Medtronic
 
 

Heart Failure

InSync Maximo™ CRT-D Device

The Medtronic InSync Maximo™ incorporates proven cardiac resynchronization therapy, high defibrillation safety margin, enhanced longevity, and sophisticated diagnostics to meet each patient's individual needs.

Key Features

Advanced Cardiac Resynchronization + ICD Therapies

  • 35 Joules, high energy output in 9 seconds or less throughout the life of the device1.
  • 6 years of longevity 2 (14% increase in longevity over InSync II Marquis).
  • Separately programmable ventricular outputs for adapting pacing outputs to unique patient needs
  • Special pacing functions to help manage heart failure patients who also experience atrial fibrillation.
  • Painless antitachycardia pacing (ATP) therapy to terminate 3 out of 4 episodes of fast ventricular tachycardia (VT).3
  • Enhanced PR Logic dual-chamber detection to maintain high sensitivity for ventricular tachyarrhythmias while improving discrimination for supraventricular tachycardias. Offers 95.2% accuracy (Positive Predictive Value) in delivered therapies.4
  • Programmable with the Medtronic CareLink® Programmer

Powerful Heart Failure Management and Advanced Patient Alert Capabilities

  • Heart Failure Management Report showing 14-month trends of key heart failure patient monitoring categories such as AT/AF Burden, ventricular rate during AF, heart rate variability, patient activity and night/day heart rates.
  • Observation messages highlighting heart failure related parameters outside of typical ranges.
  • Cardiac Compass® Report with additional information about ventricular arrhythmia detection and therapies.
  • Rate Histogram Report provides information about % pacing during episodes of AF, sinus rate profiles and ventricular rate profile during AF.
  • Advanced patient alert capabilities, including lead integrity, battery condition change, and ICD therapy issues.
  • Remote device follow-up with the Medtronic CareLink Network can dramatically reduce the time and resources required for routine device checks. Patients can use the Medtronic CareLink Service to transmit comprehensive device data using a standard phone line while at home, work or while traveling. Within minutes, clinics can view patient device data from any Internet-enabled PC using the secure clinician website. Learn more.

Mechanical Specifications

Volume     40 cc
Size: H x W x D   73 x 51 x 15 mm
Mass   78 g
Pace/sense ports   Three IS-1 bipolar (A, RV, LV)
Defibrillation ports   Two DF-1 (RV coil [HVB], SVC [HVX])
External shield   Titanium
Radiopaque ID   PRL
Battery   Lithium silver vanadium oxide; 3.2 V nominal

Medtronic CareLink® Network
Remote device follow-up with the Medtronic CareLink Network can dramatically reduce the time and resources required for routine device checks. Patients can use the Medtronic CareLink Service to transmit comprehensive device data using a standard phone line while at home, work or while traveling. Within minutes, clinics can view patient device data from any Internet-enabled PC using the secure clinician website. Learn more.

References
  1. Full formed capacitors.
  2. 100% DDD, atrial tracking, biventricular pacing, 70 min-1 average rate, 2.5 V/0.4 (A and RV), 3 V/0.4 (LV), 700 ohms equivilent pacing loads, 2 full energy charges per year.
  3. Wathen MS, Sweeney MO, DeGroot PJ, et al. Shock reduction using antitachycardia pacing for spontaneous rapid ventricular tachycardia in patients with coronary artery disease. Circulation. August 14, 2001;104:796-801.2.
  4. Accuracy based on Positive Predictive Value (PPV). Wilkoff B, Gillberg J, DeSouza C. The Enhanced PR Logic dual chamber tachyarrhythmia detection algorithm: retrospective analysis of supraventricular tachycardia with long PR intervals. JACC Abstract #$873-4, Feb. 2001.

Additional Information