Boston Scientific Corporation CRMA20914 Manual De Usuario
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To initiate the Automatic Setup process:
1.
After using the programmer to scan for devices, choose the device being implanted from the Device List screen.
2.
The programmer will connect to the chosen pulse generator and the Device Identification screen will appear.
Choosing the Continue button from this screen removes the pulse generator from Shelf Mode and causes the
Automatic Setup screen to appear.
3.
Select the Automatic Setup button to initiate Automatic Setup.
4.
Follow the on-screen instructions to complete the Automatic Setup sequence.
If the patient’s heart rate is greater than 130 bpm, you will be instructed to complete the Manual Setup process instead. To
initiate the Manual Setup process:
1.
From the Main Menu screen, select the Utilities button.
2.
From the Utilities screen, select the Manual Setup button.
You will be guided through a manual impedance test, selection of sensing vector, selection of gain setting, and acquisition of
a reference S-ECG.
Defibrillation Testing
Once the device is implanted and programmed to Therapy On, defibrillation testing may be conducted. A 15J safety margin is
recommended for defibrillation testing.
Note: Defibrillation testing is recommended at implant to confirm the ability of the S-ICD System to sense and
convert VF.
Warning: Always have external defibrillation equipment and medical personnel skilled in CPR available during
Warning: Always have external defibrillation equipment and medical personnel skilled in CPR available during
implant and follow-up testing. If not terminated in a timely fashion, an induced ventricular tachyarrhythmia can
result in the patient’s death.
To induce VF and test the S-ICD System using the Model 3200 S-ICD programmer:
1.
Select the Main Menu icon (arrow within a circle) in the Navigation bar, in the top right corner of the screen.
2.
From the Main Menu screen, select the Patient Test button to setup the induction test.
3.
Follow the on-screen instructions to set shock energy and polarity and to induce an arrhythmia.
Note: Ensure that noise markers (“N”) are not present on the S-ECG prior to induction. The presence of noise
Note: Ensure that noise markers (“N”) are not present on the S-ECG prior to induction. The presence of noise
markers may delay detection and therapy delivery.
4.
At any time prior to therapy delivery, the programmed energy may be aborted by selecting the red Abort button.