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Medtronic Confidential
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Instructions.
196407001 Rev A
Class II:
■
Asymptomatic complete heart block, permanent or intermittent, at any
anatomic site with a ventricular rate of > 40 bpm or faster.
■
Asymptomatic Type II second-degree AV block, permanent or
intermittent.
■
Asymptomatic Type I second-degree AV block at intra-His or infra-
His levels.
Class III:
■
First degree AV block.
■
Asymptomatic Type I second-degree AV block at the supra-His
(AV node) level.
General Pacing Indications H-3
9879EN-H_9501043EN/CTC.qxd 5/10/99 11:45 Page H-3
- Pacemaker 1
- Information and 1
- Programming 1
- 9879E Software 1
- Medtronic 3
- Pacemaker Information 3
- And Programming Guide 3
- How To Use This Guide 5
- Table of Contents 7
- Medtronic Confidential 10
- 196407001 Rev A 10
- USING THE 13
- PROGRAMMER 13
- CHAPTER 1 15
- Using the Programmer 15
- Pacemakers 15
- THRESHOLD TEST 17
- Small italics 17
- Warnings 18
- Precautions 18
- Display Screen Example 19
- Audible Signals 21
- A Guide to Using the Menu and 22
- Command Buttons 22
- Using the Command Buttons 24
- CHAPTER 2 25
- Procedures to Know 25
- Before You Begin 25
- Using the Programming Head 26
- Position Head Assist 28
- Emergency Values 30
- Emergency Button 30
- Interrogating the Pacemaker 31
- The INTERROGATE Function 32
- CANCEL MAGNET 33
- Cancel Magnet 33
- Selecting a Print Option 34
- About the Print Options 34
- Procedure 37
- Disk Error Message 39
- File Format 39
- Using the Auto Prompt Feature 39
- Using the HELP Options 40
- CHAPTER 3 41
- Starting and Ending a 41
- Patient Session 41
- Turning the Programmer ON 43
- Selecting the Pacemaker Model 44
- Automatic Model Selection 45
- Manual Model Selection 45
- Ending a Patient Session 49
- CHAPTER 4 51
- Retrieving Pacing System 51
- Pacing Parameters 52
- Additional Parame 54
- Data Summary 55
- Battery/Lead 56
- Diagnostic Parameters 56
- Event Summary Data 57
- Displaying More Data 58
- Battery/Lead Screen 59
- Parameter Measurements 60
- Estimated Time to Replacement 60
- MORE INFO] button. This 61
- CHAPTER 5 63
- Displaying and Printing 63
- About the Recording 65
- Displaying Pacing Artifacts 66
- ECG/Markers/EGM 67
- More About Marker Channel 70
- Telemetry 70
- Inhibiting Pacemaker Output 71
- Freezing the ECG Trace 72
- Selecting a Freeze Option 73
- Printing the Frozen Traces 73
- Displaying a Marker Channel 73
- Diagram 73
- Adjusting the Trace Displays 74
- Using the On-Screen Calipers 75
- About the Marker Channel 77
- Printing the Marker Channel 77
- Interpreting the Diagram 78
- Error Conditions 79
- CHAPTER 6 81
- Programming Pacing 81
- Parameters 81
- Programming Pacing Parameters 82
- Pacing Mode 84
- PROGRAM 85
- Additional 87
- Parameters Screen 87
- Trans Tele 88
- Extend. Telem 88
- Status Reset 89
- Serial Number 90
- CLEAR VALUE 90
- ACCEPT VALUE 90
- CHAPTER 7 91
- Determining and 91
- Evaluating Parameter 91
- Threshold Test Start 92
- Threshold Test Options 93
- MANUAL THRESHOLD 94
- INHIBIT PACING 94
- Threshold Test 95
- Curves indicating the 98
- 2X and 3X safety 98
- Patient’s computed 98
- INTERROGATE 100
- CURRENT SCREEN REPORT 100
- RETURN TO START 100
- Width Threshold Test 101
- RETURN TO START] to return to 103
- Atrial/DDD 103
- PROGRAM] button 103
- Sensing Test Setup 105
- Conducting the Sensing Test 107
- Test Successful 109
- Retest Required 109
- RETURN TO SETUP]) 110
- RETURN TO SETUP] to 110
- PRINT] Menu 110
- SENSING RESULTS option 110
- About the Activity Tests 112
- Important Considerations 112
- ACT THRESHOLD TEST 113
- Activity Threshold 114
- Test Results Screen 114
- ACTIVITY THLD RESULTS 115
- EXERCISE TEST 115
- Conducting an Exercise Test 116
- Exercise Test 117
- Results Screen 117
- ACTIVITY EXERCISE TEST 119
- SHOW SAVED 119
- Temporary Test 120
- Test Parameters and Values 122
- 1. Select [ 123
- 2. Select 123
- Measurement Results 124
- Printing the Measured Values 124
- CHAPTER 8 125
- Collecting and Retrieving 125
- Diagnostic Data 125
- CLEAR DATA 126
- Types of Data You Can Record 127
- Rate Histogram 128
- Lead Trend 129
- High Rate Episode 130
- 2 to 20 events 134
- About the Setup Options 135
- 8-12 Using the Programmer 136
- Diagnostic Parame 137
- Programming Procedure 139
- VENTR. RATE 141
- HISTOGRAM 141
- VENTR 141
- LEAD TREND 141
- Printing the Diagnostic Data 143
- CHAPTER 9 145
- Programmer Setup 145
- Setting the Time and Date 146
- 9760 Programmer 147
- 9790 Programmer 147
- Using the CALIBRATE Option 148
- EGM/ECG Signal Calibration 149
- Site Nominals Setup Procedure 150
- Site Nominal Setup 151
- Screen (example) 151
- Other Options 152
- SET TO SITE VALUES 153
- Setting the Artifact Display 154
- Understanding Pacemaker 155
- Operation 155
- CHAPTER 10 157
- Pacing Modes 157
- Introduction 159
- Further Information 160
- Mode Selection Decision Tree 161
- Mode Pertinency Tables 162
- SPECIAL THERAPY OPTIONS* 163
- DDDR Mode 164
- DDDR Mode Operation 165
- DDD Mode 166
- DDD Mode Operation 167
- DDIR Mode 168
- Pacing Modes 10-13 169
- DDI Mode 170
- Pacing Modes 10-15 171
- DVIR Mode 172
- DVIR Mode Operation 173
- DVI Mode 174
- DVI Mode Operation 175
- Example of DVI Mode Operation 175
- VDD Mode 176
- Interval 177
- AAIR Mode 178
- AAIR Mode Operation 179
- AAI Mode 180
- AAI Mode Operation 181
- Example of AAI Mode Operation 181
- VVIR Mode 182
- VVIR Mode Operation 183
- VVI Mode 184
- VVI Mode Operation 185
- Example of VVI Mode Operation 185
- AAT/VVT Modes 186
- AAT and VVT Mode Operation 187
- Example of VVT Mode Operation 187
- DOOR/AOOR/VOOR Modes 188
- DOO/AOO/VOO Modes 190
- Example of DOO Mode Operation 191
- ODO/OAO/OVO Modes 192
- CHAPTER 11 193
- Rate Response 193
- Therapy Options 193
- Rate Responsive Pacing 194
- Settings 197
- Activity Rate Response 198
- Rate Range 200
- Time (Minutes) 200
- CHAPTER 12 203
- Pacemaker Timing 203
- Overview 204
- A-A Timing 204
- Lower Rate 205
- Operating Lower Rate 205
- Selecting a Lower Rate 206
- Sensor-indicated Rate 206
- Upper Tracking Rate 207
- Mean Atrial Rate 209
- AV Intervals 210
- SAV Interval SAV Interval 211
- SAV SAV 211
- Selecting PAV and SAV 212
- RAAV Operations 213
- AV Interval (ms) 214
- Rate (ppm) 214
- Rate Adaptive PAV 214
- Rate Adaptive SAV 214
- Application for RAAV 215
- Using RAAV with Mode Switch 215
- Blanking Periods 216
- Refractory Periods 218
- Example of PVARP Operation 219
- SAV + PVARP 221
- SAV PVARP 221
- Noise Reversion 223
- Preventing Noise Sensing 224
- High Rate Atrial Tracking 225
- Pacemaker Wenckebach 226
- Pacemaker Timing 12-25 227
- CHAPTER 13 229
- Lead/Cardiac 229
- Tissue Interface 229
- Selecting Pacing Parameters 230
- Follow-up 231
- Selecting Output Parameters 232
- For Further Information 232
- Selecting Sensing Parameters 233
- Monitoring Lead Stability 236
- How the Monitor Works 237
- How the Polarity Switch Works 237
- Recording a Lead Trend 237
- Overriding Other Diagnostics 238
- Dual Chamber TMT Operation 239
- CHAPTER 14 243
- Special Therapy Options 243
- Mode Switch 244
- Mode Switch Operation 245
- Mode Switch Interruption 245
- Preset Parameter Settings 246
- Counting Mode Switch Episodes 246
- Non-Competitive Atrial Pacing 247
- NCAP Operation 248
- NCAP Availability 248
- PMT Intervention 249
- PVARP PVARP PVARP PVARP 250
- PVARP = 400 ms 250
- Ventricular Safety Pacing 251
- How VSP Operates 252
- Single Chamber Hysteresis 253
- Programming Considerations 254
- CHAPTER 15 255
- Telemetry Data 255
- Parameter Summary 256
- Battery and Lead Information 258
- Marker Channel™ Telemetry 260
- Telemetry Functions 15-7 261
- Uses for Electrogram 263
- Maintaining Telemetry 263
- Extended Telemetry 264
- CHAPTER 16 265
- Miscellaneous Operations 265
- Magnet Mode Operation 266
- Prodigy DR (7860/61/62) 267
- Prodigy D (7864/65/66) 267
- Prodigy VDD (8168) 267
- Prodigy SR (8158, 8160/61/62) 267
- Prodigy S (8164/65/66) 267
- Temporary Programming 269
- Electrical Reset 270
- Full Electrical Reset 271
- Basis for Setting ERI 272
- ERI Verification 272
- Emergency Pacing 273
- CHAPTER 17 275
- Diagnostics 275
- Introduction to Prodigy 276
- Exceptional Conditions 277
- Clearing Diagnostic Data 277
- Event Summary 278
- Collecting Event Summary Data 279
- Example of Event Summary Data 279
- Upper Rate Limits 281
- Retrieving the Rate Histogram 281
- Collecting EGM Data 284
- Chamber Modes 284
- CHAPTER 18 287
- Troubleshooting the 287
- Pacing System 287
- Troubleshooting Strategy 288
- Defining Electrical Problems 289
- Correcting the Problem 290
- Handling and Storage 293
- Resterilization 293
- Pacemaker Longevity 294
- Replacing the Pacemaker 296
- Patient Manual 297
- Establishing a Patient Record 297
- Assistance Information 298
- PART III 299
- Prodigy™ Reference 299
- Information 299
- Basic Description 302
- Radiopaque Identification 304
- Mechanical Dimensions 305
- Lead Compatibility 306
- Pacemaker Connectors 307
- Bipolar Connector (IS-1 308
- Unipolar Connector (5/6 mm) 309
- Bifurcated Bipolar (5 mm) 309
- SECTION B 311
- Shipping, Nominal 311
- Electrical Reset, and 311
- Emergency Parameters 311
- Shipping Parameter Settings 312
- Nominal Parameter Settings 314
- Emergency Parameter Settings 318
- SECTION C 319
- Longevity Projections 319
- Elective Replacement 319
- Indicator, and Battery 319
- Specifications 319
- Battery Specifications 325
- SECTION D 327
- Magnet Mode Operations 327
- Telemetry Functions 327
- Diagnostics, and 327
- Event Summaries 327
- (8160/61/62) (8164/65/66) 340
- Nonprogrammable Parameters 344
- 8168, 8158, 8160/61/62 345
- Timing Reference Table 346
- SECTION F 351
- General Warnings 351
- Implantable Defibrillator 353
- General Precautions 355
- Crosstalk and Self-Inhibition 356
- Syndrome” 356
- Unipolar Pacing 358
- Potential Complications 359
- SECTION G 361
- Hospital, Medical, Home 361
- Interference 361
- X-Ray and Fluoroscopy 362
- Irradiation 362
- Magnetic Resonance Imaging 362
- Lithotripsy 363
- Diathermy 363
- External Defibrillation 363
- Electrocautery 364
- Cellular Phones 365
- General Recommendations 366
- SECTION H 367
- General Pacing 367
- Indications 367
- Class I: 368
- Class II: 369
- Class III: 369
- Myocardial Infarction 370
- Sinus Node Dysfunction 372
- Neurovascular Syndromes 373
- GLOSSARY 377
- Index J-3 387
- Index J-5 389
- Index J-7 391
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