User's Manual

Table Of Contents
DEVICE IMPLANTATION
PLATINIUM 4LV SonR CRT-D 1844 should be implanted with the device identification
engraved side facing outwards for optimal communication with the programming head and
radiographic identification.
In order to prevent lead damage or dislodgement, it is important to loosely coil the leads and
place them in a manner that minimizes lead tension, twisting, sharp angles, and pressure.
The following factors should be considered in placing any excess of lead length:
1. recommendations/warnings of the (other) associated leads,
2. patient anatomy, and
3. pulse generator size and motion.
Suture the casing connector to the muscle using the hole provided for this purpose, in order
to avoid potential migration of the device into the pectoral muscle.
TESTS AND PROGRAMMING
During the implant testing procedure:
It is recommended that a safety margin of at least 10 J be demonstrated between the
effective shock energy and maximum programmable energy.
Enable shock therapies, then program the defibrillator.
Verify that the defibrillation shock impedance for each shock delivered is within the range of
30 to 150 ohms. Check the lead connection if the values are outside these boundaries.
Save the programming data on the programmer’s hard disk and on an external storage
device (if desired).
Resuscitation Availability:
Do not perform device testing unless an external defibrillator is available and medical
personnel skilled in cardiopulmonary resuscitation (CPR) are present.
Disable the ICD During Handling:
Program Shock Therapy to OFF during surgical implant and explant or post mortem
procedures. The device can deliver a serious high energy shock should accidental contact
be made with the defibrillation electrodes, the device can deliver a very high energy shock.
14.11.
14.12.
14. IMPLANT PROCEDURE
38 SORIN – PLATINIUM 4LV SonR CRT-D 1844 – U906A