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
24
Diagnostics
The following can be set:
Home Monitoring
Upper threshold duration
after detection
N.n. ms
VFS: N.n. ms
N.n. ms xxxx
Upper threshold duration
after pacing
N.n. ms
Lower threshold RV N.n.% N.n.% x x x x
T-wave suppression
after pacing
OFF; ON OFF x x x x
Minimum threshold A N.n. mV N.n. mV x x x
Minimum threshold RV N.n. mV N.n. mV x x x x
Minimum threshold LV N.n. mV N.n. mV x
Parameter Range of values Standard
VR
DX
DR
HF
Parameter Range of values Standard
VR
DX
DR
HF
For AT/AF OFF; ON; Advanced ON ON x x x
For SVT OFF; ON ON x x x x
Periodic recording When Home Monitoring OFF:
OFF; N.n. days
N.n. days xxxx
IEGM configuration RA, RV, LV
RA, RV, FF
FF; RV; LV
RA, RV, LV x
Start resting period N.n. hh:mm N.n. hh:mm x x x x
Duration of resting period N.n. h N.n. h x x x x
AV delay modification in
sensing test
OFF; N.n. ms N.n. ms x x x
Thoracic impedance (TI) OFF, ON OFF x x x x
Parameter Range of values Standard
VR
DX
DR
HF
Home Monitoring OFF; ON OFF x x x x
Time of transmission STD; N.n. hh:mm STD x x x x
IEGM for:
– Therapy episodes OFF; ON ON x x x x
– Monitoring episodes
Ongoing atrial episode OFF; N.n. h N.n. h x x x