Impulse Dymanics OPTIMIZER Smart System - Page 4

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5.11 Home Appliances .....................................................................................................................................14
5.12 Store Anti-Theft Systems/Airport Security Screening Systems ..............................................................15
5.13 Industrial Machinery ................................................................................................................................15
5.14 Transmitting Devices ...............................................................................................................................15
5.15 Cellular and Mobile Phones .....................................................................................................................15
6. POTENTIAL ADVERSE EFFECTS ............................................................................................................. 16
7. DEVICE IMPLANTATION ........................................................................................................................... 16
7.1 General Considerations ............................................................................................................................16
7.2 Opening the Lead Sterile Package(s) .......................................................................................................17
7.3 Opening the OPTIMIZER Smart Sterile Package ...................................................................................17
7.4 Verifying Lead Placement .......................................................................................................................18
7.5 Connecting the Implanted Leads to the OPTIMIZER Smart IPG ...........................................................18
7.6 Dissection of the IPG Pocket ...................................................................................................................19
7.7 Inserting the OPTIMIZER Smart IPG and Closing the Pocket ...............................................................19
8. DEVICE EXPLANTATION / REPLACEMENT ......................................................................................... 19
9. OPTIMIZER SMART IPG: FUNCTIONS AND PROGRAMMING OPTIONS ...................................... 20
9.1 Operating Modes .....................................................................................................................................20
9.2 CCM Off Status .......................................................................................................................................21
9.3 A/V Sensing .............................................................................................................................................21
9.3.1 A/V Sensing Leads .......................................................................................................................21
9.3.2 A/V Sensing Parameters ...............................................................................................................21
9.3.3 Refractory Period .........................................................................................................................22
9.4 CCM Delivery Options ............................................................................................................................22
9.5 CCM Signal Delivery ..............................................................................................................................22
9.5.1 Channels .......................................................................................................................................22
9.5.2 CCM Signal Parameters ...............................................................................................................23
9.5.3 Balancing Phase ...........................................................................................................................23
9.5.4 Parameter Interaction ...................................................................................................................24
9.6 CCM Inhibit Parameters ..........................................................................................................................24
9.6.1 Number of Beats for CCM Inhibition ..........................................................................................24
9.6.2 Conditions Causing Inhibition in Active OVO-LS-CCM Mode ..................................................25
9.7 Local Sensing...........................................................................................................................................25
9.8 CCM Triggering Based on Local-Sense Events ......................................................................................26
9.8.1 Local Sense Alert Window ...........................................................................................................26
9.8.2 Local Sense Refractory Periods in Active OVO-LS-CCM Mode ................................................27
9.8.3 Remarks ........................................................................................................................................27
9.8.4 Parameter Interaction ...................................................................................................................27
10. OMNI SMART PROGRAMMER SYSTEM ................................................................................................ 28