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
22
LV lead configuration with IS4
MRI program
Valid for devices with ProMRI
®
:
Tachycardia
Detection
Therapy: atrial ATP
Parameter Range of values Standard
HF QP
Pacing polarity LV (IS4) LV1 tip ->LV2 ring
LV1 tip -> LV4 ring
LV1 tip -> RV coil
LV1 tip -> ICD
LV2 ring -> LV1 tip
LV2 ring -> LV4 ring
LV2 ring -> RV coil
LV3 ring -> LV2 ring
LV3 ring -> LV4 ring
LV3 ring -> RV coil
LV4 ring -> LV2 ring
LV4 ring -> RV coil
LV1 tip -
>LV2 ring
Sensing polarity LV (IS4) LV1 tip -> LV2 ring
LV2 ring -> LV3 ring
LV3 ring -> LV4 ring
LV1 tip -> ICD
LV2 tip -> ICD
LV3 tip -> ICD
LV4 tip -> ICD
LV1 tip ->
LV2 ring
Parameter Range of values Standard
VR
DX
DR
HF
Mode V00; OFF OFF x x
V00; D00; OFF x x
Basic rate N.n. bpm N.n. bpm x x
Ventricular pacing RV; BiV RV x
Parameter Range of values Standard
VR
DX
DR
HF
Interval AT/AF N.n. ms 300 ms x x x
Interval VT1 OFF; N.n.ms OFF x x x x
Interval VT2 OFF; N.n. ms
Interval VF OFF; N.n. ms 300 ms
Detection counter VT1 N.n. N.n. x x x x
Detection counter VT2 N.n. N.n.
Detection counter VF N.n. N.n.
Redetection counter VT1 N.n. N.n. x x x x
Redetection counter VT2 N.n. N.n.
Redetection counter VF N.n. N.n. x x x x
SMART detection VT1/VT2 OFF; ON ON x x x
SMART detection ON:
– Onset VT1/VT2 N.n.% N.n.% x x x
– Stability VT1/VT2 N.n.% N.n.%
MorphMatch OFF; Monitor; ON OFF x x x x
SMART detection OFF:
– Onset VT1/VT2 OFF; N.n.% N.n.% x x x x
– Stability VT1/VT2 OFF; N.n. ms N.n. ms
Sustained VT OFF; N.n. min OFF x x x x
Forced termination OFF; N.n. min N.n. min x x x
Parameter Range of values Standard
VR
DX
DR
HF
ATP Type OFF; Burst; Ramp OFF x x
Number S1 N.n. N.n. x x
P-S1 interval N.n.% N.n.% x x