Raport Stimulator

Initial Interrogation: Quick Look II
Device: Primo MRI DR DDMD3D4 Serial Number: CWN603292S Date of Visit: 16-Nov-2020 10:01:30
Patient: Gherman Ioan ID: Physician:
History: NYHA Class II
Device Status (Implanted: 12-Oct-2020)
Remaining Longevity 4.2 years (16-Nov-2020)
RRT > 5 years

(based on initial interrogation)
Atrial(5076) RV(6935M)
Pacing Impedance 456 ohms 494 ohms
Defibrillation Impedance RV=65 ohms
Programmed Amplitude/Pulse Width 5.00 V / 0.60 ms 3.50 V / 0.40 ms
Measured P/ R Wave 0.5 mV 4.8 mV
Programmed Sensitivity 0.45 mV 0.60 mV
Parameter Summary
Mode DDDR Lower Rate 50 bpm Paced AV 180 ms
Mode Switch 171 bpm Upper Track 130 bpm Sensed AV 150 ms
Upper Sensor 130 bpm
Detection Rates Therapies

AT/AF Monitor >171 bpm All Rx Off
VF On >200 bpm ATP During Charging, 35J x 6
FVT OFF All Rx Off
VT On 167-200 bpm Burst(3), 20J, 35J x 4
Enhancements On: VT Monitor, AF/Afl, Sinus Tach, Wavelet, TWave, Noise(Timeout)
Clinical Status Since 14-Oct-2020 Cardiac Compass Trends (Oct-2020 to Nov-2020)
Treated
P I
VF 0
FVT (Off) Treated >5
VT/VF 4
VT 0 3
AT/AF(Monitor) (#/day) 2
1
0
Monitored
VT(136-167 bpm) 0 AT/AF 60
VT-NS (>4 beats, >167 bpm) 6 (min/day) 50
40
High Rate-NS 0 30
SVT: VT/VF Rx Withheld 0 20
10
V. Oversensing-TWave Rx Withheld 0
0
V. Oversensing-Noise Rx Withheld 0
AT/AF 0 Patient >8
Activity 6
Time in AT/AF 0.0 hr/day (0.0%) (hr/day)
4
Functional Last Week 2

Patient Activity 4.4 hr/day 0
Nov-20 Jan-21 Mar-21 May-21 Jul-21 Sep-21 Nov-21
Therapy Summary VT/VF AT/AF Pacing (% of Time Since 14-Oct-2020)

Pace-Terminated Episodes 0 0 Total VP 97.8 % (MVP Off)
Shock-Terminated Episodes 0 0 AS-VS <0.1 %
Total Shocks 0 0 AS-VP 1.5 %
Aborted Charges 0 0 AP-VS 0.2 %
AP-VP 98.3 %
OBSERVATIONS (1)
· No Wavelet template. Auto Collection is On so a template will be collected; or collect one manually. (In Tests/Wavelet)
SW033 Software Version 8.3 (4.1) Initial Interrogation: Quick Look II

Copyright © Medtronic, Inc. 2015 Page 1 Printed: 16-Nov-2020 10:09:17
Initial Interrogation: Cardiac Compass Trends
Nov 2020 Jan 2021 Mar 2021 May 2021 Jul 2021 Sep 2021 Nov 2021
P = Program
I = Interrogate
P I
_ = Remote
One or more A
shocks/day
V
Treated VT/VF >5

episodes/day 4
3
2
1
0
V. rate during VT/VF >250

(bpm)
200
VF
VT 150
<100
Non-sustained VT >10
episodes/day 8
6
4
2
0
AT/AF total minutes/day 60

50
40
30
20
10
0
V. rate during AT/AF >200

(bpm)
max/day 150
avg/day
100
<50
% Pacing/day 100
Atrial 75
Ventricular 50
25
0
Avg V. rate (bpm) >120

Day 100
Night 80
60
<40
Patient activity >8

hours/day 6
4
2
0
SW033 Software Version 8.3 (4.1) Initial Interrogation: Cardiac Compass Trends
Initial Interrogation: Cardiac Compass Trends
P I
Heart rate variability >200

(ms) 160
120
80
<40
SW033 Software Version 8.3 (4.1) Initial Interrogation: Cardiac Compass Trends
Initial Interrogation: Rate Histograms
Prior to Last Session Since Last Session

12-Oct-2020 to 14-Oct-2020 14-Oct-2020 to 16-Nov-2020
45 hours 33 days
% of Time Total VP 97.7 % 97.8 %
AS-VS < 0.1% < 0.1%
AS-VP < 0.1% 1.5 %
AP-VS 0.1 % 0.2 %
AP-VP 99.8 % 98.3 %
Atrial 2% to 5% of AS may be due to FFRW

% of Time 100 100
80 80
AS 60 60
AP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
Atrial Rate (bpm) Atrial Rate (bpm)
Ventricular
% of Time 100 100
80 80
VS
60 60
VP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
Ventricular Rate (bpm) Ventricular Rate (bpm)
SW033 Software Version 8.3 (4.1) Initial Interrogation: Rate Histograms

Non-sustained VT Episode #4
ATP Time Duration Avg bpm Max bpm Activity at

Type Shocks Success ID# Date
Seq hh:mm hh:mm:ss A/V A/V Onset
VT-NS 4 31-Oct-2020 16:25 :03 <30/163 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)
SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #4

Patient: Gherman Ioan ID: Episode #4 Chart speed: 25.0 mm/sec
EGM1: Atip to Aring

(1 mV)
EGM3: RVtip to RVring

(1 mV)
A-A (ms)
1150 1150 1150 1150 1150
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1150 1150 1150 1150
1150 1150 1150 1150

A A A A
P P P P
V V V V V V V V T T
P P P P S S S S S S
1150 1150 1150 1150 9 4 4 3 3 3 3
0 6 0 7 4 4 6
0 0 0 0 0 0 0
>2000 1160 1160 1160 1160

A A A A
P P P P
V V V V T V V V V
S S S S S P P P P
3 4 3 3 3 1160 1160 1160 1160 1160
6 0 7 6 5
0 0 0 0 0
Termination
SW033 Software Version 8.3 (4.1) Copyright © Medtronic, Inc. 2015 16-Nov-2020 10:10:43 Page 1
1160 1160 1160 1160 1160 1160

A A A A A A A
P P P P P P P
V V V V V V
P P P P P P
1160 1160 1160 1160 1160 1160
1160 1160 1160 1700 1160

A A A A A
P P P P P
V V V V V V
P P P P S P
1160 1160 1160 5 1160
4
0
Episode #4: 31-Oct-2020 16:25:29
Episode Summary
Initial Type VT Non-sustained (spontaneous)
Duration 3 sec (6 beats)
V. Median 162 bpm (370 ms)
Activity at onset Rest, Sensor = 58 bpm
Parameter Settings Initial Redetect V. Interval (Rate)

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Monitor Monitor 40 440 ms (136 bpm)
Polarity RV
Pace Polarity Bipolar
Sense Polarity Bipolar
EGM Source Range Sensitivity

EGM1 Atip to Aring +/- 8 mV Atrial 0.45 mV
EGM3 RVtip to RVring +/- 8 mV RV 0.6 mV


VT-NS 6 11-Nov-2020 00:56 :01 30/222 Active
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-40 -35 -30 -25 -20 -15 -10 -5 0

Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
6 6 6 5 4 3 5 5 4 6
A-A (ms) 0 0 0 7 3 0 9 0 9 1
0 0 0 0 0 0 0 0 0 0
A A A A A A A A A
P P P S R P P S S
Markers
V V V V V V V V V
P P S P P P P P P
V-V (ms) 6 5 6 5 6 7 4 4 6
0 6 4 4 3 3 7 9 4
0 0 0 0 0 0 0 0 0
6 9 6 6 6 6 6 6
1 6 1 1 1 1 1 1
0 2000 0 0 0 0 0 0 0
A A A A A A A A A
P P P P P P P P P
V V F F F F F V T V V V V V V
P P S S S S S P S P P P P P P
6 2 2 2 2 2 6 3 6 6 6 6 6 6
1 9 8 7 7 7 1 5 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Termination
6 6 6 6 6 6 6 6 6 6 6 6
1 1 1 1 1 1 1 2 2 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0
A A A A A A A A A A A A
P P P P P P P P P P P P
V V V V V V V V V V V V
6 6 6 6 6 6 6 6 6 6 6 6
1 1 1 1 1 1 1 1 2 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0
6 6 6 6 6 6 6 6 6 6 6 6
2 2 2 2 2 2 2 2 2 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0
A A A A A A A A A A A A
V V V V V V V V V V V
P P P P P P P P P P P
6 6 6 6 6 6 6 6 6 6 6 6
2 2 2 2 2 2 2 2 2 2 2 2
0 0 0 0 0 0 0 0 0 0 0 0
V
P
Episode #6: 11-Nov-2020 00:56:35
Episode Summary
Activity at onset Active, Sensor = 105 bpm

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV



VT-NS 5 04-Nov-2020 04:35 :01 <30/200 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
A-A (ms)
1200 1200 1200 1200
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1200 1200 1200 1200
1200 1200 1200 1200 1200

A A A A A
P P P P P
V V V V V V V T
P P P P S S S S
1200 1200 1200 1200 1160 4 3 3 3
9 9 4 1
0 0 0 0
>2000 1200 1200 1200 1200 1200

A A A A A
P P P P P
T T T V V V V V
S S S P P P P P
3 3 1200 1200 1200 1200 1200
0 0
0 0
Termination
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P P P P P
1200 1200 1200 1200 1200 1200
1200 1200 1870 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P S P P P
1200 1200 6 1200 1200 1200
7
0
A
P
Episode #5: 04-Nov-2020 04:35:32
Episode Summary

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV



VT-NS 4 31-Oct-2020 16:25 :03 <30/163 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
A-A (ms)
1150 1150 1150 1150 1150
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1150 1150 1150 1150
1150 1150 1150 1150

A A A A
P P P P
V V V V V V V V T T
P P P P S S S S S S
1150 1150 1150 1150 9 4 4 3 3 3 3
0 6 0 7 4 4 6
0 0 0 0 0 0 0
>2000 1160 1160 1160 1160

A A A A
P P P P
V V V V T V V V V
S S S S S P P P P
3 4 3 3 3 1160 1160 1160 1160 1160
6 0 7 6 5
0 0 0 0 0
Termination
1160 1160 1160 1160 1160 1160

A A A A A A A
P P P P P P P
V V V V V V
P P P P P P
1160 1160 1160 1160 1160 1160
1160 1160 1160 1700 1160

A A A A A
P P P P P
V V V V V V
P P P P S P
1160 1160 1160 5 1160
4
0
Episode #4: 31-Oct-2020 16:25:29
Episode Summary

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV



VT-NS 3 25-Oct-2020 22:18 :01 <30/176 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
A-A (ms)
1200 1200 1200 1200
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1200 1200 1200 1200
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V VV
P P P P P SP
1200 1200 1200 1200 1200 1050 4
3
0
>2000 1200 1200 1200 1200

A A A A
P P P P
V V T T T V V V V
S S S S S P P P P
3 3 3 3 1200 1200 1200 1200 1200
7 5 4 4
0 0 0 0
Termination
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P P P P P
1200 1200 1200 1200 1200 1200
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P P P P P
1200 1200 1200 1200 1200
A
P
Episode #3: 25-Oct-2020 22:18:06
Episode Summary

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV



VT-NS 2 23-Oct-2020 14:36 :02 ---/190 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
A-A (ms)
1200 1200 1200 1200
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1200 1200 1200 1200
1200 1200 1200 1200

A A A A
P P P P
V V V V V V V T T
P P P P S S S S S
1200 1200 1200 1200 9 4 3 3 3 3
0 6 7 5 4 0
0 0 0 0 0 0
>2000 1200 1200

A A
P P
T T T T T T T V V V T V V
S S S S S S S S S S S P P
3 3 3 3 3 3 5 3 5 3 1200 1200 1200
2 0 3 3 2 0 2 6 2 5
0 0 0 0 0 0 0 0 0 0
Termination
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P P P P P
1200 1200 1200 1200 1200 1200
1200 1200 1200 >2000 1200

A A A A A A
P P P P P P
V V V V V V
P P P P S P
1200 1200 1200 9 1200
5
0
Episode #2: 23-Oct-2020 14:36:09
Episode Summary

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV



VT-NS 2 23-Oct-2020 14:36 :02 ---/190 Rest
V-V A-A VF = 300 ms VT = 360 ms

Term.
Interval (ms)
1500
1200
900
600
400
200
-60 -55 -50 -45 -40 -35 -30 -25 -20 -15 -10 -5 0
Time (sec)

EGM1: Atip to Aring

(1 mV)

(1 mV)
A-A (ms)
1200 1200 1200 1200
A A A A
P P P P
Markers
V V V V V
P P P P P
V-V (ms) 1200 1200 1200 1200
1200 1200 1200 1200

A A A A
P P P P
V V V V V V V T T
P P P P S S S S S
1200 1200 1200 1200 9 4 3 3 3 3
0 6 7 5 4 0
0 0 0 0 0 0
>2000 1200 1200

A A
P P
T T T T T T T V V V T V V
S S S S S S S S S S S P P
3 3 3 3 3 3 5 3 5 3 1200 1200 1200
2 0 3 3 2 0 2 6 2 5
0 0 0 0 0 0 0 0 0 0
Termination
1200 1200 1200 1200 1200 1200

A A A A A A
P P P P P P
V V V V V V
P P P P P P
1200 1200 1200 1200 1200 1200
1200 1200 1200 >2000 1200

A A A A A A
P P P P P P
V V V V V V
P P P P S P
1200 1200 1200 9 1200
5
0
Episode #2: 23-Oct-2020 14:36:09
Episode Summary

VF On 30/40 24/32 300 ms (200 bpm)
FVT Off
VT On 36 32 360 ms (167 bpm)
Polarity RV


Arrhythmia Episode List
Arrhythmia Episode List: 14-Oct-2020 06:58:33 to 16-Nov-2020 10:01:30

Only specified episodes shown below.

VT-NS 6 11-Nov-2020 00:56 :01 30/222 Active
VT-NS 5 04-Nov-2020 04:35 :01 <30/200 Rest
VT-NS 4 31-Oct-2020 16:25 :03 <30/163 Rest
VT-NS 3 25-Oct-2020 22:18 :01 <30/176 Rest
VT-NS 2 23-Oct-2020 14:36 :02 ---/190 Rest
VT-NS 1 18-Oct-2020 23:28 :02 <30/162 Rest
---------------------- Last Programmer Session 14-Oct-2020 ----------------------------------------------------------------------------------------------
(Data prior to last session has not been interrogated.)
SW033 Software Version 8.3 (4.1) Arrhythmia Episode List

V. Interval Stability List Report
Last Interrogation: 16-Nov-2020 10:01:30

Note: V. Interval Stability is calculated for VT and FVT via VT Episodes only.
ID# Date/Time Type V. Cycle V. Interval Stability

SW033 Software Version 8.3 (4.1) V. Interval Stability List Report

Final: Session Summary
Device Information
Device Medtronic Primo MRI DR DDMD3D4 CWN603292S Implanted: 12-Oct-2020
RV 6935M Sprint Quattro MRI
Atrial 5076 CapsureFix Novus MRI
RRT > 5 years

Pace Polarity Bipolar Bipolar
In-Office Threshold 0.75 V @ 0.40 ms
Parameter Summary

FVT OFF All Rx Off
Changes This Session Session Start Current Value
VT Monitor Interval 440 ms (136 bpm) 420 ms (143 bpm)
A. Amplitude 5.00 V 1.75 V

A. Pulse Width 0.60 ms 0.40 ms
RV Amplitude 3.50 V 2.00 V
SW033 Software Version 8.3 (4.1) Final: Session Summary

Final: Parameters
Pacing Summary
Mode Rates AV Intervals
Mode DDDR Lower 50 bpm Paced AV 180 ms
Pacing Details Atrial RV

Amplitude 1.75 V 2.00 V
Pulse Width 0.40 ms 0.40 ms
Sensitivity 0.45 mV 0.60 mV
Sense Polarity Bipolar Bipolar
AV Therapies Arrhythmia Interventions

Rate Adaptive AV Off A. Rate Stabilization Off
A. Preference Pacing Off
Rate Response
Post Mode Switch Off
ADL Rate 95 bpm
Conducted AF Response Off
Optimization On
V. Rate Stabilization Off
ADL Response 3
Exertion Response 3 Post Shock Pacing
Activity Threshold Low Post Shock Pacing*
Activity Acceleration 30 sec A. Amplitude 4V
Activity Deceleration Exercise A. Pulse Width 1.50 ms
ADL Setpoint 14 V. Amplitude 6V
UR Setpoint 55 V. Pulse Width 1.50 ms
* Settings for first 25 beats post shock
Refractory/Blanking
Post VT/VF Shock Pacing On
PVARP Auto
Overdrive Rate 80 bpm
Minimum PVARP 250 ms
Overdrive Duration 0.5 min
PVAB Interval 150 ms
PVAB Method Partial Additional Features
A. Blank Post AP 200 ms Rate Drop Response Off
A. Blank Post AS 100 ms Sleep Off
V. Blank Post VP 200 ms Non-Comp Atrial Pacing On
V. Blank Post VS 120 ms NCAP Interval 300 ms
MRI SureScan Off
PMT Intervention Off
PVC Response On
V. Safety Pacing On
Device Information
SW033 Software Version 8.3 (4.1) Final: Parameters

Final: Parameters
VT/VF Detection
V. Interval (Rate) Initial Redetect
VF On 300 ms (200 bpm) 30/40 24/32 300 ms
FVT OFF
VT On 360 ms (167 bpm) 36 32 360 ms
Monitor Monitor 420 ms (143 bpm) 40 No Rx 420 ms
PR Logic/Wavelet Other Enhancements Sensitivity

AF/Afl On Stability Off Atrial 0.45 mV
Sinus Tach On Onset Off RV 0.60 mV
Other 1:1 SVTs Off High Rate Timeout
Wavelet On VF Zone Only Off
Template None All Zones Off
Match Threshold 70 % TWave On
Auto Collection On RV Lead Noise On+Timeout
SVT V. Limit 260 ms Timeout 0.75 min
VF Therapies Rx1 Rx2 Rx3 Rx4 Rx5 Rx6
VF Therapy Status On On On On On On
Energy 35 J 35 J 35 J 35 J 35 J 35 J
Pathway B>AX AX>B B>AX AX>B B>AX AX>B
ATP During Charging
Deliver ATP if last 8 R-R >= 240 ms,Burst, Pulses = 8, R-S1 = 88 %, Decrement = 10 ms
ChargeSaver = On(1 episodes), SmartMode = On
FVT Therapies Rx1 Rx2 Rx3 Rx4 Rx5 Rx6
FVT Therapy Status Off Off Off Off Off Off
VT Therapies Rx1 Rx2 Rx3 Rx4 Rx5 Rx6
VT Therapy Status On On On On On On
Therapy Type Burst CV CV CV CV CV
Energy 20 J 35 J 35 J 35 J 35 J
Pathway B>AX AX>B B>AX B>AX AX>B
Initial # Pulses 8
R-S1 Interval=(%RR) 88 %
S1S2(Ramp+)=(%RR)
S2SN(Ramp+)=(%RR)
Interval Dec 10 ms
# Sequences 3
Smart Mode On
Shared V. ATP Shared V. Therapies
V-V Minimum ATP Interval 200 ms Active Can/SVC Coil Can+SVC On
V. Amplitude 8V Progressive Episode Therapies Off
V. Pulse Width 1.5 ms Confirmation+ On
V. Pace Blanking 240 ms

Final: Parameters
AT/AF Detection
Detection A. Interval (Rate)
Monitor
AT/AF 350 ms (171 bpm) No Rx 350 ms
AT/AF Therapies
CV therapies have priority over pacing therapies. Patient Activated CV

Patient Activated CV Status Off
AT/AF ATP Rx1 Rx2 Rx3
AT/AF Rx Status Off Off Off AT/AF Automatic CV Rx4 Rx5
Automatic CV Status Off Off
Shared A. ATP
A-A Minimum ATP Interval 150 ms Shared CV
A. Pacing Amplitude 6V Minimum R-R Interval 500 ms (120 bpm)
A. Pacing Pulse Width 1.5 ms Active Can/SVC Coil Can+SVC On
Stop Atrial Therapies After
Disable all A. Rxs if A. lead position is suspect? No
Atrial Lead Position Check
No measurement since reset.

Final: Parameters
Data Collection Setup
Source Range
LECG Can to SVC +/- 2 mV
EGM 1 Atip to Aring +/- 8 mV
EGM 2 (Wavelet) Can to RVcoil +/- 12 mV
EGM 3 RVtip to RVring +/- 8 mV
Monitored EGM1 and EGM3
Pre-arrhythmia EGM Off
Device Date/Time 16-Nov-2020 10:11

Holter Telemetry Off
Medtronic CareAlert Setup
Patient Home Monitor No
Alert Time 08:00
Enable-Urgency
Alert Conditions Tone Threshold
AT/AF Daily Burden Settings Off 6 hr
Avg. V. Rate During AT/AF Settings Off 6 hr at 100 bpm
Number of Shocks Delivered in an Episode On-Low 1
All Therapies in a Zone Exhausted On-Low
RV Lead Integrity On-High
RV Lead Noise On-High
A. Pacing Lead Impedance Out of Range On-High <200 or >3000 ohms
RV Pacing Lead Impedance Out of Range On-High <200 or >3000 ohms
RV Defibrillation Lead Impedance Out of Range On-High <20 or >200 ohms
SVC Defib Lead Impedance Out of Range On-High <20 or >200 ohms
Low Battery Voltage RRT On-High 2.73 V(RRT)
Excessive Charge Time EOS On-High
VF Detection OFF, 3+ VF or 3+ FVT Rx Off. On-High

Quick Look II Report
RRT > 5 years

Parameter Summary

FVT OFF All Rx Off
Treated
P I
VF 0
VT/VF 4
VT 0 3
1
0
Monitored
VT(143-167 bpm) 0 AT/AF 60
40
High Rate-NS 0 30
10
0
AT/AF 0 Patient >8
Activity 6
4


AP-VP 98.3 %
OBSERVATIONS (1)
SW033 Software Version 8.3 (4.1) Quick Look II Report

Session Summary
Device Information
RRT > 5 years

Parameter Summary

FVT OFF All Rx Off

SW033 Software Version 8.3 (4.1) Session Summary

Rate Histograms

45 hours 33 days
AS-VS < 0.1% < 0.1%
AS-VP < 0.1% 1.5 %
AP-VS 0.1 % 0.2 %
AP-VP 99.8 % 98.3 %

% of Time 100 100
80 80
AS 60 60
AP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
Ventricular
% of Time 100 100
80 80
VS
60 60
VP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
SW033 Software Version 8.3 (4.1) Rate Histograms

Cardiac Compass Report
P = Program
I = Interrogate
P I
_ = Remote
One or more A
shocks/day
V
Treated VT/VF >5

episodes/day 4
3
2
1
0

(bpm)
200
VF
VT 150
<100
episodes/day 8
6
4
2
0

50
40
30
20
10
0

(bpm)
max/day 150
avg/day
100
<50
% Pacing/day 100
Atrial 75
Ventricular 50
25
0

Day 100
Night 80
60
<40
Patient activity >8

hours/day 6
4
2
0
SW033 Software Version 8.3 (4.1) Cardiac Compass Report

P I

(ms) 160
120
80
<40

VT/VF Counters
Prior Session Last Session Device Lifetime

12-Oct-2020 to 14-Oct-2020 to Total
14-Oct-2020 16-Nov-2020 (Since 12-Oct-2020)
45 hours 33 days 35 days
VT/VF Counters
VF 0 0 0
FVT 0 0 0
VT 0 0 0
Monitored VT (143 - 167 bpm) 0 0
VT-NS (>4 beats, >167 bpm) 0 6
High Rate-NS 0 0
PVC Runs (2-4 beats) 0.5 per hour 1.6 per hour
PVC Singles 26.3 per hour 72.7 per hour
Runs of VRS Paces 0.0 per hour 0.0 per hour
Single VRS Paces 0.0 per hour 0.0 per hour
SVT: VT/VF Rx Withheld
AFib/AFlutter 0 0 0
Sinus Tach 0 0 0
Other 1:1 SVTs 0 0 0
Wavelet 0 0 0
V. Stability 0 0 0
Onset 0 0 0
V. Oversensing: VT/VF Rx Withheld
V. Oversensing-TWave 0 0 0
V. Oversensing-Noise 0 0 0
VT/VF Therapy Summary
Pace-terminated 0 0 0
Shock-terminated 0 0 0
Total VT/VF Shocks 0 0 0
Aborted Charges 0 0 0
VT/VF Therapy Efficacy Since Last Session 14-Oct-2020 to 16-Nov-2020

VF Therapy ATP+Chg 35 J 35 J 35 J 35 J 35 J 35 J
Delivered 0 0 0 0 0 0 0
Successful 0 0 0 0 0 0 0
FVT Therapy Off
VT Therapy Burst 20 J 35 J 35 J 35 J 35 J
Delivered 0 0 0 0 0 0
Successful 0 0 0 0 0 0
Accelerated 0 0 0 0 0 0
SW033 Software Version 8.3 (4.1) VT/VF Counters


All collected episodes.

VT-NS 6 11-Nov-2020 00:56 :01 30/222 Active
VT-NS 5 04-Nov-2020 04:35 :01 <30/200 Rest
VT-NS 4 31-Oct-2020 16:25 :03 <30/163 Rest
VT-NS 3 25-Oct-2020 22:18 :01 <30/176 Rest
VT-NS 2 23-Oct-2020 14:36 :02 ---/190 Rest
VT-NS 1 18-Oct-2020 23:28 :02 <30/162 Rest

Lead Trends - Atrial
Lead Model 5076
A. Impedance (bipolar) Last Session ohms

Last Measured 456 ohms
>3000
2500
2000
1500
1000
500
0
May-19 Sep-19 Feb-20 Jun-20 02-Nov-20 16-Nov-20
P-Wave Amplitude mV
Sensitivity 0.45 mV >20
Last Measured 0.5 mV
16
12
0
Last 80 weeks (min/max/avg per week) Last 15 days
SW033 Software Version 8.3 (4.1) Lead Trends - Atrial

Lead Trends - RV
RV Pace Polarity Bipolar

RV Sense Polarity Bipolar
Lead Model 6935M
RV Impedance (bipolar) Last Session ohms

>3000
2500
2000
1500
1000
500
0
RV Impedance (tip to coil) ohms

>3000
2500
2000
1500
1000
500
0
RV Impedance ohms
Bipolar
Tip to Coil >3000
2500
2000
1500
1000
500
0
SW033 Software Version 8.3 (4.1) Lead Trends - RV

Lead Trends - RV
R-Wave Amplitude mV
Last Session
16
12
0

Lead Trends - RV
RV Defib Impedance Last Session ohms

>200
150
100
50
0

Battery and Lead Measurements Report
Remaining Longevity 16-Nov-2020

Estimated at: 4.2 years
Minimum: 3.8 years
Maximum: 4.7 years
RRT > 5 years

Battery Voltage 16-Nov-2020
Voltage 3.03 V
(RRT=2.73V)
Last Charge 20-Oct-2020
Charge Time 3.7 sec
Energy 0.0 - 18 J
Sensing Integrity Counter Since 05-Nov-2020
Short V-V Intervals 1
Lead Impedance
A. Pacing 456 ohms 16-Nov-2020
RV Pacing (Bipolar) 456 ohms 16-Nov-2020
RV Defib 64 ohms 16-Nov-2020
SVC Defib None
Sensing
P-Wave Amplitude 0.5 mV 16-Nov-2020
R-Wave Amplitude 4.8 mV 15-Nov-2020
Last High Voltage Therapy
SW033 Software Version 8.3 (4.1) Battery and Lead Measurements Report
Parameters
Pacing Summary


Rate Response
ADL Rate 95 bpm
Optimization On
ADL Response 3
Refractory/Blanking
PVARP Auto
MRI SureScan Off
PVC Response On
V. Safety Pacing On
Device Information
SW033 Software Version 8.3 (4.1) Parameters

Parameters
VT/VF Detection
VF On 300 ms (200 bpm) 30/40 24/32 300 ms
FVT OFF
VT On 360 ms (167 bpm) 36 32 360 ms

Energy 35 J 35 J 35 J 35 J 35 J 35 J
ATP During Charging
Energy 20 J 35 J 35 J 35 J 35 J
Initial # Pulses 8
S1S2(Ramp+)=(%RR)
S2SN(Ramp+)=(%RR)
Interval Dec 10 ms
# Sequences 3
Smart Mode On

Parameters
AT/AF Detection
Monitor
AT/AF Therapies

Shared A. ATP

Parameters
Source Range

Alert Time 08:00
Enable-Urgency

Changes This Session
Parameter Session Start Current Value


SW033 Software Version 8.3 (4.1) Changes This Session

Patient Information Report
Patient Identification
Patient Gherman Ioan
ID
Date of Birth
History
VT/VF
Slowest VT
Atrial Status
AV Conduction
Heart Failure NYHA Class II
Activity Level
EF, on 30 %
Physician Information
Physician
Phone
Hospital
Last Update 12-Oct-2020

Leads
Lead 1
Lead Model 6935M Sprint Quattro MRI
MR Conditional Yes
Lead Position RV
Lead Length
Manufacturer
Serial Number
Implant Date
Lead 2
Lead Model 5076 CapsureFix Novus MRI
MR Conditional Yes
Lead Position Atrial
Lead Length
Manufacturer
Serial Number
Implant Date
Implant
Implant Date 12-Oct-2020
Defibrillation Energy ---
HV Impedance (ohms)
Atrial RV
P/R Wave Amplitude (mV)
Slew Rate --- ---
Pacing Threshold Amp. --- ---
Pulse Width Setting --- ---
Pacing Impedance (ohms)
Threshold Current (mA)
Notes:
MRI SureScan System/Other Hardware
MRI SureScan System

MR Conditional Device Implanted Yes
MR Conditional Lead 1 Implanted Yes
SW033 Software Version 8.3 (4.1) Patient Information Report


Other Hardware
Other Devices Unknown
Other Leads Unknown
Lead Extenders/Adaptors Unknown
Other Hardware Notes:

Rate Drop Response Episode List
Rate Drop Response Episodes Summary

45 hours 33 days
Drop Episodes 0 0
Low Rate Episodes 0 0
Total Episodes 0.0 per day 0.0 per day
Rate Drop Response Episode List: 14-Oct-2020 06:58:33 to 16-Nov-2020 10:01:30

Time Detection Peak
Type ID# Date
hh:mm V. Rate bpm V. Rate bpm
(No data since last session.)
SW033 Software Version 8.3 (4.1) Rate Drop Response Episode List
Quick Look II Report
RRT > 5 years

Parameter Summary

FVT OFF All Rx Off
Treated
P I
VF 0
VT/VF 4
VT 0 3
1
0
Monitored
VT(143-167 bpm) 0 AT/AF 60
40
High Rate-NS 0 30
10
0
AT/AF 0 Patient >8
Activity 6
4


AP-VP 98.3 %
OBSERVATIONS (1)
SW033 Software Version 8.3 (4.1) Quick Look II Report

Session Summary
Device Information
RRT > 5 years

Parameter Summary

FVT OFF All Rx Off

SW033 Software Version 8.3 (4.1) Session Summary

Rate Histograms

45 hours 33 days
AS-VS < 0.1% < 0.1%
AS-VP < 0.1% 1.5 %
AP-VS 0.1 % 0.2 %
AP-VP 99.8 % 98.3 %

% of Time 100 100
80 80
AS 60 60
AP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
Ventricular
% of Time 100 100
80 80
VS
60 60
VP
40 40
20 20
0 0
< 40 60 80 100 120 140 160 180 200 220> < 40 60 80 100 120 140 160 180 200 220>
SW033 Software Version 8.3 (4.1) Rate Histograms

P = Program
I = Interrogate
P I
_ = Remote
One or more A
shocks/day
V
Treated VT/VF >5

episodes/day 4
3
2
1
0

(bpm)
200
VF
VT 150
<100
episodes/day 8
6
4
2
0

50
40
30
20
10
0

(bpm)
max/day 150
avg/day
100
<50
% Pacing/day 100
Atrial 75
Ventricular 50
25
0

Day 100
Night 80
60
<40
Patient activity >8

hours/day 6
4
2
0

P I

(ms) 160
120
80
<40

VT/VF Counters
Prior Session Last Session Device Lifetime

12-Oct-2020 to 14-Oct-2020 to Total
14-Oct-2020 16-Nov-2020 (Since 12-Oct-2020)
45 hours 33 days 35 days
VT/VF Counters
VF 0 0 0
FVT 0 0 0
VT 0 0 0
Monitored VT (143 - 167 bpm) 0 0
VT-NS (>4 beats, >167 bpm) 0 6
High Rate-NS 0 0
PVC Runs (2-4 beats) 0.5 per hour 1.6 per hour
PVC Singles 26.3 per hour 72.7 per hour
Runs of VRS Paces 0.0 per hour 0.0 per hour
Single VRS Paces 0.0 per hour 0.0 per hour
SVT: VT/VF Rx Withheld
AFib/AFlutter 0 0 0
Sinus Tach 0 0 0
Other 1:1 SVTs 0 0 0
Wavelet 0 0 0
V. Stability 0 0 0
Onset 0 0 0
V. Oversensing: VT/VF Rx Withheld
V. Oversensing-TWave 0 0 0
V. Oversensing-Noise 0 0 0
VT/VF Therapy Summary
Pace-terminated 0 0 0
Shock-terminated 0 0 0
Total VT/VF Shocks 0 0 0
Aborted Charges 0 0 0
VT/VF Therapy Efficacy Since Last Session 14-Oct-2020 to 16-Nov-2020

VF Therapy ATP+Chg 35 J 35 J 35 J 35 J 35 J 35 J
Delivered 0 0 0 0 0 0 0
Successful 0 0 0 0 0 0 0
FVT Therapy Off
VT Therapy Burst 20 J 35 J 35 J 35 J 35 J
Delivered 0 0 0 0 0 0
Successful 0 0 0 0 0 0
Accelerated 0 0 0 0 0 0
SW033 Software Version 8.3 (4.1) VT/VF Counters


All collected episodes.

VT-NS 6 11-Nov-2020 00:56 :01 30/222 Active
VT-NS 5 04-Nov-2020 04:35 :01 <30/200 Rest
VT-NS 4 31-Oct-2020 16:25 :03 <30/163 Rest
VT-NS 3 25-Oct-2020 22:18 :01 <30/176 Rest
VT-NS 2 23-Oct-2020 14:36 :02 ---/190 Rest
VT-NS 1 18-Oct-2020 23:28 :02 <30/162 Rest

Lead Trends - Atrial
Lead Model 5076
A. Impedance (bipolar) Last Session ohms

>3000
2500
2000
1500
1000
500
0
P-Wave Amplitude mV
16
12
0
SW033 Software Version 8.3 (4.1) Lead Trends - Atrial

Lead Trends - RV
RV Pace Polarity Bipolar

RV Sense Polarity Bipolar
Lead Model 6935M
RV Impedance (bipolar) Last Session ohms

>3000
2500
2000
1500
1000
500
0
RV Impedance (tip to coil) ohms

>3000
2500
2000
1500
1000
500
0
RV Impedance ohms
Bipolar
Tip to Coil >3000
2500
2000
1500
1000
500
0

Lead Trends - RV
R-Wave Amplitude mV
Last Session
16
12
0

Lead Trends - RV
RV Defib Impedance Last Session ohms

>200
150
100
50
0

Battery and Lead Measurements Report
Remaining Longevity 16-Nov-2020

Estimated at: 4.2 years
Minimum: 3.8 years
Maximum: 4.7 years
RRT > 5 years

Battery Voltage 16-Nov-2020
Voltage 3.03 V
(RRT=2.73V)
Last Charge 20-Oct-2020
Charge Time 3.7 sec
Energy 0.0 - 18 J
Sensing Integrity Counter Since 05-Nov-2020
Short V-V Intervals 1
Lead Impedance
A. Pacing 456 ohms 16-Nov-2020
RV Pacing (Bipolar) 456 ohms 16-Nov-2020
RV Defib 64 ohms 16-Nov-2020
SVC Defib None
Sensing
P-Wave Amplitude 0.5 mV 16-Nov-2020
R-Wave Amplitude 4.8 mV 15-Nov-2020
Last High Voltage Therapy
SW033 Software Version 8.3 (4.1) Battery and Lead Measurements Report
Parameters
Pacing Summary


Rate Response
ADL Rate 95 bpm
Optimization On
ADL Response 3
Refractory/Blanking
PVARP Auto
MRI SureScan Off
PVC Response On
V. Safety Pacing On
Device Information

Parameters
VT/VF Detection
VF On 300 ms (200 bpm) 30/40 24/32 300 ms
FVT OFF
VT On 360 ms (167 bpm) 36 32 360 ms

Energy 35 J 35 J 35 J 35 J 35 J 35 J
ATP During Charging
Energy 20 J 35 J 35 J 35 J 35 J
Initial # Pulses 8
S1S2(Ramp+)=(%RR)
S2SN(Ramp+)=(%RR)
Interval Dec 10 ms
# Sequences 3
Smart Mode On

Parameters
AT/AF Detection
Monitor
AT/AF Therapies

Shared A. ATP

Parameters
Source Range

Alert Time 08:00
Enable-Urgency

Changes This Session
Parameter Session Start Current Value


SW033 Software Version 8.3 (4.1) Changes This Session

Patient Identification
Patient Gherman Ioan
ID
Date of Birth
History
VT/VF
Slowest VT
Atrial Status
AV Conduction
Heart Failure NYHA Class II
Activity Level
EF, on 30 %
Physician Information
Physician
Phone
Hospital

Leads
Lead 1
Lead Model 6935M Sprint Quattro MRI
MR Conditional Yes
Lead Position RV
Lead Length
Manufacturer
Serial Number
Implant Date
Lead 2
Lead Model 5076 CapsureFix Novus MRI
MR Conditional Yes
Lead Position Atrial
Lead Length
Manufacturer
Serial Number
Implant Date
Implant
Implant Date 12-Oct-2020
Defibrillation Energy ---
HV Impedance (ohms)
Atrial RV
P/R Wave Amplitude (mV)
Slew Rate --- ---
Pacing Threshold Amp. --- ---
Pulse Width Setting --- ---
Pacing Impedance (ohms)
Threshold Current (mA)
Notes:
MRI SureScan System

MR Conditional Device Implanted Yes


Other Hardware
Other Devices Unknown
Other Leads Unknown
Lead Extenders/Adaptors Unknown
Other Hardware Notes:

Rate Drop Response Episode List
Rate Drop Response Episodes Summary

45 hours 33 days
Drop Episodes 0 0
Low Rate Episodes 0 0
Total Episodes 0.0 per day 0.0 per day
Rate Drop Response Episode List: 14-Oct-2020 06:58:33 to 16-Nov-2020 10:01:30

Time Detection Peak
Type ID# Date
hh:mm V. Rate bpm V. Rate bpm
(No data since last session.)
SW033 Software Version 8.3 (4.1) Rate Drop Response Episode List
Final: Session Summary
Device Information
RRT > 5 years

Parameter Summary

FVT OFF All Rx Off

SW033 Software Version 8.3 (4.1) Final: Session Summary

Final: Parameters
Pacing Summary


Rate Response
ADL Rate 95 bpm
Optimization On
ADL Response 3
Refractory/Blanking
PVARP Auto
MRI SureScan Off
PVC Response On
V. Safety Pacing On
Device Information

Final: Parameters
VT/VF Detection
VF On 300 ms (200 bpm) 30/40 24/32 300 ms
FVT OFF
VT On 360 ms (167 bpm) 36 32 360 ms

Energy 35 J 35 J 35 J 35 J 35 J 35 J
ATP During Charging
Energy 20 J 35 J 35 J 35 J 35 J
Initial # Pulses 8
S1S2(Ramp+)=(%RR)
S2SN(Ramp+)=(%RR)
Interval Dec 10 ms
# Sequences 3
Smart Mode On

Final: Parameters
AT/AF Detection
Monitor
AT/AF Therapies

Shared A. ATP

Final: Parameters
Source Range

Alert Time 08:00
Enable-Urgency

Unsaved Frozen Strip
Collected: 16-Nov-2020 10:19:47 25.0 mm/sec

(1 mV)
A A A A A A
P P P P P P
LECG
V V V V V V
P P P P P P
EGM3
EGM1
EGM2
Lead II
10:19:53 25.0 mm/sec
A A A A A A
P S S S S P
V V V V V V
P P P P P P
10:20:00 25.0 mm/sec End
A
P
V
P
SW033 Software Version 8.3 (4.1) Unsaved Frozen Strip


(1 mV)
A A A A A A
P P P P P P
LECG
V V V V V V
P P P P P P
EGM3
EGM1
EGM2
Lead II
10:19:53 25.0 mm/sec
A A A A A A
P S S S S P
V V V V V V
P P P P P P
10:20:00 25.0 mm/sec End
A
P
V
P


(1 mV)
A A A A A A
P P S S R S
LECG
V V V V V V V V
P P P P S S S P
EGM3
EGM1
EGM2
Lead II
10:20:41 25.0 mm/sec
A A A A A A
S S S S S P
V V V V V V
P P P P P P
10:20:48 25.0 mm/sec End
A
P
V
P


(1 mV)
A A A A A A
P P S S S S
LECG
V V V V V V
P P P P P P
EGM3
EGM1
EGM2
Lead II
10:21:05 25.0 mm/sec
A A A A A A
S S S S S S
V V V V V V
P P P P P P
10:21:12 25.0 mm/sec End
A
S
V
P


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Raport Stimulator

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Initial Interrogation: Quick Look II

RRT > 5 years

Detection Rates Therapies

Functional Last Week 2

Therapy Summary VT/VF AT/AF Pacing (% of Time Since 14-Oct-2020)

SW033 Software Version 8.3 (4.1) Initial Interrogation: Quick Look II

Treated VT/VF >5

V. rate during VT/VF >250

AT/AF total minutes/day 60

V. rate during AT/AF >200

Avg V. rate (bpm) >120

Patient activity >8

Heart rate variability >200

Prior to Last Session Since Last Session

Atrial 2% to 5% of AS may be due to FFRW

SW033 Software Version 8.3 (4.1) Initial Interrogation: Rate Histograms

ATP Time Duration Avg bpm Max bpm Activity at

V-V A-A VF = 300 ms VT = 360 ms

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #4

EGM1: Atip to Aring

EGM3: RVtip to RVring

1150 1150 1150 1150

>2000 1160 1160 1160 1160

1160 1160 1160 1160 1160 1160

1160 1160 1160 1700 1160

Episode #4: 31-Oct-2020 16:25:29

Parameter Settings Initial Redetect V. Interval (Rate)

EGM Source Range Sensitivity

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #4

ATP Time Duration Avg bpm Max bpm Activity at

V-V A-A VF = 300 ms VT = 360 ms

-40 -35 -30 -25 -20 -15 -10 -5 0

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #6

EGM1: Atip to Aring

EGM3: RVtip to RVring

Episode #6: 11-Nov-2020 00:56:35

Parameter Settings Initial Redetect V. Interval (Rate)

EGM Source Range Sensitivity

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #6

ATP Time Duration Avg bpm Max bpm Activity at

V-V A-A VF = 300 ms VT = 360 ms

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #5

EGM1: Atip to Aring

EGM3: RVtip to RVring

1200 1200 1200 1200 1200

>2000 1200 1200 1200 1200 1200

1200 1200 1200 1200 1200 1200

1200 1200 1870 1200 1200 1200

Episode #5: 04-Nov-2020 04:35:32

Parameter Settings Initial Redetect V. Interval (Rate)

EGM Source Range Sensitivity

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #5

ATP Time Duration Avg bpm Max bpm Activity at

V-V A-A VF = 300 ms VT = 360 ms

SW033 Software Version 8.3 (4.1) Non-sustained VT Episode #4

EGM1: Atip to Aring

EGM3: RVtip to RVring

1150 1150 1150 1150