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BIOTRONIK Philos DR-T Technical manual

Manual is about: DDDR Dual Chamber Pulse Generator with Home Monitoring

Summary of Philos DR-T

  • Page 1

    Philos dr-t dddr dual chamber pulse generator with home monitoring technical manual.

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    Philos dr-t implantable pulse generator philos dr-t x-ray identification radiopaque identification a radiopaque identification code is visible on standard x-ray, and identifies the pulse generator: philos dr-t vv c aution because of the numerous available 3.2-mm configurations (e.G., the is-1 and vs...

  • Page 3: Contents

    Philos dr-t technical manual i contents 1. Home monitoring-overview ................................................1 1.1 home monitoring ..............................................................1 1.2 transmission of information .............................................1 1.3 patient device ...

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    Ii philos dr-t technical manual c aution federal (u.S.A.) law restricts this device to sale by, or on the order of, a physician (or properly licensed practitioner)..

  • Page 5: 1. Home Monitoring-Overview

    Philos dr-t technical manual 1 1. Home monitoring-overview philos dr-t offers the complete functionality of a dddr pacemaker while being equipped with the additional features associated with home monitoring. Consult the philos technical manual for a description and overview of the standard pacemaker...

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    2 philos dr-t technical manual 1.3 patient device with components the patient device (figure 1) is designed for use in the home and is comprised of the mobile device and the associated charging station. The patient can carry the mobile device with them during his or her occupational and leisure acti...

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    Philos dr-t technical manual 3 1.4 receiving patient data the implant’s information is digitally formatted by the biotronik service center and processed into a concise report called a cardio report. The cardio report, which is adjusted to the individual needs of the patient, contains current and pre...

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    4 philos dr-t technical manual table 1: system requirements / recommendations system requirements system recommendations (for optimal usage) screen resolution 800 x 600 ≥ 1024 x 768 internet bandwidth 56 kb/sec ≥ 128 kb/sec (dsl, cable modem) pc 600 mhz, 128 mb ram n/a internet browser ms internet e...

  • Page 9: 2. Indications And

    Philos dr-t technical manual 5 2. Indications and contraindications for the general indications and contraindications, please refer to the philos family technical manual. The indications and contraindications of the philos dr-t are identical to those of the rate adaptive dual chamber philos dr pulse...

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    6 philos dr-t technical manual.

  • Page 11: 3. Warnings and Precautions

    Philos dr-t technical manual 7 3. Warnings and precautions certain therapeutic and diagnostic procedures may cause undetected damage to a pulse generator, resulting in malfunction or failure at a later time. Please note the following warnings and precautions: magnetic resonance imaging (mri) – avoid...

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    8 philos dr-t technical manual electromagnetic interference (emi) – precautions for emi interference with the philos dr-t pulse generator are provided in the philos technical manual in section 4.5. Sources of emi including cellular telephones, electronic article surveillance systems, and others are ...

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    Philos dr-t technical manual 9 consult the philos manual for additional warnings and precautions associated with this device..

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    10 philos dr-t technical manual.

  • Page 15: 4. Types of Messages

    Philos dr-t technical manual 11 4. Types of messages when the home monitoring function is activated, the transmission of a message from the implant can be triggered as follows: • trend message – the time period (daily) initiates the report • event message – the pacemaker detects certain events, whic...

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    12 philos dr-t technical manual the following cardiac and technical events initiate a report: • atrial lead check 3000 ohm • ventricular lead check 3000 ohm • ventricular bursts (runs) • ventricular events (episodes) • low p-wave amplitude 1 ( • low r-wave amplitude 1 ( • eri activation • 1 st mode ...

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    Philos dr-t technical manual 13 4.2 trend message an additional type of message is the programmable “trend message”. Trend messages occur at a programmable time of transmission (i.E., at the end of the monitoring interval). The time can be set anywhere between 0:00 and 23:50 hours. It is recommended...

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    14 philos dr-t technical manual.

  • Page 19: Data

    Philos dr-t technical manual 15 5. Description of transmitted data the following data are transmitted by home monitoring, when activated. In addition to the medical data, the serial number of the implant is also transmitted. 5.1 the monitoring interval the monitoring interval is considered the time ...

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    16 philos dr-t technical manual 5.5 av conduction • av synchronicity (ax vx/vx) (%) − with intrinsic rhythm (asvs) (%) − with atrial stimulation (apvs) (%) − with ventricular stimulation (asvp) (%) − with dual-chamber stimulation (apvp) (%) 5.6 system status • atrial lead check • ventricular lead ch...

  • Page 21: 6. Technical Data

    Philos dr-t technical manual 17 6. Technical data 6.1 modes the following modes are available in the philos dr-t when home monitoring is deactivated: dddr, ddtr/a, ddtr/v, ddtr, ddir, ddir/t, dvir, dvtr, door, vddr, vdtr, vdir, vvir, vvtr, voor, aair, aatr, aoor, ddd, ddt/a, ddt/v, ddt, ddi, ddi/t, ...

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    18 philos dr-t technical manual 6.3 pulse and control parameters basic rate 30...(1)...60...(1)...88...(2)...122...(3)...140...(5)...180 ppm night rate off, 30...(1)...60...(1)...88...(2)...122...(3)...140...(5)...180 ppm rate hysteresis off; -5...(5)...-50 bpm repetitive hysteresis off; 1…(1)…10 sc...

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    Philos dr-t technical manual 19 av hysteresis off; low; medium; high av repetitive hysteresis off; 1...(1)...6 av scan hysteresis off; 1...(1)...6 av safety delay (dual chamber only) 100 ms sense compensation off; -15...(15)...-120 ms ventricular blanking time 16; 24; 32; 40; 48; 56; 72 ms magnet ef...

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    20 philos dr-t technical manual sensitivity a 0.1...(0.1)...1.0...(0.1)…1.5…(0.5)...7.5 mv v 0.5...(0.5)...2.5...(0.5)...7.5 mv refractory period 5 a 200...(25)…425...(25)...775 ms v 170, 195, 220, 250; 300; 350; 400 ms pvarp (minimum) off, dependent on tarp and av delay settings arp extension 0...(...

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    Philos dr-t technical manual 21 pmt management off; on 6.3.1 rate adaptation sensor gain 1.0, 1.1, 1.3, 1.4, 1.6, 1.8, 2.0, 2.2, 2.6, 3.0, 3.3, 3.7, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 8.5, 10, 11, 12, 14, 16, 18, 20, 22, 24, 28, 32, 35, 40 sensor threshold very low; low; mean; high; very high rate increa...

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    22 philos dr-t technical manual magnet mode cycles 1-10 after magnet application after cycle 10 automatic asynchronous, basic rate at 80 ppm synchronized with basic rate reduced by 4.5 - 11% asynchronous asynchronous, basic rate at 80 ppm asynchronous with basic rate at 80 synchronous synchronized w...

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    Philos dr-t technical manual 23 6.3.3 additional functions home monitoring additional functions conform with philos dr: • temporary program activation • high precision threshold test in the range of 0.1 up to 4.8 v with 0.1 v resolution • pac (pulse amplitude control) system produces consistent puls...

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    24 philos dr-t technical manual • arrhythmia detection recordings (note that only 3 adrs can be stored by the philos dr-t; however, 10 can be stored by the philos dr) • lead impedance trends • lead check 6.4 programmers home monitoring functions and their parameters can be configured with the follow...

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    Philos dr-t technical manual 25 polarity cathodic power consumption bos, inhibited: 14 µa bos, 100 % pacing: 22 µa conducting surface uncoated: 32.8 cm 2 coated: 7.23 cm 2 conducting shape uncoated: flattened ellipsoidal coated: ellipsoidal b at t e r y power source li/i open-circuit voltage 2.8 v v...

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    26 philos dr-t technical manual volume 12 cm 3 dimensions 6 x 44 x 51 mm x-ray identification vv.

  • Page 31: 7. Order Information

    Philos dr-t technical manual 27 7. Order information product name order number philos dr-t 331 440

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    Distributed by: biotronik, inc. 6024 jean road lake oswego, or 97035-5369 (800) 547-0394 (24-hour) (503) 635-9936 (fax) manufactured by: biotronik gmbh & co. Kg woermannkehre 1 d-12359 berlin germany m4064-c 7/04.