Equipment Needed; Collecting Surface Ecg; Navigating To The Ast Application; Establishing The Ecg Connection - Boston Scientific EMBLEM S-ICD Manual Del Usuario

Equipment Needed

• Model 3120 Programmer with AST software application
• External ECG cables compatible with the Model 3120 Programmer
and associated accessories (e.g. electrodes and skin prep
material)
• Measuring tool for measuring 14 cm (Model 4744 Patient
Screening Tool may be used)
• External printer or pen drive connected to the Model 3120
Programmer
NOTE: The AST screening report cannot be printed using the
internal Model 3120 Programmer strip chart printer.

Collecting Surface ECG

In order to perform the patient screening process, a surface equivalent
of the subcutaneous sensing vectors used by the implanted S-ICD
system must be obtained. The Model 3120 Programmer is used to collect
the surface ECG and the AST software application evaluates the QRS
complexes for each patient posture tested.

Navigating to the AST Application

1. Power on the Model 3120 Programmer.
2. Click EMBLEM S-ICD Automated Screening Tool from the
home screen.

Establishing the ECG Connection

Preparing skin prior to placing surface electrodes

1. Remove hair.
2. Clean skin using a non-alcohol wipe and/or skin prep gel.

Positioning the surface ECG electrodes

It is important to collect the surface ECG in the location that represents
the intended position of the implanted S-ICD System. When placing the
S-ICD System in the typical implant location, the surface ECG electrodes
should be positioned as follows (Figure 1 Typical Placement of Surface
ECG Electrodes for Patient Screening). If a non-standard S-ICD
System subcutaneous electrode or pulse generator placement is desired,
the surface ECG electrode locations should be modified accordingly.
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