Overview
The manual details Boston Scientific’s ACCOLADE MRI Pacemakers, highlighting features, mechanical specifications, and reimbursement information. Models include the L310, L311, and L331 (extended life).
Key Features
The ACCOLADE pacemakers are designed for compatibility with MRI, supporting full-body scans at 1.5T without height restrictions or exclusion zones. They possess an MRI Time Out Mode, reverting to original settings post-scan. The device is integrated with the INGEVITY MRI Pacing Lead, offering an MR-Conditional Pacing System with automatic daily monitoring via the LATITUDE NXT Patient Management System.
These devices provide a projected longevity of over 12 years, deliver advanced diagnostic reports for comorbidity management, and feature RF telemetry for wireless data transmission. The PaceSafe feature offers dynamic adjustment of pacing outputs. The RightRate technology with the MV sensor is clinically validated to restore heart rate responsiveness. RHYTHMIQ aims to reduce unnecessary RV pacing. Additional diagnostics include the Respiratory Rate Trend to track disease progression.
Physical Specifications
The manual lists size, weight, connector type, and volume for each model. The L310 is a VR type with a mass of 23.6g, the L311 is a DR type weighing 24.8g, and the L331 DR-EL model has a mass of 29g. All models have IS1 connector ports for RA and RV leads. The VR and DR models house a lithium-carbon monofluoride power cell numbered 402290, while the DR-EL model contains a power cell numbered 402294.
Battery Longevity and Reimbursement Info
The manual outlines projected longevity under specific pacing settings, with the VR model expected to last 10 years, DR model 8.8 years, and DR-EL model at 12.1 years for 100% pacing at 2.5V. Additionally, the document mentions reimbursement codes: C1786 for VR and DR models, and C1785 for the DR-EL model.
It is assumed that the devices spend six months in storage mode and includes telemetry usage time estimates for initial setup and annual follow-ups. For longevity calculations under varying settings, the manual advises contacting Boston Scientific technical services.
References:
Download: ACCOLADE MRI Pacemakers User Manual
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