User Manual
Table Of Contents
- Cover
- Table of Contents
- 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 connections are clean
- Connecting the lead connector to the device
- Keeping distance between leads
- Implanting
- Applying the programming head
- Establishing telemetry contact
- Activating ICD therapy
- Precautionary Measures while Programming
- Performing standard tests and monitoring the patient
- Cancelling telemetry
- Avoiding critical parameter settings
- Check for leads suitable for shock path
- Monitoring the patient when setting asynchronous modes
- Setting sensing
- Preventing device-induced complications
- Preventing conduction of atrial tachycardia
- Observing the shock impedance limit
- Preventing recurrence after therapy shock
- Phrenic nerve stimulation that cannot be terminated
- Avoiding risks in the case of exclusive LV pacing
- 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
- Timing: Refractory periods and blanking periods
- Timing: PMT protection
- Timing: Rate adaptation via accelerometer
- Pacing: Pulse amplitude and pulse width
- Pacing: Ventricular capture control
- Pacing: atrial capture control
- LV lead configuration
- Tachycardia
- Sensing
- Diagnostics
- Home Monitoring
- Bradycardia / CRT
- 5 Technical Data
33 Parameters
Tachycardia
Detection
Therapy: 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) ... 600ms OFF xxxx
Interval VT2 OFF; 270 ... (10) ... 500 ms
Interval VF OFF; 240 ... (10) ... 400 ms 300 ms
Detection counter VT1 10 ... (2) ... 60 26 xxxx
Detection counter VT2 10 ... (2) ... 40 16
Detection counter VF 6 out of 8; 8 out of 12; 10 out of 12;
12 out of 16; 14 out of 16; 16 out of 20;
18 out of 24; 20 out of 24; 20 out of 24;
22 out of 24; 24 out of 30; 28 out of 30
8 out of 12
Redetection counter VT1 10 ... (2) ... 30 20 xxxx
Redetection counter VT2 14
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 24 ms
SustainedVT OFF; 1; 2; 3; 5; 10; 20; 30min OFF xxxx
Forced termination OFF; 1 ... (1) ... 10 min 1 min x x x
Parameter Range of values Standard
VR
DX
DR
HF
ATP type for VT1/VT2 Burst; Ramp OFF xxxx
ATP type for VF OFF; Burst; Ramp Burst xxxx
ATP optimization OFF; ON OFF xxxx
Attempts OFF; 1 ... (1) ... 10 OFF xxxx
Number S1 for VT1/VT2 1 ... (1) ... 10 5 xxxx
Number S1 for VF 8
S1 decrement forVT1/VT2 and forVF 5 ... (5) ... 40ms 10ms xxxx
Scan decrement OFF; 5 ... (5) ... 40ms OFF xxxx
Additional S1 forVT1/VT2 OFF; ON ON xxxx
Ventricular pacing for VT1/VT2 RV; LV; BiV RV x
Ventricular pacing for VF RV
R-S1 intervalfor VT1/VT2 70 ... (5) ... 95% 80% xxxx
R-S1 interval for VF 85%