Medtronic 5392 User Manual

Model 5392

TEMPORARY EXTERNAL PACEMAKER

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PRE-USE What to do ... What NOT to do ...

Battery

Replace the battery for each new patient. Do NOT reuse battery.

Physical

Condition*

Check case for cracks/damage.*

Check battery drawer for closure.*

Check display for cracks/damage.*

Do NOT ignore visible physical damage; the device may appear to work properly

immediately after being dropped or mishandled, but operational damage may have

occurred.

Cables

Inspect cables and leads for possible defects, and secure

connection before each use.

Do NOT use damaged leads or cables. Improper connection, displacement, or fracture

may result in pacemaker failure.

Do NOT reuse single-use cables.

IN USE

Placement

Do not place the temporary pacemaker in any area outside of the

direct observation by medical staff. If necessary, insert into a

Disposable Pouch** (see-through plastic pocket) with an

attachment panel (to hang from IV pole) that protects and holds

the temporary pacemaker. Place the temporary pacemaker in

an area that minimizes access to the controls by unauthorized

personnel, such as patients and visitors.

Do NOT place the device in any area where the patient may interact with it.

POST-USE

Clean

External surfaces of unit can be cleaned using a sponge or cloth

moistened with water or 70% isopropyl alcohol. For internal surfaces,

send to Medtronic for cleaning, safety, and technical check.

Do NOT attempt to clean any internal surfaces, including battery compartment.

Do NOT immerse the device in water or cleaning agents; do NOT expose the unit to

ethers, acetone, or chlorinated solvents.

If dropped/

Visible exterior

damage

Send to Medtronic for safety and technical check. Do NOT ignore; the device may appear to work appropriately immediately after being

dropped or mishandled, but operational damage may have occurred.

If spilled on

Send to Medtronic for safety and technical check. Do NOT ignore; the temporary pacemaker was designed to minimize leakage, but

fluid incursion may still occur.

* Should service or repair be necessary, contact your local Medtronic representative or call 1(800) 638-1991.

** Disposable Pouch available for the Model 5392 Temporary Pacemaker; Model #5409.

Safety and technical checks should be carried out at least once every 12 months and after any malfunction or accident. Visit www.MedtronicConnect.com or

call 1(800) 638-1991 to inquire further about the Medtronic Annual Test and Calibration Program.

Additional use and training information available at www.MedtronicConnect.com.

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Medtronic Model 5392

Basic Operation – Lower Screen

Pacing Parameters for DDD mode.

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Medtronic Model 5392

Basic Operation

Connector Setup

1. Verify that the temporary pacemaker is turned off.

2. Plug the Model 5433A and Model 5433V patient cables
or a pair of 5832 or 5832S surgical cables into appropriate
sockets on the connector block on top of the temporary
pacemaker. One socket is marked A (atrium); the other is
marked V (ventricle).

3. Verify that each patient cable clicks when it is inserted into
the temporary pacemaker connector receptacle.

Note: The audible click verifies that the plug is completely inserted into
the receptacle.

4. Pull gently on the patient cables after insertion to ensure a
good connection.

5. Connect the leads to the appropriate cable. Match
positive (+) and negative (–) leads to positive (+) and
negative (–) sockets or clips for the atrium and ventricle
(not shown). The sockets are also color-coded blue for
atrium and white for ventricle.

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Note: To disconnect the patient cables from the temporary pacemaker, do
the following:

1. Press the connector release button on the patient cable plug.

2. Gently pull the plug from the receptacle.

Medtronic Model 5392

Basic Operation

To Turn On

• Press and hold the On/Off key momentarily to turn on the

temporary pacemaker

The upper screen and the backlight illuminate, a self-test is
initiated, and the temporary pacemaker first paces, and then
begins sensing and pacing in both chambers (DDD mode).

Note: Pressing a key while the self-test is in process can cause the device
to fail the self-test, and display error code, “0004.” The device may interpret
the pressed key as being “stuck” and, therefore, malfunctioning. If a key is
pressed during the self-test, remove and reinsert the battery to clear the
error code.

To Turn O ff

1. Unlock the temporary pacemaker, if it is locked (see
following section).

2. Press the On/Off key once. A message is displayed in the
lower screen to confirm temporary pacemaker shutdown
(see Figure below).

3. Press the Enter key once to confirm temporary pacemaker
shutdown.

A V

RATE

min-1 ppm

PACE

30 200

SENSE

PACE

SENSE

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Medtronic Model 5392

Basic Operation

Lock/Unlock

The lock/unlock key locks the temporary pacemaker to
prevent inadvertent adjustment of the parameters, or unlocks
the temporary pacemaker when it is locked.

When Locked:

• The Rate, A Output, and V Output parameter values lock
and cannot be adjusted

• Pacing therapy continues to be delivered at the currently

selected values

• The Lock indicator appears in the status bar

• The lower screen does not appear. The Mode Selection

options and pacing parameters cannot be adjusted.

• The pause key is locked

• Press lock/unlock key to unlock the 5392 before adjusting

parameters

• Press lock/unlock key to lock the 5392 after adjusting

parameters

Notes

• The doo/emergency key does not lock. If pressed while the temporary
pacemaker is locked, the temporary pacemaker begins asynchronous
pacing.

• The temporary pacemaker locks under one of the following conditions:

– 60 s after the last parameter adjustment is made
– When the lock/unlock key is pressed

If any parameter dials are adjusted or any keys are pressed while the
temporary pacemaker is locked (other than the

doo/emergency key), the Lock

indicator flashes, and the lower screen displays the Locked message for
approximately 30 s.

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Medtronic Model 5392

Basic Operation

Rate and Output Adjustments

1. If the Lock indicator appears in the status bar, press

lock/unlock key.

2. To adjust rate, a (Atrial) output,
or v (Ventricular) output, turn
the dials clockwise to
increase their values; turn the
dials counterclockwise to
decrease their values, or to
set the outputs to off.

Rate and output values appear on upper screen.

Viewing Patient’s Intrinsic Rhythm

• Reduce the rate gradually, while watching the ECG, until

the patient’s intrinsic rhythm takes over

• Press and hold pause key to suspend pacing and sensing

up to 10 seconds

Note: To pause again up to 10 seconds, release pause key; then press and
hold the pause key again.

EMERGENCY Pacing

• Press doo/emergency key to initiate high-output, dual-

chamber asynchronous pacing (DOO for emergency)

Note: Press the enter key to return to synchronous (demand) pacing, or
select the modes with synchronized pacing from the Mode Selection
menu and adjust A Sensitivity and/or V Sensitivity.