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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1
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Catalog excerpts

VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 1

VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 Physical characteristics Physical characteristics Volumea Surface area of device can Materials in contact with human tissued Titanium, polyurethane, silicone rubber Hybrid CFx lithium/silver vanadium oxide Volume with connector ports unplugged. Grommets may protrude slightly beyond the can surface. c The radiopaque ID, which includes a Medtronic-identifier symbol, can be viewed in a fluoroscopic image of the device. d These materials have been successfully tested for the ability to avoid biological incompatibility. The device does not produce an injurious temperature in the surrounding tissue during normal operation. a ≤ 2.73 V on 3 consecutive Recommended Replacement daily automatic Time (RRT) measurements End of Service (EOS) Maximum energy levels and typical full energy charge times Maximum programmed energy Maximum delivered energy Maximum stored energy Typical charge time at Beginning of Service (BOS)d Typical charge time at Recommended Replacement Time (RRT)d Energy delivered at connector block into a 50 Ω load. For 35 J programmed energy, delivered energy exceeds 35 J. Energy stored at charge end on capacitor. d Charge time during a nonwireless telemetry session may be slightly higher. b c § CardioSync™ Optimization § SmartShock™ Technology § OptiVol™ 2.0 Fluid Status Monitoring § Complete Capture Management™ Replacement indicators

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 2

Device parameters Tachyarrhythmia detection parameters Parameter Programmable values AT/AF Detection AT/AF Interval (Rate) Fast AT/AF Interval (Rate) VF Detectionb VF Interval (Rate)a VF Initial Beats to Detect FVT Interval (Rate)a VT Detection VT Interval (Rate) VT Initial Beats to Detect VT Beats to Redetect VT Monitor Interval (Rate)a 280; 290 … 450 Monitored VT Beats to Detect Sinus Tach Auto Collection Onset Percent High Rate Timeout VF Zone Only Therapy Type 50 Hz; Ramp; Burst+ Rx1: Ramp ; Rx2: Burst+ ; Rx3: 50 Hz Fast AT/AF Rx Status On; Off 50 Hz; Ramp; Burst+ Rx1: Ramp ; Rx2:...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 3

Atrial tachyarrhythmia therapy parameters, continued Reactive ATP™ Rhythm Change Time Interval Programmable values Automatic CV Limits Delivery Window Start Time Delivery Window Length A-A Minimum ATP Intervalb A. Pacing Amplitude Episode Duration before CV 50 Hz Burst parameters 50 Hz Burst Duration Burst+ parameters A. Pacing Pulse Width VVI/VOO Backup Pacingd VVI/VOO Backup Pacing Rate Episode Duration before Rx Delivery If the Active Can™/SVC Coil parameter is set to Can Off, the Active Can™ electrode is not used as part of the high-voltage delivery pathway. If the Active Can™/SVC Coil...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 4

Ventricular tachyarrhythmia therapy parameters, continued Shared Settings V-V Minimum ATP Interval VT/FVT Therapy parameters Therapy Type CV; Burst; Ramp; Ramp+ Rx1: Burst ; Rx2-Rx6: CV Active Can™SVC Coilc Progressive Episode Therapies Programmable values AX>B; B>AX Rx1-Rx4: B>AX AX>B Burst therapy parameters If the Active Can™/SVC Coil parameter is set to Can Off, the Active Can™ electrode is not used as part of the high-voltage delivery pathway. If the Active Can™/SVC Coil parameter is set to SVC Off, the SVC Coil electrode is not used as part of the highvoltage delivery pathway. b Smart...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 5

Programmable values LV Capture Management™ parameters Parameter Programmable values LV Amplitude Safety Margin +0.5; +1.0; +1.5 ; +2.0; +2.5 V LV Maximum Adapted Amplitude Blanking periods Parameter This setting applies to all sensing in this chamber for both tachyarrhythmia detection and bradycardia pacing operations. Programmable values PVAB Interval PVAB Method LVtip to RVcoil; LVring to RVcoil; LVtip to LVring; LVring to LVtip CRT pacing parameters Parameter Programmable values V Pacing Maximum Rate Atrial Tracking Recovery Programmable values Partial ; Partial+; Absolutec When PVAB...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 6

Atrial rate stabilization parameters Parameter Programmable values Post shock pacing parameters Parameter Programmable values Maximum Rate Interval Percentage Increment Atrial preference pacing parameters Parameter Programmable values A. Preference Pacing Interval Decrement Post Shock V. Pulse Widtha a Search Beats Post Shock V. Amplitudea 1; 2 … 6 ; 8 V Maximum Rate Post Shock A. Pulse Width Applies to all ventricular chambers paced. Rate drop response parameters Parameter Programmable values Rate Drop Responsea Post Mode Switch Overdrive Rate Overdrive Duration Overdrive Rate Overdrive...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 7

Medtronic CareAlert™ parameters Clinical management alerts Parameter Lead/Device integrity alerts Parameter Programmable values OptiVol™ 2.0 Fluid Settings Programmable values RV Lead Device Tone Low; High Alert Urgencya Device Tone OptiVol™ Alert Enable OptiVol™ Thresholdc AT/AF Burden and Rate Settings … RV Lead Integrity Enable RV Lead Noise Enable Patient Home Monitor RV Lead Integrity Enable Device Tone Alert Urgencya AT/AF Daily Burden Alert Enable Avg. V. Rate During AT/AF Alert Enable RV Lead Noise Enable Lead Impedance Out of Range Device Tone Low; High Alert Urgencya A. Pacing...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 8

V. Sensing Episodes Consecutive VS to detect ≥ Alert Enable – Urgency Patient Home Monitor Alert Enable (enter time and date) Holter Telemetry Device Tone This EGM channel displays far-field signals. To display an approximation of a surface ECG signal, choose the Can to SVC EGM source. b An SVC electrode must be present for this configuration. c If Can to SVC is selected, the EGM Range is automatically set to ± 2 mV. The EGM Range is automatically set to ± 8 mV for all other EGM Source options. d A bipolar LV lead must be present for this configuration. e The times and dates stored in...

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VIVA™ S CRT-D Model DTBB1D1 IS1/DF-1 - 9

Fixed Burst induction parameters Parameter Selectable values CardioSync™ Optimization Test parameters Sensing Lower Rate Pacing Lower Rate Resume at Burst Chamber Wavelet Test parameters Match Threshold Enabled ; Disabled Atrium; RV; RV+LV; LV Lower Rateb Pulse Widthb VVI Backup On; Off (for atrial Fixed Burst)c The selectable values for this parameter depend on the programmed pacing mode. When performing the test in DDD mode, the Lower Rate must be less than the programmed Upper Tracking Rate. c The selectable values for this parameter depend on the programmed PVAB values. a Pacing Rate If...

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