Impulse Dynamics OPTIMIZER Smart Mini Instructions For Use Manual page 115

7.7.2 ECG Recording
To record a patient's ECG:
1. Tap the Log Files button on the Menu Bar
2. Tap the Recording button on the Tool Bar
The same procedure must be used to stop recording the ECG.
When the OPTIMIZER Smart IPG is set to Marker Mode, the ECG starts recording
automatically. When Marker Mode is stopped, the ECG stops recording.
In the recorded ECG, Markers are displayed in the same way as in the Marker Window.
(See Section 7.12 for more information on Markers.)
The recorded ECG segments are displayed in the Marker Window.
7.8 Emergency Programming
The Urgent Programming command can be used to program the OPTIMIZER Smart IPG with a
safe parameter set [Standby (OOO) mode, CCM OFF].
To program the OPTIMIZER Smart IPG with a safe parameter set:
1. Place (or replace, if necessary) the Legacy Programming Wand over the OPTIMIZER
Smart IPG implant site.
2. Tap the Urgent button on the Tool Bar
If the Urgent Programming operation is successful, the Programmer reports "Urgent
Programming OK".
However, if the Legacy Programming Wand is not well positioned over the implant site, the
Urgent Programming operation may fail. If a failure in communication occurs, the Programmer
will display the message "Urgent Programming Error" along with 3 short warning beeps and the
options Retry and Cancel.
Retry can be performed by repositioning the Legacy Programming Wand and selecting the Retry
button.
After a successful Urgent Programming operation, the OPTIMIZER Smart IPG is placed in
Standby (OOO) mode, CCM OFF.
The emergency programming mode may be used to turn off CCM therapy when an adverse event
such as pectoral stimulation or interaction with co-implanted ICDs develops. Afterwards, CCM
would remain off until the patient is able to follow-up with a specialist. The emergency
programming mode may also be used by clinicians who are not experienced with CCM therapy to
evaluate ECG tracings without adding the complication of CCM therapy artifacts.
7.9 Magnet Mode
Placing a pacemaker magnet over the implant site of the OPTIMIZER Smart IPG and maintaining
it in close proximity to the device for at least two cardiac cycles (2–3 seconds), sets the
OPTIMIZER Smart IPG into a Permanent Off state. This Permanent Off state is maintained
even after the magnet is removed from the implant site.
In this state, the OPTIMIZER Smart IPG does not deliver CCM therapy, although it senses and
classifies cardiac events. This Permanent Off state can be changed only by reprogramming the
OPTIMIZER Smart IPG using the Optimizer Smart Programmer application under physician
supervision.
Note: This feature is useful for turning off CCM therapy delivery when an Intelio Programmer is
not available (for example, when a STAT ECG needs to be performed on a patient in an
Emergency Room not equipped with an Intelio Programmer).
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