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
24
Therapy: Shock
Sensing
Sensitivity and thresholds
R-S1 interval for VT1/VT2 70 ... (5) ... 85; 88; 90; 95% 80% xxxx
R-S1 interval for VF 88%
Early ATP delivery for VFOFF; ON OFF xxxx
Parameter Range of values Standard VR DX DR HF
Number of shocks VT1/VT20; 1; 2; 6; 8 8 xxxx
Number of shocks VF 6; 8 8 xxxx
1st Shock for VT1/VT2 OFF; 2 ... (2) ... 20 ... (5)
... 40 J
40 J xxxx
2nd Shock for VT1/VT2 OFF; 4 ... (2) ... 20 ... (5)
... 40 J
40 J xxxx
3rd - nth shock for
VT1/VT2
OFF; 4*40 J; 6*40 J 6*40 J xxxx
1st Shock for VF 2 ... (2) ... 20 ... (5) ... 40 J 40 J xxxx
2nd Shock for VF 4 ... (2) ... 20 ... (5) ... 40 J 40 J xxxx
3rd - nth shock for VF 4*40 J; 6*40 J 6*40 J xxxx
For shock in VT1/VT2 and VF:
– Confirmation OFF; ON ON xxxx
– Polarity Normal; inverse;
Normal -> alternating;
Inverse -> alternating
Normal
– Shock form Biphasic; Biphasic 2;
Biphasic -> alternating;
biphasic 2 -> alternating
Biphasic
– Shock path RV -> housing + SVC
RV -> housing
RV -> SVC
RV->
ICD+SVC
xxx
RV -> ICD x
Parameter Range of values Standard VR DX DR HF
Parameter Range of values Standard VR DX DR HF
Sensing A STD; OFF STD x x x
Sensing RV STD; TWS; VFS; IND STD xxxx
Sensing LV STD; OFF; IND STD x
DX sensing ON; OFF OFF x
Upper threshold RV 50; 75% 50% xxxx
Upper threshold LV 50; 75% 50% x
Upper threshold
duration RV after detection
110; 150 ... (50) ... 500 ms
VFS: 110 ms
350 ms xxxx
Upper threshold
duration RV after pace
400 ms
Lower threshold RV 25; 50% 25% xxxx
T-wave suppression
after pacing
OFF; ON OFF xxxx
Minimum threshold A 0.2 ... (0.1) ... 2.0 mV 0.4 mV x x x
Minimum threshold RV 0.5 ... (0.1) ... 2.5 mV 0.8 mV xxxx
Minimum threshold LV 0.5 ... (0.1) ... 2.5 ... (0.5)
... 5.0 mV
1.6 mV x
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