User's Manual

US-ENGLISH – 9
Electrocautery or diathermy device: Diathermy and electrocautery
equipment should not be used. If such devices must be used:
1. Keep the current path and ground plate as far away from the
device and the lead as possible (a minimum of 15 cm [six inches]).
2. Before procedure, deactivate ATP and shock therapies. 3. During
the procedure, keep the electrocautery device as far as possible from
the cardiac defibrillator. Set it at minimum intensity. Use it briefly.
4. After the procedure, check for proper implant function. The device
should never be exposed directly to the diathermy source.
External defibrillation: PARADYM RF VR 9250 is protected from
external defibrillation shocks. Before external defibrillation, deactivate
ATP and shock therapies. During external defibrillation, it is advisable
to avoid placing the defibrillating paddles directly over the casing or
over the lead. The defibrillating paddles should preferably be placed
in an anteroposterior position. Avoid any direct contact between the
defibrillation paddles and the conductive parts of the implanted leads
or casing of the implanted device. After external defibrillation, check
for proper device function.
Radiation therapy: Avoid exposure to ionizing radiation. Betatrons
are contraindicated. If high doses of radiation therapy cannot be
avoided, the defibrillator should be protected from direct exposure
with a screen. ATP and shock therapies should be disabled during
exposure and proper device function should be checked regularly
afterwards. Resulting damage may not be immediately detectable. If
irradiation of tissues close to the implantation site is necessary, it is
recommended that the cardiac defibrillator be moved. As a safety
measure, an external defibrillator should be immediately available.
Lithotripsy: Lithotripsy may permanently damage the device if this
one is at the focal point of the lithotripsy beam. If lithotripsy must be
used, keep the defibrillator at least 2.5 to 5 cm (1-2 inches) away
from the focal point of the lithotripsy beam.
Diagnostic ultrasound (echography): The defibrillator is not
affected by ultrasound imaging devices.