Be aware that setting the sensitivity value extremely low the most sensitive could result in inappropriate sensing of far field signals e. Use of good health management practices will help to prevent environmental damage to the unit. Inspect the contacts on the battery for visible signs of contamination prior to use. Introducing temporary external pacemakers Models and , our complete EPG portfolio and the next generation of temporary external pacemakers for managing bradycardia. Modifications could impact device effectiveness and adversely affect patient safety. Atrial Pacing Single chamber atrial pacing is contraindicated in the presence of AV conduction disorders. Termination of Pacing Abrupt termination of pacing stimuli may result in periods of asystole before an intrinsic rhythm is established. The Next Generation Temporary External Pacemakers Easy to configure and operate Reliable and proven design Seven-year service life Constant Current design Benefits of Constant Current Design Adjusts pacing output voltage in response to changes in lead impedance Consistently maintains stable output Requires fewer manual device adjustments Ease of Use — Simplicity and Technology Providing a simple and familiar user experience with technological improvements, such as digital display and precision. Dispose of this product.
Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product. Toggle navigation. Home Contact Us Sign In. Technical Manual 51 Pages. Close Available for download in the BioClinical Services library If you already belong to a hospital with access, please login via your intranet. Log in here About Us. Dispose of this product according to local regulations. High-rate burst pacing therapy up to min-1 reciprocal minutes ppm [pulses per minute] , for tachyarrhythmias, is available in the asynchronous mode1. The device is typically connected to temporary transvenous, epicardial or myocardial pacing leads, in a bipolar configuration, using a patient cable Medtronic Model A or V or a surgical cable Medtronic Model or S. Figure The device operates using a 9-volt alkaline or lithium battery, which is installed in a battery drawer at the bottom end of the pacemaker.
Do not dispose pacemakr this product in the unsorted municipal waste stream. Dispose of this product. Toggle navigation. Home Contact Temporqry Sign In. Technical Manual 51 Pages.
Close Available for download in the BioClinical Services library If you already belong to a hospital with wingle, please login via your intranet. Log in here About Us. Dispose of this product according to local regulations. High-rate burst pacing therapy up to min-1 reciprocal minutes ppm [pulses per minute]for tachyarrhythmias, is available in the asynchronous mode1. The device is typically medtronic 5348 single chamber temporary pacemaker manual to temporary transvenous, epicardial or myocardial pacing leads, in a bipolar configuration, using a patient cable Medtronic Model A or V or a surgical cable Medtronic Model or S.
Figure The device operates using a link alkaline or lithium battery, which is installed in a battery drawer at the https://ka-dating.xyz/cat5/single-wohnung-kufstein.php end of the pacemaker.
Note: The Model is a constant bekanntschaft machen mit device; it emits a pulse with a current output that is maintained at a constant value. Page 12 12 Kedtronic 1 Package Contents Package Contents The Model is supplied medtronic 5348 single chamber temporary pacemaker manual a 9-volt alkaline battery, technical literature, one Model disposable pouch, one Model A atrial patient cable, one Model V ventricular patient cable, a package of heartwire seals, and a carrying case.
Check the package prior to use. Damaged packages should be returned to Medtronic see back cover for the address. Safety Features The Medtronic Model is designed to be reliable, simple to operate, and comfortable to hold. Registration Card Please complete the registration card and return it to Medtronic. Consult the back cover of this manual for the address. The Model can be used where short-term demand synchronous or asynchronous pacing is indicated for therapeutic, read more or diagnostic purposes.
The Model can be used to determine sensing potentials of temporary and permanently implanted lead systems. When implanting a permanent pacemaker, however, Medtronic recommends the use of a Medtronic Pacing System Analyzer. Page 17 Contraindications 3 3 There are no known contraindications to the use of temporary pacing as a means to control the heart rate. Atrial Pacing Single chamber atrial pacing is contraindicated in the presence of AV conduction disorders.
Asynchronous Pacing Asynchronous pacing is contraindicated in the presence of intrinsic cardiac rhythms. High-Rate Burst Therapy High-rate burst therapy is intended for use in the atrium only. Use in the ventricle could result in life-threatening arrhythmias.
Page 19 Warnings 4 4 Equipment Medtronic 5348 single chamber temporary pacemaker manual Do not modify this equipment. Modifications could impact device single treff and adversely affect patient safety. Line-powered Equipment An implanted lead or lead with extension cable constitutes a direct, low-resistance current pathway to the myocardium.
Due see more the danger of fibrillation resulting from alternating current leakage, extreme caution must be taken to properly ground all line-powered equipment used on or in the vicinity of pace,aker patient. Electrosurgery Electrosurgery can induce ventricular fibrillation, and thus should never be used within 15 cm 6 inches of an implanted lead system.
Electromagnetic Interference EMI All pacemakers operating in the demand mode respond to intracardiac potentials of a magnitude of a few millivolts.
They are inherently sensitive to some external fields. In the presence of mznual levels of interference the Model may inhibit completely or revert to asynchronous operation, pacing at the rate set by the RATE dial. It is recommended that the device be set to an more info mode when operated in the presence of strong electromagnetic interference EMI. However, for maximum safety it is recommended that the paddles not be placed near the Model or the lead system.
Whenever possible, for the safety of the patient, disconnect the pacemaker from the lead system before defibrillating or cardioverting. During defibrillation a large chammber could flow across this pathway, causing myocardial damage.
High-Rate Burst Therapy Use of high rates in the atrium could result in high-rate conduction to the ventricle. Defibrillation equipment should be immediately available during high-rate or burst pacing.
Connecting the Lead System The patient cable should be connected to the temporary pacemaker before the lead system is connected to the patient cable. Turning the Device On All patient, lead, cable and device connections should be made before the pacemaker is powered on.
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 visit web page 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.
Pacing System Adjustments During stimulation threshold measurements, sensing threshold read more, and other adjustments, stimuli may be inadvertently delivered into a vulnerable period of the cardiac cycle.
Page 24 24 Chapter 5 Unipolar Lead Systems Unipolar Lead Systems Bipolar lead systems are recommended because they are less susceptible to electromagnetic medgronic. It is partnersuche neuss to observe and match voltage medtronic 5348 single chamber temporary pacemaker manual markings of all components when connecting the lead system.
This will provide an adequate safety margin link 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. Therefore, it is recommended that the attending health professional discharge any personal static electricity immediately prior to touching the patient, the cable, leads or pacemaker.
Termination of Pacing Abrupt termination of pacing stimuli may result in periods of asystole before an intrinsic rhythm is established. Prior to terminating pacing, a gradual reduction in pacing rate, using the demand mode, is recommended.
Battery Replace the battery for each new patient, and when the low battery indicator appears temporarh device operation. Check the battery status at least twice daily. Replace alkaline batteries no less than every seven days during continuous use of the pacemake pacemaker. Inspect the contacts on the battery for visible signs of contamination prior to use. Use of batteries with contamination on the contacts may result in erratic, or no output. Failure to ensure that the battery drawer is fully latched may result in a loss of power.
Unauthorized Changes of Pacemaker Settings Do not place the Model in any area where patients singls interact with it. The temporary pacemaker should be placed in an area that minimizes tampering with the device by unauthorized personnel temlorary, visitors, etc. However, electronic devices are susceptible to many environmental stresses. Precautions should be taken to avoid damage to the unit, including but not limited to those listed in this chapter. Even if the device appears to work immediately after being dropped or damaged, operational damage may have occurred.
The Model was carefully designed to minimize leakage, but fluid incursion still may occur. Medtronic recommends the use of a protective device such as the Model plastic pouch. However, a plastic pouch may not completely prevent fluid incursion.
The seam joining the unit is designed to minimize fluid incursion and may not be effective if improperly opened and resealed. Furthermore, breaking the label on the unit may compromise the ESD barrier. Opening this unit will void the warranty see "Medtronic Warranty" in Chapter 1 for more information.
Allow the device to completely dry after exposure to humidity. Other environmental factors may impact tempodary performance of the unit in the hospital setting. Use of manyal health see more practices will help just click for source prevent environmental damage to the unit. High Rate Pacing High-rate pacing may result in the onset of tachycardia, acceleration of an existing tachycardia, or fibrillation.
Application of temporary high-rate pacing should be performed in a carefully monitored and controlled patient environment. The stimulation may be controlled manuak repositioning or replacing the electrode, or by reducing the output pulse amplitude. An illustration of the device is included, with all controls, indicators, and physical features labeled. Descriptions of additional functional features and accessories are included at the end of the chapter. Base Level Pacing Controls The dials and keys used to control the base level pacing parameters of the device are listed below, along with a brief description of the function of each control.
RATE This dial is used to set the rate, in reciprocal minutes min-1 pulse per minute [ppm]at which pacing pulses are delivered. It allows continuous adjustment of the rate from 30 to min-1 ppm. The higher rate range is color-coded and separated from the lower rates by a detent mechanical restriction of dial movement. It allows continuous adjustment of the stimulus current amplitude from 0.
When enabled, the sensitivity can be adjusted from 0. Controls, indicators, and features of the Model The settings below 1. RAP controls and screen are medtronic 5348 single chamber temporary pacemaker manual underneath a go here cover. When the RAP rate is between 80 and min-1 ppmthe rate will change in 5 min-1 ppm increments.
When the RAP rate is between andthe rate will change in 10 min-1 ppm increments. When the RAP rate is over min-1 ppmthe rate will change in 20 min-1 ppm increments. Initially the rate will change 2 increments per second. Indicators The indicators are LEDs light emitting diodes that provide feedback about the electrical functioning of the device.
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