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
20
Timing: Ventricular pacing
Timing: Ventricular multi pole pacing
The following parameters apply for devices of the 7 series, HF QP type:
Timing: Refractory periods and blanking periods
Timing: PMT protection
Timing: Rate adaptation via accelerometer
Parameter Range of values Standard VR DX DR HF
Permanent RV; BiV; LV BiV x
Triggering OFF; RVs; RVs+PVC RVs x
LV T-wave protection OFF; ON ON x
Maximum trigger rate:
– DDD(R) and VDD(R) UTR + 20; 90 ... (10)
... 160 bpm
UTR + 20 x
– DDI(R), VDI(R) and VVI(R) 90 ... (10) ... 160 bpm 130 bpm
Initially paced chamber RV; LV LV x
VV delay after Vp 0 ... (5) ... 100 ms 0 ms x
Parameter Range of values Standard HF QP
Pacing polarity 2nd LV OFF;
LV1 tip -> LV2 ring
LV1 tip -> LV4 ring
LV1 tip -> RV coil
LV1 tip -> housing
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
OFF x
LV-LV delay 0 ... (5) ... 50 ms 0 ms x
Pulse amplitude LV 2nd LV 0.5 ... (0.25) ... 4.0 ... (0.5)
... 6.0; 7.5 V
2.5 V x
Pulse width LV 2nd LV 0.4; 0.5 ... (0.25) ... 1.5 ms 0.4 ms x
Parameter Range of values Standard VR DX DR HF
PVARP AUTO; 175 ... (25) ... 600 ms 225 ms x x x
PVARP extension OFF; ON ON x x x
Blanking RV after atrial
pacing
40 ... (10) ... 100 ms 50 ms x x
LV blanking after
RV pacing
50 ... (10) ... 100 ms 80 ms x
RV blanking after
LV pacing
Far-field protection
after Vs
OFF; 25 ... (25) ... 225 ms 75 ms x x x
Far-field protection
after Vp
50 ... (25) ... 225 ms 75 ms x x x
Parameter Range of values Standard VR DX DR HF
PMT detection/termination OFF; ON ON x x x
VA criterion 250 ... (10) ... 500 ms 350 ms x x x
Parameter Range of values Standard VR DX DR HF
Maximum sensor rate 80 ... (10) ... 160 bpm 120 bpm xxxx
Sensor gain AUTO; Very low; Low;
Medium; High; Very high
Mediumxxxx
Sensor threshold Very low; Low; Medium;
High; Very high
Mediumxxxx
Rate increase 1; 2; 4; 8 bpm/cycle 2 bpm/
cycle
xxxx
Rate decrease 0.1; 0.2; 0.5; 1.0 bpm/cycle 0.5 bpm/
cycle
xxxx
Rate fading OFF; ON OFF xxxx
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