Vitatron E60 DR Dual Pacemaker System

Mechanical

Model E60A1
Size (HxWxD mm) 44.7x47.9x7.5
M (g) 27.1
V (cc) 12.1
Connector IS-1 BI or UNI
Radiopaque ID VG
Battery
Type Lithium-iodine
Voltage 2.8 V
Average projected capacity 1.3 Ah
Longevity
with Reduced VP™+ off 11.3 years*
with Reduced VP™+ on 12.0 years**

Bradycardia Pacing

Programmable Parameters

Parameter Name Range Nominal Value
Pacing Modes DDDR, DDD, DDIR, DDI, DVIR, DVI, DOOR, DOO, VDD, VVIR, VDIR, VVI, VDI, VVT, VOOR, VOO, AAIR, ADIR, AAI, ADI, AAT, AOOR, AOO, ODO, OVO, OAO DDDR
Mode Switch On, Off On
Lower rate 30, 35, 40…60…170, 175 ppm (exc. 65, 85) 60 ppm
Upper Tracking Ratea 80, 90, 95…130…180 ppm 130 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 0.18, 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  
Paced AV (PAV) 30, 40, 50…150…350 ms 150 ms
Sensed AV (SAV) 30, 40, 50…120…350 ms 120 ms
PVARP Auto, Varied, 150, 160, 170…500 ms Auto
Minimum PVARP 150, 160, 170…250…500 ms 250 ms
PVAB 130, 140, 150…180…350 ms 180 ms
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…230…500 ms 230 ms
Ventricular Blanking
(after atrial pace) (PAVB)
20, 28, 36, 44 ms 28 ms
Therapies to promote intrinsic activation
Reduced VP™+
  • Max Increase to AV
On, Off
10, 20, 30…170…250 ms
On
Sinus Preference™
  • Sinus Preference Zone
  • Search Interval

On, Off

  • 3, 5, 10, 15, 20 ppm
     
  • 5, 10, 20, 30 min
On

10 ppm

10ppm
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  

Rate Response Pacing

Parameter Name Range Nominal Value
ADL Rate 60, 65, 70…95…175, 180 ppm 95 ppm
Rate Profile Optimization On, Off On
ADL Response 1, 2, 3, 4, 5 3
Exertion Response 1, 2, 3, 4, 5 3
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
RAAV On, Off Off
Start Rate 50, 55, 60…80…175 ppm 80 ppm
Stop Rate 55, 60, 65…120 … 180 ppm 120 ppm
Maximum Offset -10, -20, -30…-40 …-300 ms -40 mms

Additional pacing features

Parameter Name Range Nominal Value
PMT Intervention On, Off Off
PVC Response On, Off On
Ventricular Safety Pacing On, Off On

Atrial Tachyarrhythmia Therapies and Interventions

Parameter Name Range Nominal Value
Mode Switch On, Off On
Detected Rate 120, 125…175…200 ppm 175
Detect Duration No Delay, 10, 20…60 sec No Delay
Blanked Flutter Search On, Off On
Conducted AF Responseb
Regularize V-V during AT/AF On, Off On
Maximum Rate (ppm) 80, 85, 90…110…130 110
Non-Competitive Atrial Pacing On, Off On

Automatic Pacing, Sensing, and Lead Monitor

Implant Detection and Initialization

At the completion of the 30-minute Implant Detection period, Rate Profile Optimization is enabled; the appropriate pacing and sensing polarities are automatically selected by the device; Ventricular Output Management is enabled and Amplitude and Pulse Width become adaptive. Reduced VP™+ is enabled 60 minutes after Implant Detection is complete.

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
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 112 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
Observations

Histogram reports

Heart rate histograms
AV conduction histograms
Reduced VP™+ histogram
Sensor indicated rate profile

Atrial and ventricular episodes

Atrial and ventricular high rate episodes
Ventricular rate during AT/AF
AT/AF 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 monitor On, Off
Extended telemetry On, Off
Extended marker Standard, Therapy Trace

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

Magnet mode operation

BOS ERI/RRT
Dual chamber mode DOO 85 ppm 65
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

a The atrial and ventricular rate limit is 200 min-1 (± 20 min-1).
b Tolerance for amplitudes from 0.5 V through 6.0 V is ± 10% and for 7.5 V is -20/+0%. Tolerances are based on 37°C and a 500 Ω load.Amplitude is determined 200 μs after the leading edge of the pace.
c Conducted AF response is functional during Mode Switch episodes, DDIR, VVIR, and VDIR modes.
* DDDR or DDD, 60ppm, 100% pacing, ventricular 2.0 V,† atrial, 1.5 V, † 0.4 ms pulse width, 1000 Ω pacing impedance
** Reduced VP™+ ON 50% pacing
† Ventricular output management minimum adapted values at out-of-box settings.

E60 DR