DDI Prodigy Pocket manuals

Owner’s manuals and user’s guides for Unknown DDI Prodigy Pocket.
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Ddi Prodigy Pocket Specifications (394 pages)


Brand: Ddi | Category: Unknown | Size: 4.72 MB |

 

Table of contents

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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