Vitatron A20 SR Single Chamber Pacemaker System

Mechanical

Model A20A1
Size (HxWxD mm) 40.2x42.9x7.5
M (g) 21.5
V (cc) 9.7
Connector IS-1 BI or UNI
Radiopaque ID VG
Battery
Type Lithium-iodine
Voltage 2.8 V
Average projected capacity .92 Ah
Longevity
with Reduced VP™+ off 10.4 years*

Bradycardia Pacing

Programmable Parameters

Parameter Name Range Nominal Value
Pacing Modes VVIR, VVI, VVT, VOOR, VOO, AAIR, AAI, AAT, AOOR, AOO, OVO, OAO VVIR
Lower Rate 30, 35, 40…60…170, 175 ppm (exc. 65, 85) 60 ppm
Upper Sensor Rate 80, 90, 95…130…180 ppm 130 ppm
A and RV Pulse Amplitudeb 0.5, 0.75, 1.0…3.5…4, 4.5, 5, 5.5, 6, 7.5 V 3.5 V
A and RV Pulse Width 0.12, 0.15, 0.21, 0.27, 0.34, 0.4, 0.46, 0.52, 0.64, 0.76, 1, 1.25, 1.5 ms 0.4 ms
Atrial Sensitivity 0.25, 0.35, 0.5, 0.7, 1, 1.4, 2, 2.8, 4 mV 0.5 mV
Ventricular Sensitivity 1, 1.4, 2, 2.8, 4, 5.6, 8, 11.2 mV 2.8 mV
Pacing Polarity (A and V) Bipolar, Unipolar, Configure  
Sensing Polarity (A and V) Bipolar, Unipolar, Configure  
Atrial Refractory Period 180, 190, 200…250…500 ms 250 ms
Atrial Blanking Period 130, 140, 150…180…350 ms 180 ms
Ventricular Refractory Period 150, 160, 170…330…500 ms 330 ms
Therapies to promote intrinsic activation
Sleep
  • Sleep Rate
  • Bed Time
  • Wake Time
On, Off
30, 35, 40…50…90 ppm (exc. 65, 85)
00:00, 00:15, 00:30…22:00…23:45
00:00, 00:15, 00:30…8:00…23:45
Off
50 ppm
22:00
8:00
Single Chamber Hysteresis Off, 40, 50, 60 ppm Off
Rate Response Pacing
ADL Rate 60, 65, 70…95…175, 180 ppm 95
Activity Threshold Low, Medium Low, Medium High, High Medium Low
Acceleration 15 s, 30 s, 60 s 30 s
Deceleration 2.5 min, 5 min, 10 min, Exercise Exercise

Automatic Pacing, Sensing, and Lead Monitor

Implant Detection and Initialization
At the completion of the 30-minute Implant Detection period, the appropriate pacing and sensing polarities are automatically selected by the device; Ventricular Output Management is enabled and Amplitude and Pulse Width become adaptive.

Implant Detection On/Restart, Off/Complete
Lead Monitor (A and V) Configure, Monitor Only, Adaptive
(Auto Polarity Switch), Off
Parameter Name Range Nominal Value
Notify If < 200 Ω 200 Ω
Notify If > 1000, 2000, 3000, 4000 Ω 4000 Ω
Monitor Sensitivity 2, 3, 4…8…16 8

Ventricular Output Management

Parameter Name Range Nominal Value
Ventricular Output Management Off, Monitor Only, Adaptive Adaptive
Amplitude Margin 1.5x, 2x, 2.5x, 3x, 4x (times) 2x
Minimum Adapted Amplitude 0.5, 0.75…2…3.5 V 2 V
Capture Test Frequency 15, 30 min; 1, 2, 4, 8, 12 hours; Day at rest; Day at…; 7 days at Day at rest
Capture Test Time 00:00, 1:00…23:00
Acute Phase Days Remaining Off, 7, 14, 21…84, 112, 140, 168… 252 days  
V. Sensing During Search Unipolar, Bipolar, Adaptive Adaptive

Diagnostics

Cardiac Dashboard II
Highlights significant events, AT/AF and pacing summary, threshold and impedance trends

Ventricular pacing threshold trends
Battery longevity
Pacing summary and access to rate histogram
Atrial and ventricular lead impedance trends
Number of hours/day in atrial arrhythmia, percentage of time
Access to AT/AF diagnostics
Observations

AT/AF compass trends Trend data compiles up to 6 months of daily clinical information in an easy-to-interpret graphic format

Histogram reports
Heart rate histograms

Atrial and ventricular episodes
High rate episodes
Arrhythmia durations
Multiple EGM episodes

Clinician selected diagnostics
Custom rate trend
Ventricular output management detail
High rate detail

Patient Data Management

Patient data stored in device
Patient identification
Leads implanted
Device implanted
Clinician’s stored notes

Data management
Automatic printing of initial interrogation report
Full page printing
Save-to-Disk capacity for electronic file management

Follow-up and Troubleshooting

Telemetry features
Transtelephonic monitorOn, Off
Extended telemetryOn, Off
Extended markerStandard, Therapy Trace

Key parameter history
Initial interrogation report
Strength duration threshold test
Ventricular threshold test
Marker Channel™
Threshold margin test
Magnet test
Underlying rhythm test
Sensing test
Temporary test

Magnet mode operation

  BOS ERI/RRT
Single chamber atrial mode AOO 85 ppm 65
Single chamber ventricular mode VOO 85 ppm 65

ERI-RRT  Initiation date

Recommended Replacement Time (RRT/ERI)
Replacement message on programmer (Cardiac Dashboard II)
Battery/lead information Replacement message and displayed battery voltage on programmer
RRT/ERI initiation date Displayed on programmer

References

aTolerance for amplitudes from 0,5V through 6.0V is ± 10%, and for 7,5V is -20/+0%. Tolerances are based on 37°C and a 500Ω load. Amplitude is determined 200 μs after the leading edge of the pace.
*SSIR or SSI, 60 ppm, 100% pacing, 2.0V, 0,4 ms pulse width, 1000Ω pacing impedance.