User Manual
Table Of Contents
- Cover
- 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 connector ports are clean
- Overview: Implanting
- Connecting the device
- Keeping distance between leads
- Applying the programming head
- Establishing RF telemetry
- Activating ICD therapy
- Precautionary Measures while Programming
- Performing standard tests and monitoring the patient
- Cancelling telemetry
- Avoiding critical parameter settings
- Avoiding risks in the case of exclusive LV pacing
- Monitoring the patient when setting asynchronous modes
- Complying with the morphology criteria
- Setting sensing
- Preventing device-induced complications
- Preventing conduction of atrial tachycardia
- Avoiding AV crosstalk
- Observing the shock impedance limit
- Preventing recurrence after therapy shock
- Phrenic nerve stimulation that cannot be terminated
- Note the reduced pulse amplitude due to a battery voltage drop
- Observe when inducing short-term cardiac arrest
- Checking the settings of the DX lead
- Checking for electrodes suitable for the shock path
- 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 suppression
- Timing: Ventricular pacing
- Timing: Ventricular multi pole pacing
- Timing: Refractory periods and blanking periods
- Timing: PMT protection
- Timing: Rate adaptation via accelerometer
- Timing: Rate adaptation via CLS
- Pacing: Pulse amplitude and pulse width
- Pacing: Atrial capture control
- Pacing: Ventricular capture control
- Lead configuration LV on IS-1 connection
- Lead configuration LV on IS4 connection
- MRI program
- Tachycardia
- Sensing
- Diagnostics
- Home Monitoring
- Bradycardia / CRT
- 5 Technical Data
en • English
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Timing: AV delay
Timing: Post-shock pacing
Timing: Upper rate
Timing: Mode switching
Timing: Ventricular pacing suppression
Parameter Range of values Standard VR DX DR HF
AV dynamics Low; Medium; High; Fixed;
(Individual)
Low xxx
AV delay (1 or 2) after:
– Pacing 40 ... (5) ... 350 ms
Only for Fixed, also: 15
–xx
– Sensing Either automatic: AV delay
after pacing + sense
compensation
Or: 15; 40 ... (5) ... 350 ms
– xxx
– At rate 1 50 ... (10) ... 130 bpm 60 bpm
– At rate 2 60 ... (10) ... 140 bpm 130 bpm
Sense compensation OFF; -5 ... (-5) ... -120 ms -40 ms x x
AV hysteresis mode OFF; Positive; Negative;
IRSplus
OFF x x
OFF; Positive; Negative OFF x
AV hysteresis (positive) 70; 110; 150; 200 ms 70 ms x x x
7 series, CLS modes:
AV hysteresis (positive)
70; 110; 150 ms 110 ms x x x
AV hysteresis (negative) 10 ... (10) ... 150 ms 50 ms x x x
AV scan and repetitive
(positive)
OFF; ON ON x x x
Parameter Range of values Standard VR DX DR HF
Post-shock duration OFF; 10 s; 30 s; 1 min;
2 min; 5 min; 10 min
10 s xxxx
Post-shock basic rate 30 ... (5) ... 100 ... (10)
... 160 bpm
60 bpm xxxx
AV delay post shock 50 ... (10) ... 350 ms 140 ms x x
Ventricular post-shock
pacing
RV; BiV RV x
Parameter Range of values Standard VR DX DR HF
Upper rate 90 ... (10) ... 160 bpm 130 bpm x x x
Atrial upper rate OFF; 175; 200; 240 bpm 200 bpm x x
Parameter Range of values Standard VR DX DR HF
Intervention rate OFF; 120 ... (10) ... 200 bpm 160 bpm x x x
Onset criterion 3 ... (1) ... 8 (out of 8) 5 x x x
Resolution criterion
Modification of basic rate OFF; 5 ... (5) ... 30 bpm 10 bpm x x x
Mode After mode VDD(R): VDI(R) VDIR x x x
After mode DDD(R),
DDD-ADI(R): DDI(R)
7 series, after mode DDD-
CLS: DDI(R)
DDIR x x
After mode switching:
– Rate OFF; 5 ... (5) ... 50 bpm 10 bpm x x x
– Duration 1 ... (1) ... 30 min 1 min
Rate stabilization with
mode switching
7 series: ON; OFF OFF x x x
Parameter Range of values Standard VR DX DR HF
Vp suppression OFF; ON OFF x x
Pacing suppression
after consecutive Vs
1 ... (1) ... 8 6 x x
Pacing support after
X-out-of-8 cycles
1; 2; 3; 4 3 x x
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