DDI Prodigy Pocket Especificações Página 175
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DVI Mode Operation
The DVI mode provides dual chamber AV sequential pacing without atrial
sensing/tracking. Atrial pacing occurs at the Lower Rate, with ventricular
pacing at the end of the PAV interval unless inhibited. Sensing occurs only
in the ventricle, and intrinsic atrial events are ignored. A ventricular
nonrefractory sensed event during the VA interval starts a new VA interval.
Example of DVI Mode Operation
Pacing Modes 10-19
V
P
V
S
V
S
A
P
Lower Rate Interval
Parameters:
Lower Rate = 60 ppm (1000 ms)
200 ms
A
P
Lower Rate
VA Interval
A
P
V
P
PAV Interval = 200 ms
9879EN-10_9501042_CTC.qxd 12/13/01 3:57 PM Page 10-19
7 x 9 inches (178 mm x 229 mm)
Medtronic Confidential
Refer to the “Reference man.” category in doc#163256 for Printing
Instructions.
196407001 Rev A
- 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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