User's Manual
Table Of Contents
- 1. General description
- 2. Indications
- 3. Contraindications
- 4. Warnings and precautions
- 5. Adverse events
- 6. Clinical studies
- 7. Patient selection and treatment
- 8. Patient counselling information
- 9. Declaration of conformity
- 10. Physician guidelines
- 11. Patient information
- 12. How supplied
- 13. Device description
- 14. Implant procedure
- 14.1. Necessary equipment
- 14.2. Packaging
- 14.3. Optional equipment
- 14.4. Before opening the package
- 14.5. Prior to implantation
- 14.6. Device placement
- 14.7. Choosing the type of lead
- 14.8. Shock configuration (+ -> -)
- 14.9. Measurement of thresholds at implant
- 14.10. Lead connection
- 14.11. Device implantation
- 14.12. Tests and programming
- 15. Special modes
- 16. Main functions
- 17. Patient follow-up
- 18. Physical characteristics
- 19. Electrical characteristics
- 20. Programmable parameters
- 21. Non programmable parameters
- 22. Limited warranty
- 23. Patents
- 24. Explanation of symbols
15. SPECIAL MODES
15. SPECIAL MODES
15.1. SAFETY MODE (NOMINAL VALUES)
Nominal values may be rapidly restored by pressing the following button on the
programming head or programmer keyboard:
or via the Emergency button on the SMARTVIEW screen.
In safety mode, the defibrillator operates with the parameters underlined in the table of
programmable parameters.
15.2. MAGNET MODE
When the magnet is applied:
─ antiarrhythmia functions are inhibited (detection of rhythm disturbances, charging, and
therapy),
─ hysteresis and AVD paced/sensed offset are set to 0,
─ pacing amplitude is set to 6 V,
─ pulse width is set to maximum,
─ the following functions are disabled: ventricular arrhythmia prevention, Mode Switch,
Anti-PMT, Smoothing, Rate Response.
When the magnet is removed:
─ arrhythmia detection algorithms and sequential therapies are reinitialized,
─ therapies start with the least aggressive program for each area.
The antiarrhythmia functions inhibition is extended after magnet removal if a charge
occurred just before the application of the magnet in order to ease the communication
between the device and the programmer.
The other parameters remain at their programmed value.
15.3. RESPONSE IN THE PRESENCE OF DISTURBANCE
If the defibrillator senses electrical noise at a frequency above 16 Hz, it switches to an
asynchronous mode at the basic rate. The programmed mode is restored as soon as the
noise is no longer detected.
Ventricular pacing may also be inhibited by ventricular noise. It can be restored by setting
the parameter V pacing on noise to Yes.
15.4. DETECTION CHARACTERISTICS IN THE PRESENCE OF
ELECTROMAGNETIC FIELDS
Per Clause 27.4 of Standard EN 45502-2-2, detection in the presence of electromagnetic
fields is characterized as follows:
─ Differential mode:
For DF-1 models:
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SORIN – PLATINIUM DR – U460A