Mintek LV User Manual

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Stratos LV/LV-T Technical Manual  7 
1.5.3  Lead Connection and Evaluation 
Lead Check –  
Feature Description: Lead Check is a feature that, when 
activated, automatically measures the lead impedance with 
every pace.  Based on these measurements, the lead 
configuration will be set to either unipolar or bipolar.  Refer to 
Section 2.5 for more details regarding this feature. 
Caution: Lead check will not lead to disabling of cardiac 
resynchronization therapy. It limits the use of the 
resynchronization features. 
1.  Lead check is possible only when the right ventricle is 
paced first. 
2.  Lead check works only when the pacing voltages are 
programmed between 2.4 and 4.8 V.  The lead check 
feature can be programmed OFF in patients that require 
cardiac resynchronization therapy. 
 
Care should be taken when programming Stratos CRT-Ps with 
Lead Check ON as the device may switch from bipolar to 
unipolar pacing and sensing without warning.  This situation may 
be inappropriate when using a Stratos CRT-P for patients with 
an Implantable Cardioverter Defibrillator (ICD). The following 
associated message appears when programming this feature: 
“Lead check may result in a switch to unipolar pacing and 
sensing, which may be inappropriate for patients with an 
ICD.” 
Additionally, Lead Check should be programmed OFF before 
lead connection as the feature will automatically reprogram the 
device to unipolar in the absence of a lead.  
Lead / CRT-P Compatibility – Because of the numerous 
available 3.2-mm configurations (e.g., the IS-1 and VS-1 
standards), lead/ CRT-P compatibility should be confirmed with 
the CRT-P and/or lead manufacturer prior to the implantation of 
the system.