User's Manual

14. IMPLANT PROCEDURE
defibrillation coils
─ one unipolar or bipolar left ventricular pacing lead
The choice of leads and their configuration is left to the implanting physician’s judgment.
Connectors:
PLATINIUM CRT-D 1711:
The pacing/sensing connectors are compatible with the IS-1 standard and the right
ventricular defibrillation connectors are compatible with DF-1 standard.
PLATINIUM CRT-D 1741:
The atrial and left ventricular connectors are compatible with the IS-1 standard and the
quadripolar right ventricular connector is compatible with the DF4 standard
14.8. SHOCK CONFIGURATION (+ -> -)
The shock configuration is the energy pathway between the defibrillation electrodes. If an
atrial coil is present, the shock configuration can be programmed for bi-directional shocks.
Programming:
When active case and SVC are both programmed to Yes, the shock configuration can be
programmed to:
─ RV to Case (or Case to RV),
─ or RV to SVC (or SVC to RV),
─ or RV to Case+SVC (or Case+SVC to RV).
RV to Case+SVC RV to Case RV to SVC
The polarity of shock is determined by the parameter itself.
SORIN – PLATINIUM CRT-D – U459A
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NOTE1: Please note that DF-1 standard compliant lead is not compatible with DF4
connector. In the reverse, DF4 standard compliant lead is not compatible with DF-1
connector. In case of defibrillator replacement, choose the appropriate device compatible
with DF-1 or DF4 leads. For any other lead type that requires an adaptor for this device,
please contact your Sorin representative for any information on lead / connector
compatibility question.
NOTE2: In the event that no atrial lead is implanted, the atrial port should be plugged with
IS-1 insulating plug and a single chamber mode (VVI-VVIR) should be programmed. PARAD
and PARAD+ should not be used.
NOTE3: In the event of a warning on a low shock impedance, and after lead replacement or
reconnection: it is recommended to check the system integrity (sensing and pacing
thresholds and the impedance of the shock electrodes).