- Patient Information
- Replacement Indications
- Explantation and Device Replacement
- Implantation Procedure
- 4 Parameters
- Bradycardia / CRT
- General ICD therapy
- Timing: Basic rate day/night and rate hystereses
- Timing: AV delay
- Timing: Post-shock pacing
- Timing: Upper rate
- Timing: Mode switching
- Timing: Ventricular pacing supression
- Timing: Ventricular pacing
- Timing: Refractory periods and blanking periods
- Timing: PMT protection
- Timing: Rate adaptation via accelerometer
- Timing CLS-Modes: Closed Loop Stimulation
- Pacing: Pulse amplitude and pulse width
- Pacing: Ventricular capture control
- Pacing: atrial capture control
- LV lead configuration with IS-1
- LV lead configuration with IS4
- MRI program
- Tachycardia
- Sensing
- Diagnostics
- Home Monitoring
- Bradycardia / CRT
- 5 Technical Data
21
Timing: Rate adaptation via accelerometer
Timing CLS-Modes: Closed Loop Stimulation
Parameters valid for devices of the series 7:
Pacing: Pulse amplitude and pulse width
Pacing: Ventricular capture control
Pacing: atrial capture control
LV lead configuration with IS-1
Parameter Range of values Standard
VR
DX
DR
HF
Maximum sensor rate N.n. bpm 160 bpm x x x x
Sensor gain AUTO; Very low; Low;
Medium; High; Very high
Medium xxxx
Sensor threshold Very low; Low; Medium;
High; Very high
Medium xxxx
Rate increase N.n. bpm/cycle N.n. bpm x x x x
Rate decrease N.n. bpm/cycle N.n. bpm x x x x
Parameter Range of values Standard
VR
DX
DR
HF
Max. CLS rate N.n. bpm N.n. bpm x x x
CLS response Very low; Low; Medium;
High; Very high
Medium xxxx
CLS resting rate control OFF; N.n. bpm STD x
Vp required Yes; No No
Biv modes:
Yes
xxxx
Parameter Range of values Standard
VR
DX
DR
HF
Pulse amplitude A N.n. V N.n. V x x
Pulse amplitude V/RV x x x x
Pulse amplitude LV x
Pulse width A N.n. ms N.n. ms x x
Pulse width V/RV xxxx
Pulse width LV N.n. ms x
Parameter Range of values Standard
VR
DX
DR
HF
Ventricular capture control OFF; ATM; ON ATM x x x x
Threshold test start N.n. V ATM:
N.n.V
ON:
N.n. V
xxxx
Minimum amplitude N.n. V N.n. V x x x x
Safety margin N.n. V N.n. V xxxx
Parameter Range of values Standard
VR
DX
DR
HF
atrial capture control OFF; ATM ATM x x
Parameter Range of values Standard
VR
DX
DR
HF
Pacing polarity LV (IS-1) LV tip -> LV ring;
LV tip -> RV coil;
LV ring -> LV tip;
LV ring -> RV coil;
UNIP
LV tip ->
RV coil
x
Sensing polarity LV (IS-1) UNIP; BIPL UNIP x