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
21
Timing: Rate adaptation via CLS
The following parameters apply to devices of series 7:
Pacing: Pulse amplitude and pulse width
Pacing: Atrial capture control
Pacing: Ventricular capture control
Lead configuration LV on IS-1 connection
Parameter Range of values Standard VR DX DR HF
Maximum sensor rate 80 ... (10) ... 160 bpm 120 bpm xxxx
CLS response Very low; Low; Medium;
High; Very high
Mediumxxxx
CLS resting rate control OFF; +10 ... (+10) ...
+50 bpm
+20 bpmxxxx
Vp required Yes; No No x x x
Yes Yes x
Parameter Range of values Standard VR DX DR HF
Pulse amplitude A 0.5 ... (0.25) ... 4.0 ... (0.5)
... 6.0; 7.5 V
AUTO x x
Pulse amplitude V/RV xxxx
Pulse amplitude LV x
Pulse width A 0.4; 0.5 ... (0.25) ... 1.5 ms 0.4 ms x x
Pulse width V/RV xxxx
Pulse width LV x
Parameter Range of values Standard VR DX DR HF
Atrial capture control OFF; ATM; ON ON x x
Threshold test start with ATT: 2.5 ... (0.5)
... 5.0 V
with ATM: 3.5 V
3.5 V x x
Minimum amplitude 0.5 ... (0.25) ... 4.0 V 1.0 V x x
Safety margin 0.5; 1.0; 1.2 V 1.0 V x x
Parameter Range of values Standard VR DX DR HF
Ventricular capture
control RV + LV
OFF; ATM; ON ON xxxx
Threshold test start with ATT: 2.5 ... (0.5)
... 5.0 V
with ATM: 3.5 V
3.5 V xxxx
Minimum amplitude 1.0 ... (0.25) ... 4.0 V 1.0 V xxxx
Safety margin 1.0; 1.2 V 1.0 V xxxx
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
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