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October 2002

Pacemakers, Cardiac, External, Noninvasive


Electrodes; Invasive Electrodes,
Transesophageal
Scope of this Product Comparison Purpose
This Product Comparison covers external noninva- External noninvasive pacemakers generate electri-
sive and transesophageal pacemakers that function cal impulses that are delivered through externally
in fixed-rate (asynchronous) and/or demand modes, applied electrodes and that stimulate all chambers of
provide adjustable pulse rates and output currents, the heart simultaneously (in contrast to single- or
and include an electrocardiogram (ECG) monitor or dual-chambered invasive pacing) to assist in resusci-
ECG output adapter. These devices are also re- tating patients, to correct arrhythmias, or to tempo-
ferred to as noninvasive temporary pacemakers or rarily pace during invasive procedures that might
transcutaneous pacemakers. inadvertently induce bradyrhythmias or asystole.
For specifications of external noninvasive pace- When healthy, the heart is stimulated to contract by
makers that are part of battery-powered defibrilla- a group of specialized myocardial cells, called the sinoa-
tor/pacemakers, see the Product Comparisons titled trial (SA) node, located at the junction of the superior
DEFIBRILLATORS, EXTERNAL, MANUAL; DEFIBRIL-
vena cava and the right atrium. The SA node generates
LATOR/PACEMAKERS, EXTERNAL and DEFIBRILLA-
a spontaneous electrical stimulus that is conducted
TORS, EXTERNAL, AUTOMATED; SEMIAUTOMATED.
through the atria and causes them to contract; thus,
For information on other types of cardiac pace-
makers, see the reports on PACEMAKERS, CARDIAC,
EXTERNAL, INVASIVE ELECTRODES, TRANSVENOUS
and PACEMAKERS, CARDIAC, IMPLANTABLE.

UMDNS information
This Product Comparison covers the following
device terms and product codes as listed in ECRIs
Universal Medical Device Nomenclature System
(UMDNS):
Pacemakers, Cardiac, External, Invasive Elec-
trodes, Transesophageal [17-494]
Pacemakers, Cardiac, External, Noninvasive
Electrodes [16-516] Transesophageal pacer

181009 5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA


424-008 Telephone +1 (610) 825-6000 Fax +1 (610) 834-1275 E-mail hpcs@ecri.org
Healthcare Product Comparison System

the SA node is the hearts natural pacemaker. The other electrode. As current flows between the elec-
electrical stimulus is transmitted to the atrioventricu- trodes, part of it should be conducted through the
lar (AV) node, located in the septal wall of the right heart, inducing it to contract. The electrodes are ap-
atrium, which then stimulates the ventricles to con- plied in either the anterior-posterior position one
tract (see Fig. 1). electrode over the heart and one directly behind it
or the anterior-anterior position one electrode near
Compared to transvenous pacing (in which a pacing
the apex of the heart and one on the right chest below
lead is inserted through a vein into the heart), external
the clavicle (see Fig. 2). The anterior-posterior position
noninvasive pacing is preferred in some emergency
is generally preferred because it reduces pectoral mus-
situations because it can be applied more quickly and
cle stimulation and does not interfere with defibrilla-
easily and does not require the skills of a physician. It
tor paddle placement. Multifunction electrodes that
can be used by emergency medical services for prehos-
allow pacing, defibrillation, and monitoring are some-
pital therapy and/or during transport and is indicated
times used. Electrodes are sometimes left in place for
for emergency temporary treatment of asystole, severe
24 to 72 hours; however, manufacturers may have
bradycardia, SA node dysfunction (also called sick-si-
specific instructions for their particular model.
nus syndrome, or SSS), implantable pacemaker fail-
ure, certain types of tachycardia, and acute myocardial
Electrodes for transesophageal pacing are inserted
infarction. transnasally (bipolar catheter) or are swallowed (bipo-
External noninvasive pacemakers can also provide lar catheter or pill electrode) to a predetermined depth,
backup pacing during surgical placement of pacemak- approximately at the esophageal-gastric junction be-
ers and temporary and permanent pacemaker leads. yond the atrium. The electrode must then be gradually
During other types of surgery, external noninvasive withdrawn until the maximum P-wave (representing
pacing can serve as a standby therapy for patients the depolarization of the atria) is detected. Radio-
predisposed to cardiac disorders. Noninvasive pacing graphic imaging can be used to confirm correct elec-
has also been used in place of certain resuscitative trode placement.
drug therapies (see the American Heart Association
citation in Standards and Guidelines). When the pacemaker is turned on, current is ad-
justed until pacing occurs. The clinician can confirm
Transesophageal pacing stimulates only the atrial capture (stimulation resulting in heart contraction)
chambers of the heart; it is used primarily in the when a one-to-one ratio between the pacing stimulus
diagnosis and temporary treatment of atrial arrhyth- and the QRS complex is detected; however, signs of
mias but can also be used to induce cardiac stress for improved perfusion such as pulse strength and/or
ECG diagnosis of heart disease. skin color and temperature, blood pressure, and level
of consciousness should also be used.
Principles of operation
External noninvasive and transesophageal pace-
makers generate repetitive electrical stimuli. Their
electronic circuitry controls the pulse rate and output SA Node Left Atrium

current. To condition ECG input signals for output to


a monitor, external noninvasive pacemakers attenu-
ate or blank the high-amplitude pacing stimulus. The
ECG can then be displayed on an integral ECG monitor
Left
or a monitor connected to the pacemakers ECG output AV Ventricle
Node
adapter that senses and displays only the hearts in-
trinsic electrical response rhythm. The blanked period Right
Atrium Bundles
is indicated by two markers on the ECG waveform. of His
Some models use a stimulus suppressor to regulate the Right
amount of blanking needed. Without this blanking, the Ventricle
pacing stimulus would obscure the ECG waveform.
C158UN2C

During resuscitation or other use, an external non-


Purkinje Fibers
invasive pacemaker is connected through a two-lead
cable to two large-surface, pregelled, disposable adhe- Figure 1. Structures involved in the conduction of
sive electrodes. Electric current from the pacemaker is electrical stimuli through the heart
conducted across the skin from one electrode to the

2 2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Pacemakers, Cardiac, External

Reported problems
Transesophageal pacemakers may cause diaphrag-
matic stimulation and myocardial contracture in the
presence of electrical capture. They may also cause
vomiting, with the consequent risk of aspiration, and
difficulty in swallowing.
When an external noninvasive pacemaker is used
as a backup or standby during fluoroscopic procedures,
including monitoring of pacemaker lead insertion, the
large electrodes may obstruct the clinicians view. In
addition, certain surgical procedures preclude proper
placement of the electrodes; cardiac capture may then
be impossible or may require excessive current.
Clear recognition of capture has been a problem
Figure 2. Electrode positions with all available noninvasive pacemaker units. An
easily distinguished pacemaker artifact and a blank-
ing period to reduce noncardiac electrical response
Pacing threshold, the minimum current amplitude both help recognition of capture on the ECG monitor.
necessary to achieve capture, is affected by the condi- Pacemakers should allow the clinician to distinguish
tion of the myocardium, electrode placement, and pulse among the pacemaker pulse, a pacing-generated QRS
width (the duration of the pulse stimulus) and typically response, a muscular response, and other noise with-
decreases as therapy continues and the heart becomes out QRS response. However, users should never rely
perfused. Current amplitude should not unduly exceed solely on their ability to recognize capture on the ECG
that necessary for capture because excessive current monitor to determine the effectiveness of pacing the
can cause discomfort or pain. The pacemakers output- patients clinical signs must be the deciding factor.
current configuration should have sufficiently small
Noninvasive capture current typically exceeds
amplitude increments or be continuously available to
thresholds for both cutaneous nerve stimulation and
allow the user to set a current that provides reliable
skeletal muscle contraction, resulting in significant
capture with minimal pain or discomfort.
patient discomfort. Although efforts have been made
to reduce these complications, conscious patients re-
The pacemaker typically delivers a fixed pulse quire sedation to prevent intolerable pain and anxiety.
width in the range of 20 to 40 msec for external nonin-
vasive pacemakers. Transesophageal pacemakers of-
Purchase considerations
fer an adjustable pulse width of 0 to 10 msec.
External noninvasive pacemakers are available in
different configurations: stand-alone pacemakers,
The two pacing modes are fixed rate (asynchronous)
pacemaker/monitors, and defibrillator/monitor/
and demand (synchronous). In fixed-rate mode, the
pacemakers. Depending on expected use, each unit has
pacemaker delivers the electrical stimulus at preset
significant advantages and disadvantages that should
intervals regardless of the patients underlying cardiac
be reviewed by a staff member who could also be
rhythm. This can have undesirable consequences: if
responsible for ensuring adequate staff training. Buy-
the heart reverts to its own rhythm, competition may
ers should check with the supplier for training pro-
occur between the pacemaker stimuli and the natural
gram availability. In addition, the types of patients
cardiac signals, which could cause ventricular fibrilla-
being treated and the users clinical protocol can influ-
tion or reduce cardiac output. To minimize this possi-
ence whether fixed-rate- or demand-mode pacemakers
bility, most models offer demand mode, in which the
are needed. Also, the clinical engineering staff should
pacing stimulus is delivered only when the monitored
be included in the purchasing decision to help evaluate
heart rate is lower than the pacemakers set pacing
servicing issues.
rate; if the pacemaker senses a heartbeat above the
pacing rate, artificial pacing stops and does not resume ECRI recommends that pacing capabilities be avail-
unless the heart rate again drops below the pacing able in the emergency room, critical care unit, inten-
rate. External noninvasive and transesophageal pace- sive care unit, and operating room if medically
makers typically offer adjustable pacing rates and appropriate, as well as in special procedure rooms such
continuously variable amplitudes. as cardiac catheterization laboratories. However, the

2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 3
Healthcare Product Comparison System

routine use of this equipment throughout the hospital Falk RH, Ngai ST. External cardiac pacing: influence
can be costly and inappropriate. of electrode placement on pacing threshold. Crit
Care Med 1986 Nov;14(11):931-2.
Stage of development
Falk RH, Zoll PM, Zoll RH. Safety and efficacy of
External noninvasive and transesophageal pacing noninvasive cardiac pacing. N Engl J Med 1983 Nov
technology has been used for cardiac resuscitation and 10;309(19):1166-8.
temporary pacing since 1952. However, the pain and
discomfort caused by early noninvasive pacemakers Guzy PM. Emergency cardiac pacing. Emerg Med Clin
could not be effectively managed using sedation. With North Am 1986 Nov;4(4):745-59.
the advent of transvenous pacing, external noninva-
sive pacing soon fell into relative disuse. McEneaney DJ, Cochrane DJ, Anderson JA, et al.
Ventricular pacing with a novel gastroesophageal
During the 1980s, changes in electrode design, electrode: a comparison with external pacing. Am
stimulus pulse width, and electrode placement made Heart J 1997 Jun;133(6):674-80.
noninvasive pacing less painful and revived the devel-
opment of this technology. Large-surface (several Zoll PM, Zoll RH, Belgard AH. External noninvasive
inches in diameter) electrodes reduce current density electric stimulation of the heart. Crit Care Med 1981
across the skin-electrode interface; pulse widths of May;9(5):393-4.
about 11 msec or greater minimize the impulse ampli-
tude required for cardiac capture; and electrode place- Zoll PM, Zoll RH, Falk RH, et al. External noninvasive
ment over areas of lower muscle mass lessens skeletal temporary cardiac pacing: clinical trials. Circula-
muscle contractions. In addition, continuously select- tion 1985 May;71(5):937-44.
able output currents allow careful adjustments for
optimum pacing thresholds. Standards and guidelines
Both external noninvasive and transesophageal Note: Although every effort is made to ensure that the
pacing have been applied in pediatric cases for ex- following list is comprehensive, please note that other
ample, during the introduction of anesthesia for pedi- applicable standards may exist.
atric heart surgery and for the control of
tachyarrhythmia. Transesophageal pacing has been American Heart Association/Australian Resuscitation
used for emergency pacing of infants and children. Council/European Resuscitation Council/Heart and
Both methods are more desirable than transvenous Stroke Foundation of Canada. Guidelines 2000 for
catheter insertion for pediatric emergencies. cardiopulmonary resuscitation and emergency car-
diovascular care. International Consensus on Sci-
Bibliography ence. Circulation 2000 Aug 22;102(8):I1-380.

Bern AI, Pane GA, Hamilton GC. Electrical interven- American National Standards Institute/Association for
tions in cardiopulmonary resuscitation: pacing. the Advancement of Medical Instrumentation. Pace-
Emerg Med Clin North Am 1983 Dec;1(3):541-52. maker emergency intervention system [standard].
ANSI/AAMI PAC49-1993. 1993.
Broka SM, Collard EL, Ducart AR, et al. Transeso-
Safe current limits for electromedical apparatus
phageal atrial pacing combined with dual-chamber
[standard]. 3rd ed. ANSI/AAMI ES1-1993. 1985 (re-
pacing. Anesthesiology 1996 Feb;84(2):472.
vised 1993).
Clinton JE, Zoll PM, Zoll R, et al. Emergency noninva- British Standards Institution. Medical electrical
sive external cardiac pacing. J Emerg Med equipment. Particular requirements for safety.
1985;2(3):155-62. Specification for external cardiac pacemakers with
Dick M 2nd, Scott WA, Serwer GS, et al. Acute termina- internal power source [standard]. BS EN 60601:
tion of supraventricular tachyarrhythmias in children part 2.31:1995. 1995.
by transesophageal atrial pacing. Am J Cardiol 1988 International Electrotechnical Commission. Medical
Apr 15;61(11):925-7. electrical equipment part 1: general requirements
for safety [standard]. IEC 60601-1 (1988-12). 1988.
External transcutaneous cardiac pacemaker downclas-
sification petition proposes user training, voluntary Medical electrical equipment part 1: general re-
standards as special controls. Med Devices Diagn In- quirements for safety. Amendment 1 [standard].
strum Rep Gray Sheet 1997 Mar 3;23(9):11-2. IEC 60601-1-am1 (1991-11). 1991.

4 2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Pacemakers, Cardiac, External

Medical electrical equipment part 1: general re- Supplier information


quirements for safety. Amendment 2 [standard].
IEC 60601-1-am2 (1995-03). 1995.
CardioCommand
Medical electrical equipment part 1: general re-
quirements for safety. Section 1. Collateral standard: CardioCommand Inc [363229]
safety requirements for medical electrical systems. 4920 W Cypress St Suite H
IEC 60601-1-1 (1992-06). 1992. Tampa FL 33607
Phone: (813) 289-5555, (800) 231-6370
Medical electrical equipment part 1: general re- Fax: (813) 289-5454
quirements for safety. Section 1. Collateral standard: E-mail: awilliams@cardiocommand.com
safety requirements for medical electrical systems. Internet: http://www.cardiocommand.com
Amendment 1 [standard]. IEC 60601-1-1-am1 (1995-
11). 1995.
Medical electrical equipment part 1: general re- Galix
quirements for safety. Section 2. Collateral standard: Galix Biomedical Instrumentation Inc [176265]
electromagnetic compatibility requirements and 2555 Collins Ave Suite C-5
tests. IEC 60601-1-2 (2001-09). 2001. Miami Beach FL 33140
Medical electrical equipment part 2: particular re- Phone: (305) 534-5905
quirements for the safety of external cardiac pacemak- Fax: (305) 534-8222
ers with internal power source [standard]. IEC E-mail: galix@the-beach.net
60601-2-31 (1994-10).1994. Internet: http://www.galix-gbi.com

Medical electrical equipment part 2: particular


requirements for the safety of external cardiac pace- Lohmeier
makers with internal power source. Amendment 1
[standard]. IEC 60601-2-31am1 (1998-01). 1998. Lohmeier Medizin Elektronik GmbH + Co
[158959]
North American Society of Pacing and Electrophysiol- Fritz-Berne-Strasse 40
ogy. Recommendations of the North American Soci- D-81241 Muenchen
ety for Pacing and Electrophysiology for pacemaker Germany
and electrophysiology. PACE 1990 Apr;13:388-98. Phone: 49 (89) 8394090
Fax: 49 (89) 83940943
Underwriters Laboratories, Inc./British Standards In- E-mail: lohmeier@lohmeier.com
stitution. Medical electrical equipment, part 1: gen- Internet: http://www.lohmeier.com
eral requirements for safety [standard]. UL2601-1.
1992 (revised 1999).
Seecor

Seecor Inc [101708]


Citations from other ECRI publications 844 Dalworth Dr Suite 6
Health Devices Mesquite TX 75149
Phone: (972) 288-3278, (800) 856-1235
Defibrillator/monitors and external noninvasive pace- Fax: (972) 288-3279
makers [evaluation]. 1993 May-Jun;22(5-6):211-94.
Note: The following company did not provide us with
Defibrillator/monitors and external noninvasive pace- any product information in time for publication. Its
makers [evaluation update]. 1993 Dec;22(12):579-82. address is listed as a service to our readers.

Recording and transmitting diagnostic 12-lead ECGs Sulzer Osypka


in the prehospital environment. 1998 Feb;27(2):74. A Sulzer Medica Co [306939]
Basler Strasse 109
Health Devices Inspection and Preventive Maintenance D-79639 Grenzach-Wyhlen
System Germany
Phone: 49 (7624) 305228
Pacemakers, External Noninvasive. Procedure no. 460. Fax: 49 (7624) 305155

2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 5
Healthcare Product Comparison System

About the chart specifications TUV Technischer Ueberwachungs Verein


The following terms are used in the chart: Note: The data in the charts derive from suppli-
Output protection: Pacemaker circuitry designed to pre- ers specifications and have not been verified through
vent excessive current from reaching the patient. independent testing by ECRI or any other agency.
Blanking protection: Pacemaker/monitor circuitry de- Because test methods vary, different products specifi-
signed to change the high output pacing stimulus to cations are not always comparable. Moreover, prod-
a small ECG waveform indicator. ucts and specifications are subject to frequent changes.
ECRI is not responsible for the quality or validity of
Operating time, hr: Times indicated are for pacing only. the information presented or for any adverse conse-
Recharge time, hr: Times indicated are for recharging quences of acting on such information.
a 100% depleted battery.
When reading the charts, keep in mind that, unless
Abbreviations: otherwise noted, the list price does not reflect supplier
discounts. And although we try to indicate which
CE mark Conformite Europeene mark
features and characteristics are standard and which
ECG Electrocardiograph are not, some may be optional, at additional cost.

FDA U.S. Food and Drug Administration For those models whose prices were supplied to us
in currencies other than U.S. dollars, we have also
LCD Liquid crystal display listed the conversion to U.S. dollars to facilitate com-
LED Light-emitting diode parison among models. However, keep in mind that
exchange rates change often.
mA Milliampere
Need to know more?
MDD Medical Devices Directive For further information about the contents of this
Product Comparison, contact the HPCS Hotline at +1
msec Milliseconds
(610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); or
ppm Pulses per minute hpcs@ecri.org (e-mail).

6 2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Pacemakers, Cardiac, External

Product Comparison Chart


MODEL CARDIOCOMMAND CARDIOCOMMAND GALIX LOHMEIER

Model 2A Model 7A MA-7 P203

WHERE MARKETED Worldwide Worldwide Asia, Europe, South Worldwide, except


America Canada and USA

FDA CLEARANCE Yes Yes No No


CE MARK (MDD) No No No Yes

TYPE Transesophageal Transesophageal Transesophageal, External pacemaker


intracardiac,
electrophysiologic
stimulator

PACING MODE(S) Fixed rate, Fixed rate, Demand/fixed rate Demand/fixed rate
adjustable adjustable

PACING RATE, ppm 50-200 60-300 30-180 40-150

Continuous or
discrete settings Continuous Continuous Discrete Discrete

Number of settings NA NA 5 ppm increments 12

OUTPUT CURRENT, mA 5.5-40 0-40 0.5-25 (compliance 0-150


60 V)
Continuous or
discrete settings Continuous Continuous Discrete Continuous

Number of settings NA NA 0.5 mA increments NA

PULSE WIDTH, msec 10 0-10 0.5-25 in 0.5 msec 25


steps
OUTPUT PROTECTION Yes Yes Yes Not specified
ELECTRODES Bipolar catheter Bipolar catheter Pill electrode, Disposable adhesive
bipolar catheter, electrode with dry
quadripolar catheter gel

ECG Output adapter Output adapter Output adapter Not specified

Monitor Yes No No No

Recorder No No No No

Blanking protection No Yes Yes Not specified


DISPLAY
ECG waveform No No No No

Heart rate No No Digital on LCD No

Pacing rate Indicator light Indicator light Digital on LCD Green LED
Output current No No Digital on LCD Orange LED
Battery status Indicator light Indicator light Message on LCD Red LED (low battery
voltage)

Colons separate data on similar models of a device. This is the first of


two pages covering
the above model(s).
These specifications
continue onto the
next page.

2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 7
Healthcare Product Comparison System

Product Comparison Chart


MODEL CARDIOCOMMAND CARDIOCOMMAND GALIX LOHMEIER

Model 2A Model 7A MA-7 P203

BATTERY
Type Alkaline Alkaline Two 9 V alkaline 9 V alkaline,
500 mA-hr

Operating time, hr 100 40 70 2-10, depending


on pulse rate, pulse
amplitude, impedance
Recharge time, hr NA NA NA NA

H x W x D, mm (in) 76 x 172 x 121 63.5 x 200 x 203 180 x 100 x 35 65 x 120 x 25


(3 x 6.8 x 4.8) (2.5 x 7.9 x 8) (7.1 x 4 x 1.5) (2.6 x 4.7 x 1)
WEIGHT, kg (lb) 1.3 (2.87) 0.9 (2) 0.45 (1) without 0.28 (0.62)
batteries

PURCHASE INFORMATION
List price $1,620 $2,605 $1,850 Not specified

Warranty 1 year 1 year 2 years 2 years

Delivery time, ARO Not specified Not specified 10 days 2-4 weeks

Year first sold 1994 Not specified 1990 1994

Number sold to date Not specified Not specified Not specified Not specified
Fiscal year January to December January to December April to March Not specified
OTHER SPECIFICATIONS None specified. Preamplifier adapts Rapid atrial pacing None specified.
bipolar catheter to rate from 120 to
any ECG; external 600 ppm; 3 indepen-
input jack for dent programmable
programmed extra extrastimuli for
stimuli; burst electrophysiology;
pacing up to 2 tachycardia
600 ppm. termination methods
using extrastimu-
lation; audio
indicators and
alarms. Meets
requirements of TUV.

Colons separate data on similar models of a device.

8 2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Pacemakers, Cardiac, External

Product Comparison Chart


MODEL SEECOR SEECOR

STAT-PACE II STAT-PACE II (in


clamshell case)
WHERE MARKETED Worldwide Worldwide

FDA CLEARANCE Yes Yes


CE MARK (MDD) No No

TYPE Transesophageal Transesophageal


pacemaker pacemaker

PACING MODE(S) Fixed rate Fixed rate

PACING RATE, ppm 50-800 50-800

Continuous or
discrete settings Continuous Continuous

Number of settings NA NA

OUTPUT CURRENT, mA 5.5-60 5.5-60

Continuous or
discrete settings Continuous Continuous

Number of settings NA NA

PULSE WIDTH, msec 2-10 2-10

OUTPUT PROTECTION Yes Yes


ELECTRODES Compatible with any Compatible with any
bipolar catheter bipolar catheter
and Arzco pill and Arzco pill
electrodes electrodes

ECG Output adapter Output adapter

Monitor No No

Recorder No No

Blanking protection No No
DISPLAY
ECG waveform No No

Heart rate Indicator light Indicator light

Pacing rate Indicator light Indicator light


Output current No No
Battery status Indicator light Indicator light

Colons separate data on similar models of a device. This is the first of


two pages covering
the above model(s).
These specifications
continue onto the
next page.

2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 9
Healthcare Product Comparison System

Product Comparison Chart


MODEL SEECOR SEECOR

STAT-PACE II STAT-PACE II (in


clamshell case)
BATTERY
Type Disposable alkaline Disposable alkaline

Operating time, hr 100 100

Recharge time, hr NA NA

H x W x D, mm (in) 218 x 156 x 96 114 x 305 x 241


(8.6 x 6.1 x 3.9) (4.5 x 12 x 9.5)
WEIGHT, kg (lb) 2.27 (5) 2.3 (5.07)

PURCHASE INFORMATION
List price $3,450 $3,450

Warranty 1 year 1 year

Delivery time, ARO 2 weeks 2 weeks

Year first sold 1993 1986

Number sold to date Not specified Not specified


Fiscal year January to December January to December
OTHER SPECIFICATIONS Burst pacing up to Burst pacing up to
800 ppm; overdrive 800 ppm; overdrive
pacing (50-800 ppm); pacing (50-800 ppm);
temporary pacing. temporary pacing.

Colons separate data on similar models of a device.

10 2002 ECRI. Duplication of this page by any means for any purpose is prohibited.

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