4.
Close the implantation pocket. Consideration should be given to place the leads in a manner to prevent
contact with suture materials. It is recommended that absorbable sutures be used for closure of tissue
layers.
5.
Complete any electrocautery procedures before reactivating the pulse generator.
6.
Program the Tachy Mode to the desired setting and con
fi
rm
fi
nal programmed parameters.
CAUTION:
Following any sensing range adjustment or any modi
fi
cation of the sensing lead, always
verify appropriate sensing. Programming Sensitivity to the highest value (lowest sensitivity) may result in
delayed detection or undersensing of cardiac activity. Likewise, programming to the lowest value (highest
sensitivity) may result in oversensing of non-cardiac signals.
7.
Use the PRM to print out parameter reports and save all patient data.
Step K: Complete and Return the Implantation Form
Within ten days of implantation, complete the Warranty Validation and Lead Registration form and return the
original to Boston Scienti
fi
c along with a copy of the patient data saved from the PRM. This information enables
Boston Scienti
fi
c to register each implanted pulse generator and set of leads, and provide clinical data on the
performance of the implanted system. Keep a copy of the Warranty Validation and Lead Registration form and
programmer printouts, and the original patient data for the patient’s
fi
le.
Complete the temporary patient identi
fi
cation card and give it to the patient. After receiving the validation form,
Boston Scienti
fi
c sends the patient a permanent identi
fi
cation card.
BIDIRECTIONAL TORQUE WRENCH
A torque wrench (model 6628) is included in the sterile tray with the pulse generator, and is designed for
tightening and loosening #2-56 setscrews, captured setscrews, and setscrews on this and other Boston
Scienti
fi
c pulse generators and lead accessories that have setscrews that spin freely when fully retracted
(these setscrews typically have white seal plugs).
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