Idiomas disponibles
Idiomas disponibles
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Carefully withdraw the screwdriver without retracting the set screw.
• In case of IS-1 connections with two set screws, tighten both screws!
• When the screwdriver is withdrawn, the silicone plug automatically seals
the lead connector port safely.
Keeping distance between leads
WARNING
Inadequate therapy
When leads are not spaced sufficiently apart or are positioned inappropriately, this
can lead to far-field sensing or insufficient defibrillation.
• The distance between 2 shock coils must be greater than 6 cm.
• Tip and ring electrodes must not have contact with each other.
Implanting
1
Prepare the vein.
2
Implant the leads, perform the measurements, and fixate the leads.
3
Form the device pocket.
4
Connect the lead connector to the device.
5
Insert the device.
6
Guide the fixation suture through the opening in the header and fixate the device
in the prepared device pocket.
7
Close the device pocket.
8
Check the device with standard tests.
Applying the programming head
The programming head (PGH) features a diagram of the device. This is used to assist in
positioning the head to ensure proper telemetry.
• Make sure the PGH is positioned correctly.
Establishing telemetry contact
The programmer (or the SafeSync Module) can be no more than 3 m from the device;
ideally there should be no hindrances between the patient and the programmer.
• Switch on RF telemetry on the programmer.
• Apply the programming head for about 2 s until successful initialization is displayed
on the programmer:
The SafeSync symbol is displayed in the navigator and the signal
strength is displayed in the status line.
• Remove the programming head.
Activating ICD therapy
• Load the device program that is suitable for the device type in the programmer.
• Activate ICD therapy.
• Shipment mode is permanently deactivated once the leads have been connected
and initial measurement of the pacing impedance has been performed. The device
data are saved.
• Take precautionary measures while programming.
• If the device induces tachycardia while programming ATPs or does not deliver
adequate therapy in the DFT test: use emergency shock or an external defibrillator.
Precautionary Measures while Programming
Performing standard tests and monitoring the patient
Critical conditions can occur for the patient even during standard tests due to inade-
quate parameter settings or interrupted telemetry.
• Ensure sufficient patient care even during tests.
• After the threshold test, check to determine whether the threshold is clinically and
technically justifiable.
• Continuously monitor the ECG and the patient's condition.
• Cancel testing if necessary.
Cancelling telemetry
Programmer interference or interrupted telemetry during performance of temporary
programs (follow-up tests) can result in inadequate pacing of the patient. This is the
case if the programmer can no longer be operated due to a program error or
a defective touch screen and therefore the temporary program cannot be terminated.
Under these circumstances, it is helpful to cancel telemetry, in which case the device
automatically switches to the permanent program.
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