GEM^® III AT

Dual Chamber ICD for Total Arrhythmia Management

GEM III AT
Model 7276

A total system for managing patients with both ventricular and atrial arrhythmias.

AT™ Trio offers a suite of atrial arrhythmia management tools:

• AT™ Monitoring provides detailed diagnostic information to guide atrial arrhythmia therapy regimens
• AT™ Intervention provides proactive and responsive pacing therapies designed to intervene when potentially proarrhythmic events are detected
• AT™ Termination treats atrial tachyarrhythmia episodes with custom therapy regimens to restore sinus rhythm

Clinically proven atrial therapy:

• Antitachycardia Pacing Therapy (ATP) successfully terminated 55% of atrial tachyarrhythmia episodes¹
• AT™ Intervention and AT™ Termination therapies reduced mean atrial tachyarrhythmia burden by 89%¹

AT™ Termination therapies for atrial tachyarrhythmias:

• Customized, tiered approach with Ramp, Burst+, and/or 50 Hz Burst ATP
• Cardioversion for symptomatic patients can be physician or patient controlled or programmed for timed automatic delivery

Ambulatory patient management with the handheld InCheck™ AT Patient Assistant:

• Allows patients to query atrial arrhythmia status anytime, anywhere
• Allows symptomatic patients to perform out-of-hospital cardioversion

Clinically proven to reduce inappropriate therapies:

• PR Logic™ is designed to maintain high sensitivity for ventricular tachyarrhythmias while increasing specificity for atrial arrhythmias and resulting in fewer unnecessary shocks for patients

Improved device longevity²

Medtronic Vision™ software and Quick Look™ home page simplify programming and follow-up

Ventricular Tachyarrhythmia Therapies:

• Antitachycardia pacing (ATP)
• Cardioversion
• Defibrillation

Dual chamber rate responsive pacing therapy

Common software and programmer for all Medtronic ICDs and pacemakers

Flexible lead choices for specific physician preferences

Delivered output for AT/AF cardioversion and VT/VF cardioversion or defibrillation: 0.4 — 30 J within 7 seconds charge time

Size: 39.5 cc, 78 g

Medtronic CareLink® Network

• The industry’s first Internet-based remote monitoring service that is comparable to an in-office device check
• Connects Gem III patients who are at home or traveling with physicians for “virtual office visits”
• Physicians can access device data anytime, from any Web-capable PC
• Provides comprehensive device data in approximately one-third the time of a typical office visit

References

1. Medtronic Jewel™ AF ICD clinical data on file.
2. 6.2 years using 15% DDD pacing, quarterly charges, 900 Ohm impedance, 2V pacing output, 0.6 ms pacing pulse width.

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