User's Manual

PATIENT COUNSELING INFORMATION
The following topics should be discussed with the patient prior to d ischarge.
• External defibrillation—the patient should contact their physician to have their pulse generator system
evaluated if they receive external defibrillation
• Beeping tones—the patient should contact their physician immediately if they hear tones coming from
their pulse generator
• Signs and symptoms of infection
• Symptoms that should be reported (e.g., sustained high-rate pacing requiring reprogramming)
• Protected environments—the patient should seek medical guidance before entering areas protected by a
warning notice that prevents entry by patients who have a pulse generator
• Avoiding potential sources of EMI in home, work, and medical environments
• Persons administering CPR—the presence of voltage (tingling) on the patient’s body surface may be
experienced when the pulse generator delivers a shock
• Reliability of their pulse generator ("Product Reliability" on page 43)
• Activity restrictions (if applicable)
• Minimum heart rate (lower rate limit of the pulse generator)
• Frequency of follow up
• Travel or relocation—Follow-up arrangements should be made in advance if the patient is leaving the
country of implant
• Patient ID card—the patient should be advised to carry their patient ID card at all times (a temporary
patient ID card is provided with the device, and a permanent ID card will be sent to the patient 4 to 6
weeks after the implant form is received by Boston Scientific)
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