User's Manual

17. PATIENT FOLLOW-UP
17. PATIENT FOLLOW-UP
17.1. FOLLOW-UP RECOMMENDATIONS
Before the patient is discharged and at each subsequent follow-up visit, it is advisable to:
─ check the occurrence of system warnings
─ check the battery status,
─ check the integrity of the pacing and defibrillation leads,
─ check for proper sensing (sensitivity, crosstalk) and pacing ; set the pacing amplitude to
twice the pacing threshold,
─ interrogate the implant memories (AIDA+),
─ check the efficacy of the therapies delivered,
─ keep a printout of programmed parameters, test results, and memory data,
─ reset the memory data and statistics.
These operations should be performed by medical personnel in an appropriate care unit,
with resuscitation equipment present.
It is recommended that a routine follow-up examination be done one month after discharge,
and then every three months until the device nears the replacement date.
Refer to the online help for a description of displayed warning, and the necessity to contact
Sorin for an evaluation.
Implant software upgrade:
In case a new implant software is downloaded in the device memory through the
programmer, a warning message could be displayed by the programmer to inform the user
and give the correct instructions to follow.
17.2. HOLTER FUNCTION
The Holter records markers and EGM on RV and on 1 programmable channel: A / RV coil –
Can / SVC coil – Can / RV coil - SVC coil / RA ring – Can / RV tip – Can / RV ring – Can
─ Up to 10 episodes and 5 min EGM on significant events: AV block switch, lead
impedance out of range.
─ Up to 16 tachyarrhythmia episodes as well as the therapy history.
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SORIN – PLATINIUM DR – U460A
NOTES:
If the last reforming, charge or shock occurred during the week preceding the interrogation,
the last battery value may be still impacted by the event. One week post event, the battery
will recover its steady state value.
Automatic capacitor charging may affect communication between the device and the
programmer.