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Pain

Step 1. Patient Information

Step 2. Implant Physician Information

Step 3. Following/Attending Physician Information

Step 4. Device(s) Information

  -Choose which items are being implanted
  -Complete specific information for Pacemaker, IPG {Serial Number}
  -Complete specific information for Lead {Serial Number}
  -Complete specific information for Adapter {Serial Number}

Step 5. Review and Submit Registration

 

 

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Medtronic
Patient: LastName, FirstName  
Specific Implant Device Information
Lead {Serial/Lot Number}  
Model Number   Serial/Lot Number     Implant Date
{Filled in by server}   {Filled in by server}      
/
/
Manufacturer        
  {Product Family -Medtronic Only}

Location
Right Atrium   Superior Vena Cava
Right Ventricle   Coronary Sinus
Left Atrium    
Left Ventricle    

Pacing/Sensing Thresholds Lead measurements as measured by PSA or equivalent
Pulse Width   Voltage   Current
. ms   . V   . ma
    Impedance   Sensing
    ohms   P/R Wave . mV

Previous Device Data
Model Number   Serial/Lot Number
 
Device Manufacturer
 
  Prior Implant Date
   
/
/
 

 
 

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