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No output
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No sensing
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False indicator light signals
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Increased or decreased rate, output pulse width, or output amplitude
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Reversion to asynchronous pacing and Loss of control of rate, output,
sensitivity or power.
If loss of control of rate, output, sensitivity or power occurs, and it would be
appropriate to temporarily stop pacing the patient, attempt to correct the condition
by turning the device off and then on. If this does not correct the condition,
remove the battery for 30 to 60 seconds, reinsert the battery, and turn the device
back on.
Pacing Leads and Cables
Improper connection, displacement or fracture of leads or cables may also result
in pacemaker system failure.
Lead Systems
Bipolar lead systems are recommended because they are less susceptible to
electromagnetic interference.
Sensitivity Settings
Since the sensitivity setting determines the smallest signal that can be sensed by
the pacemaker, set the sensitivity dial to at least one-half the mV value of the
patient’s sensitivity threshold. This will provide an adequate safety margin to
ensure proper sensing. Be aware that setting the sensitivity value extremely low
(the most sensitive) could result in inappropriate sensing of far field signals (e.g.,
sensing of R or T waves on the Atrial lead or P waves on the ventricular lead),
leading to inappropriate inhibition of pacing pulses.
Electrostatic Discharge (ESD)
The pacing lead(s) provides a low-impedance pathway to the heart. Therefore, it
is recommended that the attending health professional discharge any personal
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