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
28
Battery Data
Battery characteristics
The following data is provided by the manufacturers:
Storage period
The storage period affects the battery service time.
•
Devices should be implanted within 19 months between the manufacturing date
and the use by date (indicated on the package).
•
If the ICD is implanted shortly before the use by date, the expected service time
may be reduced by up to 17 months.
Calculation of service times
•
The services times have been calculated as follows – in all chambers depending on
the device type:
—
Pulse amplitude: 2.5 V
—
Pulse width: 0.4 ms
—
Pacing impedance: 500 Ω
—
Basic rate: 60 bpm
—
Home Monitoring: ON, 1 device message each day and 24 IEGM online HD
transmissions per year
—
Diagnostic functions and recordings: permanently set
•
Capacitor reforming is performed 4 times per year and therefore at least
4 maximum charges for shocks have to be assumed per year even if less than 4 are
delivered.
Calculation of the number of shocks
Calculation of the number of shocks: Service time [in years] x number of shocks per
year
Manufacturer GREATBATCH, INC.
Clarence, NY 14031
LITRONIK
Batterietechnologie GmbH
01796 Pirna, Germany
Battery type GB 2992 LiS 3410 RR
System Li/SVO/CFx LiMnO2
Battery ID number shown on
the programmer
36
Device type VR, VR DX, DR, HF, HF QP
Battery voltage at ERI 2.5 V 2.85 V
Charge time at BOS 8 s 8 s
Charge time at ERI 10 s 10 s
Usable capacity until ERI
5 series: VR, VR DX, DR, HF,
HF QP
7 series: VR, VR DX, DR
1390 mAh 1390 mAh
Usable capacity until ERI:
7 series: HF, HF QP
1600 mAh —
Usable capacity until EOS 1730 mAh 1520 mAh
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