BIOTRONIK Lexos DR Manuals

Manuals and User Guides for BIOTRONIK Lexos DR. We have 1 BIOTRONIK Lexos DR manual available for free PDF download: Technical Manual

BIOTRONIK Lexos DR Technical Manual

BIOTRONIK Lexos DR Technical Manual (110 pages)

Family of Implantable Cardioverter Defibrillators

Brand: BIOTRONIK | Category: Medical Equipment | Size: 1 MB

Table of Contents

Table of Contents
3
1 General

7
- System Description
  7
- Indications and Usage
  8
- Contraindications
  9
- Warnings and Precautions
  9
- Adverse Events
  19
  - Potential Adverse Events
    19
  - Observed Adverse Events
    20
- Clinical Studies
  23
  - Tachos DR
    23
  - Phylax AV
    25
- Patient Selection and Treatment
  27
  - Individualization of Treatment
    27
  - Specific Patient Populations
    28
- Patient Counseling Information
  29
- Evaluating Prospective ICD Patients
  29
2 Device Features

31
- Sensing (Automatic Sensitivity Control)
  31
  - Ventricular Sensitivity Settings
    31
  - Minimum Ventricular Threshold
    34
  - Atrial Sensitivity Settings
    34
  - Minimum Atrial Threshold
    35
  - Far Field Blanking
    35
- Ventricular Tachyarrhythmia Detection
  36
  - VF Classifications
    37
  - VT Interval Counters
    37
  - VT Classification
    37
  - SMART Detection
    38
  - Onset
    39
  - Stability
    39
  - Sustained VT Timer
    40
- Tachyarrhythmia Redetection
  40
  - VT Redetection
    41
  - SMART Redetection
    41
  - VF Redetection
    41
- Tachyarrhythmia Termination
  41
- Tachyarrhythmia Therapy
  42
  - Therapy Options
    42
  - Anti-Tachycardia Pacing (ATP)
    42
  - Shock Therapy
    45
  - Progressive Course of Therapy
    48
- Bradycardia Therapy
  49
  - Bradycardia Pacing Modes
    49
  - Basic Rate
    50
  - Night Rate
    50
  - Rate Hysteresis
    50
  - Dynamic AV Delay
    54
  - Upper Tracking Rate
    55
  - Mode Switching
    56
  - PMT Management
    57
  - Rate Adaptive Pacing
    57
  - Pulse Amplitude
    59
  - Pulse Width
    59
  - Post Ventricular Atrial Refractory Period
    59
  - PVARP Extension
    59
  - Noise Response
    60
  - Post Shock Pacing
    60
- EP Test Functions
  60
  - P and R-Wave Amplitude Measurments
    60
  - Testing for Retrograde Conduction
    61
  - Pacing Threshold
    62
  - Arrhythmia Induction Features
    62
  - Manual Shock
    63
  - Manual ATP
    63
  - Test Shock
    63
- Special Features
  64
  - Detection and Therapy Status
    64
  - Home Monitoring (Lexos DR-T and VR-T Only)
    65
  - Real-Time IEGM Transmission
    70
  - Capacitor Reformation
    70
  - Patient and Implant Data
    71
  - System Status
    72
  - Holter Memory
    72
  - Real-Time IEGM
    75
  - Brady Diagnostics
    76
3 Sterilization and Storage

78
4 Implant Procedure

80
- Implant Preparation
  80
- Lead System Evaluation
  82
- Opening the Sterile Container
  82
- Pocket Preparation
  83
- Lead to Device Connection
  84
- Blind Plug Connection
  87
- Pacemaker Interaction Testing
  89
- Program the ICD
  92
- Implant the ICD
  93
5 Follow-Up Procedures

97
- General Considerations
  97
- Longevity
  98
- Explantation
  100
6 Technical Specifications

101
Appendix A

109

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