Pulse Amplitude. If the AutoCapture™ pacing system or Cap Conrm pacing system are not in use, determine
the capture threshold before programming the Pulse Amplitude. Program Pulse Amplitude to yield a suitable
safety margin for reliable, long‑term capture. Reassess capture thresholds periodically.
Noninvasive Program Smulaon (NIPS). Atrial or ventricular tachycardia or brillaon may occur during
NIPS. Therefore, (1) closely monitor the paent, and (2) have emergency equipment for cardioversion/
debrillaon readily available while conducng NIPS.
High‑Output Sengs. Programming high‑output sengs or a high Base Rate may shorten the me to ERI.
Runaway Protecon. Hardware circuitry in the device prevents it from smulang at rates higher than the
runaway protecon rate.
Runaway protecon rate for all devices is 220
min
-1
(± 10
min
-1
).
Sensing Conguraon. Sensing tests should be performed whenever changes are made to the sensing
conguraon.
Paent Noer. Before seng Paent Noer On, test and ensure paent awareness of the Paent Noer
feature. For MR Condional pulse generators with Paent Noer capability, the
Merlin
™ PCS or
Merlin
™ 2 PCS programmer permanently disables the Paent Noer when the pulse generator is programmed to
MRI sengs.
NOTE: For a list of devices with Paent Noer capability, refer to the programmer's on‑screen help.
Device Replacement
▪ Replace the pulse generator within six months of reaching ERI. Replace the pulse generator immediately▪
upon reaching ERI if one or more of the pacing outputs are programmed above 2.5 V. See Baery
Informaon (page 42).
25