Idiomas disponibles
Idiomas disponibles
Package contents
The storage package includes the following:
• Sterile packaging with device
• Serial number label
• Patient ID card
• Warranty booklet
• Technical manual for the device
The sterile container includes the following:
• Device, blind plug DF-1 (if applicable) and blind plug IS-1 for device type HF
• Screwdriver
Therapeutic and Diagnostic Functions
Diagnostic functions
• Data from implantation and the most recent interrogations and follow-ups are
recorded as well as arrhythmia episodes; they are stored together with other data
to assess patients and the state of the device at any time.
• To check the lead for proper functioning, an automatic impedance measurement
using subthreshold pacing pulses is performed in the device.
• Leadless ECG function: For all device types, far-field derivation can be measured
without external leads between the right ventricular shock coil and housing, which,
depending on the implantation site, corresponds to ECG derivation II or III
(Einthoven).
• Once a telemetry connection has been established during a test procedure in an
in-office follow-up, the leadless ECG and the IEGM are displayed with markers.
Antitachycardia pacing
• The ICD can treat ventricular tachycardia with antitachycardia pacing (ATP); ATP
can also be delivered in the VF zone (ATP One Shot) when the stability criterion indi-
cating that this will be effective before shock delivery (monomorphic rapid VTs) is
met.
• Depending on the device type, the device program contains not only the ICD
functions but also all pacemaker functions for 1, 2, or 3 chambers. The heart
rhythm is continuously monitored; each arrhythmia is classified according to the
heart rate and the adjustable detection criteria. Depending on the preset values,
antibradycardia as well as antitachycardia therapy is inhibited or delivered.
en • English
Cardioversion, defibrillation
• The ICD can treat ventricular tachyarrhythmia with cardioversion and/or defibrilla-
tion. Shock polarity and energy can be programmed individually. Shock energies
between 2.0 and 40 J are possible. Before delivery of the shock, the ICD can be set
to only deliver a shock when ongoing tachyarrhythmia is confirmed; during this
time period the device can identify spontaneous conversion of the tachyarrhythmia
and cancel the charging process if necessary.
• The shock paths can be set between the different shock coils (SVC/RV) and/or the
housing.
Antibradycardia pacing and CRT
• Innovative rate hystereses, automatic sensor functions, and a night program
promote the patient's intrinsic rhythm, avoid overdrive pacing, and facilitate
adaptation of the device to the individual needs of the patient.
• Setting an upper tracking rate for the atrium prevents unspecific atrial pacing, thus
reducing the risk of pacemaker-mediated tachycardia.
• Positive AV hysteresis functions support the intrinsic conduction and thus the
natural contraction sequence. Negative AV hysteresis functions support the cardiac
resynchronization therapy by maintaining pacing in stressful situations.
• For resynchronization of the ventricles, triple-chamber devices have functions for
multisite ventricular pacing with possible VV delays in either direction.
• To ensure that no additional surgery is necessary in case of a left-sided increase of
the pacing threshold or undesired phrenic nerve stimulation, different pacing
polarities can be set for the left ventricular lead with a triple-chamber device.
• Automatic active capture control is available for the right and left ventricle with
automated tracking of the pacing threshold or automatic threshold monitoring
(ATM) for trend analysis.
Storing programs
The parameter settings can be saved in 3 individual therapy programs.
Home Monitoring functions
• The device automatically sends information to the transmitter once a day. It also
sends messages related to events, which are immediately forwarded to the Service
Center. In addition to this, test messages can be initiated using the programmer.
• Appointments for Home Monitoring-supported follow-ups can be scheduled via the
HMSC. This applies to Ilesto 5/7.
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