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
23
Tachycardia
Detection
Therapy: Atrial therapy
The following parameters apply to devices of series 7:
Therapy: Ventricular ATP
Parameter Range of values Standard VR DX DR HF
Interval AT/AF 240 ... 600 ms 300 ms x x x
Interval VT1 OFF; 270 ... (10) ... 600 ms OFF xxxx
Interval VT2 OFF; 270 ... (10) ... 500 ms
Interval VF OFF; 240 ... (10) ... 400 ms 300 ms
Detection counter VT1 10 ... (2) ... 100 28 xxxx
Detection counter VT2 10 ... (2) ... 80 20
Detection counter VF 6 out-of 8; 8 out-of 12;
10 out-of 14; 12 out-of 16;
16 out-of 20; 18 out-of 24;
20 out-of 26; 22 out-of 30;
24 out-of 30; 30 out-of 40
18 out of
24
Redetection counter VT1 10 ... (2) ... 50 20 xxxx
Redetection counter VT2 10 ... (2) ... 40 14
Redetection counter VF 6 out-of 8; 8 out-of 12;
10 out-of 14; 12 out-of 16;
16 out-of 20;
18 out-of 24; 20 out-of 26;
22 out-of 30; 24 out-of 30
8 out of
12
xxxx
SMART detection VT1/VT2 OFF; ON ON x x x
SMART detection ON:
– Onset VT1/VT2 4 ... (4) ... 32% 20% x x x
– Stability VT1/VT2 8 ... (4) ... 48% 12%
SMART detection OFF:
– Onset VT1/VT2 OFF; 4 ... (4) ... 32% 20% xxxx
– Stability VT1/VT2 OFF; 8 ... (4) ... 48 ms
8 ... (4) ... 48%
12%
MorphMatch OFF; Monitoring; ON OFF xxxx
MorphMatch threshold Low; Std; High Std. xxxx
Sustained VT OFF; 1; 2; 3; 5; 10; 20;
30 min
OFF xxxx
Parameter Range of values Standard VR DX DR HF
Atrial therapy in the presence of stable atrial flutter:
ATP type OFF; Burst; Ramp OFF x x
Number S1 2 ... (1) ... 10 5 x x
P-S1 interval 70 ... (5) ... 95% 80% x x
S1 decrement 5 ... (5) ... 40 ms 10 ms x x
Backup stimulation OFF; 70; 90; OFF x x
Atrial therapy in the presence of unstable atrial fibrillation:
Therapy OFF; HF (high frequency)
burst
OFF x x
Rate 10 ... (5) ... 40 Hz 40 Hz x x
Duration 2 ... (1) ... 10 3 s x x
Backup stimulation OFF; 70; 90; OFF x x
Parameter Range of values Standard VR DX DR HF
For VT1/VT2: Attempts OFF; 1 ... (1) ... 10 OFF xxxx
ATP type for VT1/VT2 Burst; Ramp Burst xxxx
ATP type for VF OFF; Burst; Ramp Burst xxxx
ATP optimization OFF; ON OFF xxxx
Number S1 for VT1/VT2 1 ... (1) ... 15 5 xxxx
Number S1 for VF 8
S1 decrement for VT1/VT2
and for VF
5 ... (5) ... 40 ms 10 ms xxxx
Scan decrement for
VT1/VT2
OFF; 5 ... (5) ... 40 ms OFF xxxx
Add S1 for VT1/VT2 OFF; ON ON xxxx
Ventricular pacing RV; LV; BiV RV x
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