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Boston Scientific — Демо-режим (учебный симулятор)
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Ivanov V.V.
М · 1959-09-02 (66 лет) · ESSENTIO MRI L110
VVIR Single-V Постоянная ФП
Простой кейс. Стабильная стимуляция, минимум аритмий. 4 follow-up визита, 13 изменений настроек на последнем визите.
Petrov P.P.
М · 1942-07-01 (83 года) · ESSENTIO MRI L111
DDDR 100% V Paced PMT ↑ порог V
Сложный случай. Растущий порог V (0.4 → 1.4 В), 5 PMT-эпизодов, DDDR при стимулятор-зависимости — спорная конфигурация.
Sidorov S.S.
Ж · 1938-10-25 (87 лет) · AUTOGEN X4 CRT-D G177
VVIR BiV 98% VT 4 (1 shock) ↑ порог A 2.4→3.1 В
CRT-D, persistent AF, BiV-pacing 98% (target). LVEF 30→38% post-CRT. 4 устойчивых VT за 6 мес: 3×ATP, 1×shock 25J. Atrial threshold trending up.
Smirnova M.A.
Ж · 1955-03-14 (71 год) · ESSENTIO MRI L111
DDDR V imp 1850 Ω Threshold V 3.5 V 47 NSVT (oversens?)
Подозрение на перелом V-лида. Импеданс V вырос с 580 до 1850 Ω. Множественные NSVT — вероятно oversensing. Срочная радиография.
Kovalenko I.M.
М · 1955-04-18 (71 год) · ESSENTIO MRI L111
DDDR PMT × 6 PVARP 250 ms
Pacemaker-mediated tachycardia: 6 эпизодов за месяц, endless loop через ретроградную P-волну. Лиды в норме. Решение — удлинить PVARP.
Yakovleva G.P.
Ж · 1949-12-08 (76 лет) · ESSENTIO MRI L111
DDDR paroxysmal AF ATR × 14 AF burden 8.4%
Пароксизмальная ФП, AF burden нарастает (1% → 8.4% за 6 мес). Mode Switch работает, но эпизоды учащаются. Настройка ATR threshold и duration.
Morozov V.S.
М · 1957-06-22 (68 лет) · ESSENTIO MRI L111
DDD PICM, ФВ 55→28% QRS 100→165 ms Upgrade DDD→CRT?
Pacemaker-induced cardiomyopathy после 4 лет RV-pacing 99%. NYHA II-III, ОМТ. По HRS/ESC показан upgrade на CRT-D — обсуждение HF-team.
Tarasov K.D.
М · 1952-09-10 (73 года) · ESSENTIO MRI L111
DDDR Exit block Threshold V 4.5 V Capture loss × 4
Растущий порог V (0.9 → 4.5 V за 6 мес) при стабильном импедансе. Output 2.5 V ниже порога — capture loss. Решение: Output ≥ 9 V.
Kuznetsov A.V.
М · 1948-11-22 (77 лет) · ALTRUA 2 DR S702
DDD Battery ERI 100% V-paced 8.8 года
Pacemaker-dependent. Батарея в ERI (Elective Replacement) — замена в течение 1-3 мес. Амплитуда снижена до 2.5 V для экономии заряда.
Самопроверка: режимы, маркеры EGM, базовые понятия программирования
⚠ Только для обучения. Это симулятор интерфейса программатора. Не используется для реального программирования устройств.
© 2026 Михмель А.В., врач-разработчик  ·  v4.0.0-α35  ·  babab.ru  ·  📡 Off-line Mode
Авторский программный продукт. Все права защищены ст. 1259, 1301 ГК РФ. Несанкционированное копирование, модификация и коммерческое использование запрещены.
A Rate
—
V Rate
—
SYSTEM SUMMARY
👤 Patient Info
Last Follow Up
—
Implant Date
—
Device Model
—
🛡
Leads OK
Daily lead measurements are within range.
POST is complete. See results on Quick Notes and Follow-up reports.
🔋
Battery OK
Approximate time to explant: > 8 years
EVENTS SUMMARY
Since Last Reset
—
SVT Episodes (V≤A)
—
Nonsustained Episodes
—
Atrial Episodes > 48 hr
—
SAM Episodes
—
VT Episodes (V>A)
—
Percent Paced
A—
V—
⚙SETTINGS SUMMARY
Mode
—
LRL — MSR
—
Paced AV Delay
—
Sensed AV Delay
—
UTILITIES
Setup
Date and Time
Network Setup
Software Update
About
Device Memory
Heart Connect™
🎓 Training

CONFIGURE SETTINGS

Language
Communication Mode

PROGRAMMER CLOCK

Date
Time : hh:mm

TIME ZONE

DEVICE CLOCK

Date 04 May 2026
Time 15:16 hh:mm

ETHERNET

Status Connected
IP Address 10.42.18.142
DHCP Automatic (IPv4)
MAC Address 00:1B:44:11:3A:B7

WI-FI

Adapter 802.11 a/b/g/n/ac (2.4 + 5 GHz)
Status Disconnected

BLUETOOTH®

Status Discoverable
Paired Devices 0
Configuration details — see Network and Connectivity Operator's Manual (Model 3924).

SELECT AN OPTION FOR AVAILABLE BOSTON SCIENTIFIC SOFTWARE UPDATES

Updates are delivered online via the Internet and may also be supplied on USB pen drives. After successful installation the Programmer will restart.
ⓘ Mandatory updates must be installed and cannot be unselected. Boston Scientific is automatically informed when an update has been successfully downloaded.
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 35–36
System Information
Capabilities
Connections
Accessories
Specifications
Symbols
Warnings
Maintenance
Troubleshooting
Compliance
Security
Acknowledgements
Institution
Device ModelL110
Device Serial Number945727
Device TypeSingle Chamber Pacemaker
Programmer Model3300
Programmer Serial Number032251

Installed Applications

ProductModelVersion
Data Management App39310.03.14
ICD/CRT-D Support App38680.03.14
MAU App39090.03.14
Network Setup App39240.03.14
Pacemaker/CRT-P Support App38690.03.14
Platform Operating System39200.00.11
PSA App39220.03.14
Quick Start39230.03.14
Software Update App39210.03.14.01
© 2026 Михмель А.В., врач-разработчик
Учебный симулятор. v5.0.0 · Build: babab-MAV-5.0.0
Все права защищены ст. 1259, 1301 ГК РФ. Сайт: babab.ru
Программа НЕ ЯВЛЯЕТСЯ медицинским изделием.

Essential Performance

  • Interrogate/program supported PG via wanded, inductive, and RF telemetry
  • Initiate STAT PACE, PSA STAT PACE, STAT SHOCK, or DIVERT THERAPY commands
  • Display real-time intracardiac electrograms (EGM)
  • Touchscreen tap and button-press interaction
  • Deliver pacing and perform impedance lead measurements (PSA)

Hardware

  • Color touchscreen display (capacitive)
  • Internal hard drive
  • Patient ECG cable + PSA cable inputs
  • DisplayPort output for external display
  • 4 USB ports (3 × USB 2.0 + 1 × USB 3.0)

Interrogation & Programming

  • Interrogates and programs the implantable PG
  • Records, stores patient data; evaluates alternative prescriptions; generates reports
  • Use in EP lab, OR, ER, clinical environments, or patient bedside
  • Pacing System Analyzer (PSA) application for cardiac lead assessment
  • Real-time electronic capture of PG and PSA events
  • PDF export of surface ECG, intracardiac EGMs, and event markers
  • Emergency access: STAT SHOCK, STAT PACE, DIVERT THERAPY
  • ZIP telemetry — cordless, hands-free RF communication with the PG

Patient Data Management

  • Print, save, or transfer related data via Bluetooth or USB pen drive
  • During or after implant/follow-up session
  • Transfer to clinic computer for processing/handoff to EMR systems

Networking

  • Ethernet and wireless (Wi-Fi) connectivity for data transmission
  • Bluetooth® connectivity for data transfer (e.g., to laptop) and printing

Software

  • Updates delivered via Internet or USB pen drive
  • Utilities → Software Update tab (Easy Install or Custom Install)
  • Mandatory updates cannot be unselected
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 2, 11–13

Patient Side Panel — Right Side (Figure 2)

LVPSA LV6763 (green) A/RVPSA A/RV6763 (l. gray) ⌇ECG3153 (d. gray) ⊓Future use(brown) S-ICD Wand3203 (black) Telemetry Wand6395 (blue)
All patient-side connections are Type BF or CF, defibrillation-protected. Type CF (PSA cables) — direct cardiac contact rating.

Physician Side Panel — Left Side (Figure 3)

⏻Power(l. gray) USBUSB 2.0(d. gray) USBUSB 2.0 USBUSB 2.0 3.0USB 3.0(blue) RJ45Ethernet(LAN)(orange) DP++DisplayPortOut(red-orange) DC Power6689 (green)
External equipment must comply with applicable data-processing & medical-electrical standards. Keep electrosurgical cables ≥30 cm from the Programmer.

Surface ECG — Electrode Configuration

  • Attach surface electrodes in a standard 3-wire or 5-wire configuration via the Model 3153 cable
  • Up to 4 surface traces displayed: choose from 6 limb leads (I / II / III / aVR / aVL / aVF) or 1 chest lead (V)
  • Pacing spike markers are annotated on the top displayed lead. To display them correctly, the electrodes connected to the Lead-II trace must be on the patient — regardless of which lead is shown on top
  • Surface Rate readout = ventricular rate
  • If excessive ambient HF noise is present (e.g., unattached electrodes), surface traces can be turned off

STAT Button

Red ⚠ STAT button on the top-right of the front panel. Depending on the active session it provides STAT PACE, STAT SHOCK, DIVERT THERAPY, or PSA STAT PACE.

Indicator Lights

  • Power button — illuminates when the Programmer is on
  • Model 6395 Telemetry Wand — front-face light illuminates when inductive telemetry is established and actively communicating with a PG

Electrosurgical Cable Distance (Fig 7)

LATITUDE Programmer Model 3300 ≥ 30 cm (12 in) Electrosurgical System cables & ground pad
Electrosurgical cables (including ground-pad cable) must be kept ≥30 cm from the Programmer to avoid false screen traces. Never stack the Programmer on an electrocautery system; do not drape cautery cables on or near the Programmer.

ZIP™ RF Telemetry — Preparation

  • Position the LATITUDE Programming System within 3 m (10 ft) of the PG for optimum ZIP communication
  • Remove physical obstructions between Programmer and PG
  • Reorienting or repositioning the Programmer may improve telemetry performance
  • Model 3203 S-ICD Telemetry Wand can serve as a third RF antenna (place ≤0.6 m / 2 ft from PG; disconnect when not used to prevent dropouts)
  • If ZIP fails — fall back to Model 6395 Telemetry Wand for inductive interrogation

9 Steps to Improve ZIP (RF) Telemetry Performance

  1. Disconnect all unused cables and wands; stow them safely
  2. Remaining patient-side cables (PSA, ECG) should exit perpendicular to the Programmer and route directly toward the patient
  3. Remaining physician-side cables (power, USB, DisplayPort, Ethernet) should be routed away from the patient
  4. Move any nearby electrical equipment (laptop, monitor) and metal objects away from the Programmer
  5. Move the Programmer closer to the patient, ideally away from crowded locations
  6. Rotate the Programmer up to 45° clockwise/counter-clockwise, or place it in the optional Model 6755 Stand
  7. Ensure clinic staff are not in the line of sight between Programmer and the implanted PG
  8. Attach Model 3203 S-ICD Telemetry Wand and place ≤0.6 m (2 ft) of the implanted PG (use Model 3320 cover in sterile field; place on the patient's stomach)
  9. If ZIP still fails, fall back to Model 6395 Telemetry Wand for inductive (wanded) interrogation

Internal Antenna Locations (Fig 8 — approximate)

Touchscreen STAT 📡 ZIP-MICS 📡 ZIP-ISM 📶 Wi-Fi/BT
Internal antennas are located near the bottom of the enclosure (positions are approximate per Fig 8). Avoid blocking these areas with cables, hands, or external objects during telemetry. The Model 3203 S-ICD Wand can also serve as an external auxiliary RF antenna for difficult ZIP cases.
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 16–23, Figures 2–8

Telemetry Wands

Model 6395Telemetry Wand — transvenous PG, re-sterilizable
Model 3203S-ICD Telemetry Wand — also usable as auxiliary RF antenna
Model 3320Intraoperative Probe Cover — sterile sheath for both wands

PSA Cables & Adapters

Model 6763PSA Cable — re-sterilizable, re-usable; Elastosil R401 silicone covers
Model 6697PSA Disposable Cable (Remington S-101-97) — single-use, requires 6133
Model 6133Safety Adapter (Remington ADAP-2R)

ECG Cables

Model 3153Fixed Patient Leads ECG Cable — defibrillation-protected, 3.9–4.3 m
Model 6629ECG-BNC Slave Cable — to external ECG monitor

Power

Model 6689Power Adapter (supply) — 100–240 V, 456 W max
Model 6175AC Power Cord (3-prong), 2.4 m
Model 6753Lithium-ion Battery — 7.5 A·hr, rechargeable, replaceable

Optional External Equipment

Model 6755Stand — clip-on, two viewing angles, rear storage pocket
External PrinterUSB 2.0 / USB 3.0 printers; Bluetooth® printers supported
USB Grounding Plug & CableEarth-grounding for noise reduction
External Displayvia DisplayPort output (use shielded cable; emissions CISPR 32)
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 13–16

Physical & Safety

Safety classificationClass I; ECG/Wand connections Type BF (defib-protected); PSA connections Type CF (defib-protected); IPX0
Dimensions (no stand)30.7 × 34.0 × 12.5 cm
Weight (no battery)3.58 kg (Programmer); +0.45 kg battery; +1.28 kg stand
Operating temperature10 – 32 °C (50 – 90 °F)
Storage temperature−20 – 60 °C (−4 – 140 °F)
Operating altitude≤ 3 000 m (≤ 9 843 ft)
Defibrillator protectionup to 5 000 V (400 J)

Power & Battery

Power adapter (6689)100–120 V, 50/60 Hz, 3.8 A · 220–240 V, 50 Hz, 1.9 A · 456 W max
AC power cord (6175)2.4 m (8 ft), 100–240 V, 3-prong
Battery (6753)7.5 A·hr Li-ion · ~2 h normal operation · 2–2.5 h to full recharge

ECG Performance

Min amplitude detected4.56 μV
Lead selectionI, II, III, aVR, aVL, aVF, V
Rate display (intrinsic + paced)30 – 120 bpm ± 4 bpm · 120 – 240 bpm ± 8 bpm (3-beat average)
Input impedance> 2.5 MΩ
Electrode offset tolerance300 mV
Storage resolution800 samples/sec · 4.56 μV
Filter ON0.5 – 40 Hz, ±0.2 dB, with 50 & 60 Hz notch
Filter OFF0.5 – 100 Hz, ±0.2 dB (flat) · 0.05 – 100 Hz, +0.2/−3.0 dB · no notch
Gain settings0.5, 1, 2, 5, 10, 20 mm/mV (±25%)
ECG cable (3153)3.9 – 4.3 m, defibrillation-protected, current-limited

Radio / Telemetry

ZIP MICS (PG)402 – 405 MHz · FSK · < 145 kHz BW · < 25 μW E.I.R.P.
ZIP ISM (PG)902 – 928 MHz · ASK · < 650 kHz BW · < 0.75 mW E.I.R.P.
6395 Wand (inductive)TX 20 kHz / RX 0–100 kHz · OOK/QPSK · < 13.7 dBμV/m @ 3 m
Bluetooth®2.40 – 2.4835 GHz · GFSK / π/4-DQPSK / 8DPSK · < 9.6 mW E.I.R.P.
Wi-Fi 2.4 GHz2.40 – 2.4835 GHz · 802.11 b/g/n · 20/40 MHz · < 80 mW E.I.R.P.
Wi-Fi 5 GHz5.150–5.350 / 5.470–5.725 / 5.725–5.850 GHz · 802.11 a/n/ac · 20/40/80 MHz · < 50 mW E.I.R.P.

Electrical Safety Testing (IEC 62353 reference)

Earthbond≤ 300 mΩ (incl. power cable ≤ 3 m)
Equipment leakage (direct method)≤ 500 μA
Patient leakage — 6395 Wand (BF)≤ 5 000 μA
Patient leakage — ECG (BF)≤ 5 000 μA
Patient leakage — PSA (CF)≤ 50 μA
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 66–69 (Tables 6, 7, 8)

Identification

REFReference number
SNSerial number
LOTLot number
A/NAssembly number
🏭Manufacturer
EC REPAuthorized Representative in the European Community
📅Date of manufacture

Connectors / Applied Parts

↯⤓ (BF)Defibrillation-proof type BF applied part
♥ (CF)Defibrillation-proof type CF applied part — direct cardiac contact (PSA)
⌇ ECGECG cable connector (dark gray, Model 3153)
⊓ FutureFuture-use connector (brown)
🅗 Wand 6395Model 6395 Telemetry Wand connector (blue)
🅢 Wand 3203Model 3203 S-ICD Telemetry Wand connector (black)
🅛 PSA LVPSA LV cable connector (green)
🅐 PSA A/RVPSA RA / RV cable connector (light gray)

Hardware Ports

⏻Power button (Standby) — left side panel
USB 2.0 / 3.0USB ports (3 × 2.0 + 1 × 3.0)
DP++DisplayPort output
RJ45 ⬜Local Area Network (Ethernet) port
⊝–⊕ DCDC power connection (Model 6689 adapter)
∼Alternating current
📡 RFNon-ionizing electromagnetic radiation; ZIP telemetry indicator
📶 BT®Bluetooth® enabled
⊟+Battery indicator

Hazards / Warnings

⚠ Red STATRed STAT button — low-voltage and high-voltage rescue commands
⚡Warning, electricity — do not touch battery connector terminals (electrical charge present)
⚠ ISO 7010-W001General warning symbol (ECG connector)
🚫 MagnetMR Unsafe — keep outside MRI site Zone III/IV
🗲Risk of electric shock — refer servicing to Boston Scientific

Sterilization / Handling / Disposal

STERILE EOSterilized using ethylene oxide
ℹConsult instructions for use
⬆This side up
🍷Fragile, handle with care
☔Keep dry
🪝🚫Do not use hooks
🌡Temperature limitation
💧%Humidity limitation
⊝Atm⊕Atmospheric pressure limitation
♻Recycle box
♻🗑WEEE — separate collection for electrical/electronic equipment (not in trash)
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 58–61 (Table 4 — Symbols on Devices and Packaging)

Contraindications

  • LATITUDE Programming System — contraindicated for use with any PG other than a Boston Scientific PG
  • PSA application — contraindicated for use with any programming system other than Model 3300
  • PSA — AV conduction disorders with atrial single-chamber pacing
  • PSA — competing intrinsic rhythms with asynchronous modes (AOO/VOO/DOO) — implemented in clinical-validate
  • PSA — chronic atrial tachycardia / chronic AF / flutter with atrial-control modes (DDD, VDD)
  • PSA — poor tolerance of high V rates (e.g., angina pectoris) with tracking modes and propensity for atrial tachycardia
  • PSA — use as an external pacemaker (only suitable for temporary external pacing during implant under continuous monitoring)

Warnings — Electrical & Patient Safety

  • Use of unspecified cables and accessories — can increase EMI emissions, reduce immunity, or cause electrical shock. Use only Boston Scientific-specified cables.
  • RF communications equipment — keep ≥30 cm (12 in) from the Programmer (including antennas, wands, cables).
  • Connector contacts — do not simultaneously touch the patient and any accessible connector or exposed conductor.
  • Electric shock — only connect the Model 6689 Power Adapter to a grounded/earthed power outlet.
  • Battery access — power off the Programmer before removing battery. Do not touch battery compartment terminals (charge present).
  • Electrostatic charges — PSA leads are in electrical contact with the heart/blood. Discharge static before touching patient/cables.
  • Electrical currents from unused PSA cables — attach unused connections to surgical draping or disconnect from system.
  • Use of protective sleeves — incorrect positioning of silicone rubber sleeves over PSA cable clips can cause unintended electrical connections.
  • Do not use wet cables — moisture impairs cable function and endangers the patient.
  • Exposure to fluids — power down + disconnect external supply before cleaning; let agents evaporate before operating.

Warnings — Electrocautery & Defibrillation

  • Electrocautery — Programmer is electrocautery-safe but currents may still be induced in PSA cables. Recommendations:
    • Place Programmer as far from electrocautery as possible
    • Never stack Programmer on electrocautery system or its components
    • Do not drape electrocautery cables on or near Programmer
    • Whenever possible, disconnect PSA cables from leads during electrocautery
    • Check Programmer operation after the procedure
    • If error condition occurs, Programmer must be power-cycled — no pacing for up to 1 min during reset → keep backup PSA/pace resource available
  • External defibrillation — Programmer is defibrillation-safe (up to 5000 V / 400 J):
    • PSA cable must be disconnected from lead(s) before external defibrillation
    • Whenever possible, disconnect all cables from the patient during defibrillation
    • If connected during defibrillation, verify Programmer operation afterwards
  • Induction (PSA Burst Pacing) — may cause unpredictable arrhythmias. Always have cardiac emergency equipment (external pacemaker, external defibrillator) in operational status available for immediate life support. Consider additional preemptive measures in patients where rhythm acceleration/loss could be life-threatening.

Warnings — Location & Environment

  • LATITUDE location — avoid placing the Programmer adjacent to or stacked with other equipment; if necessary, observe that all equipment operates normally.
  • Must remain outside sterile field — the Programmer is non-sterile and cannot be sterilized.
  • Physiological signals — operating with physiological signals below minimum detectable amplitude (4.56 µV) may cause inaccurate results.
  • MR Unsafe — Programmer must remain outside MRI site Zone III (and higher) — never bring into scanner/control room or Zones III/IV.
  • Emissions and interference (CISPR 11 class A) — suitable for industrial areas/hospitals; in residential environments may not protect adjacent RF communication services — user may need to relocate or reorient.

Warnings — Power & Pacing Continuity

  • External pacing equipment — if patient is pacer-dependent and Programmer encounters fault, pacing operation continues unless fault is in PSA component itself. Always have external pacing equipment available for back-up.
  • Loss of power — depleted internal battery or no battery can suspend Programmer if AC is interrupted. Connect AC when battery ≤25%. Do not replace battery while operating on battery power.
  • Loss of pacing support — always have external cardiac pacing equipment available:
    • POST/self-test: pacing off for up to 1 min at startup or restart
    • Connecting PSA cable to wrong lead may cause ineffective sensing/pacing
    • If user manually restarts Programmer, pacing support is lost until self-test completes
    • No battery installed → pacing support lost if AC lost
  • Impaired AV conduction — single-chamber atrial modes (AAI) and antegrade conduction tests are contraindicated. Implemented in clinical-validate.
  • Abruptly terminating pacing — may result in extended asystole. Gradually decrease pacing rate. Implemented in clinical-validate.
  • Loss of capture — pacing threshold testing implies loss of capture → asystole and pacing during vulnerable periods can occur. Consider patient health before threshold test.
  • Lithium-ion battery shipping — air shipping ≤30% charge; ground shipping unrestricted; handling label required for air.

Precautions — General

  • Functional impairment due to external damage — do not use after mechanical impact/drop; contact Boston Scientific for return.
  • Programming System — use only the appropriate LATITUDE system with appropriate software for specific PGs.
  • Wand use — for transvenous PG telemetry, use only Model 6395 Telemetry Wand.
  • Stylus use — only projected capacitance stylus; other objects may damage the touchscreen.
  • Electrocautery cables — keep ≥30 cm from the Programmer to avoid false signals.
  • Leakage current — external equipment must be kept outside patient environment. Never touch electrical contacts on side panels and the patient/wand/cable simultaneously.
  • Wand temperature (Model 6395) — telemetry >8 h may require thermal insulator (head 33-41 °C / 88-106 °F).
  • PSA connections — ensure leads connected appropriately. Incorrect setup → pacing/sensing displayed under wrong chamber. Saved measurements automatically labelled by chamber on screen.
  • Ventricular Sensing (PSA) — at startup, PSA mode = ODO; V-sensing config = Bi-V (default). Selecting ODO/OVO sets sensing to Bi-V regardless of prior config.
  • ECG cable open/short — check cables first; replace if cracked, worn, or non-functional.
  • Model 6689 Power Adapter — gets warm in use/charging; do not place in stand storage pocket while in use.
  • Ethernet — connect only to RJ45 LAN port (LAN use only — not for telephone). Insertion/removal during operation may affect networking.
  • Inductive telemetry — battery-only operation may reduce wand-to-implant telemetry distance; use AC to improve.
  • Battery operation during long-term storage — remove battery to prevent discharge for long storage (months).
  • Date and time accuracy — inability to access remote time server may cause time discrepancies; Boston rep can set manually.
  • Patient data — stored on Programmer up to 14 days; delete before shipping or when out of direct control. Only pair to known Bluetooth devices.
  • USB devices — control USB devices to limit malware introduction.
  • External device battery usage — USB/display use depletes battery; refrain when on battery ≤25%.
  • Software — ensure latest software installed; Boston rep can provide updates via USB pen drive.
  • Model 6395 Wand shipped non-sterile — remove from packaging before sterilizing; if used in sterile field, sterilize first or enclose in Model 3320 sheath.
  • Model 3203 S-ICD Wand shipped non-sterile — enclose in Model 3320 sheath for sterile field use.
  • Electrical and magnetic interference — avoid telemetry near monitors, high-frequency electrocautery, or strong magnetic fields.
  • External antenna usage — Model 3203 S-ICD wand may serve as auxiliary RF antenna. Disconnect when not used to prevent telemetry dropouts.
  • Equipment modifications — no modification allowed unless approved by Boston Scientific (would void user's authority).

Precautions — Maintenance & Handling

  • Cleaning — no abrasive cloths or volatile solvents.
  • Magnet handling — do not place a magnet on the Programmer.
  • Presence of flammables — Programmer is not waterproof or explosion-proof; do not use with flammable gas mixtures (anesthetics, O₂, N₂O).
  • Disconnecting — press & release power button to turn off, then disconnect power cord.
  • Programmer accessibility — ensure sides accessible so power adapter cord can be disconnected.
  • Lithium-ion battery (Model 6753):
    • Do not expose to temperatures >60 °C (140 °F)
    • Do not puncture (fire/explosion risk)
    • Do not strike or subject to strong impact
    • Do not submerge in fluids
    • Do not connect + and − terminals with wire/conductive objects
    • Do not disassemble, modify, or repair
    • Only use Model 3300 Programmer to charge — any other charger can damage battery or cause fire/explosion

RF Performance Guidelines

  • Avoid telemetry communication near monitors, HF electrosurgical equipment, or strong magnetic fields — link (RF or inductive) may be impaired
  • Do not loop any cables around or over the Programmer
  • Cables on physician-side and patient-side panels should be kept on their respective sides to minimize coupling
  • Route cables directly away from Programmer when possible
  • When using DisplayPort to external monitor:
    • Keep monitor and cable routed away from Programmer
    • Use high-quality shielded cables with integral conversions (e.g., DisplayPort→HDMI) when possible
    • Minimize use of active adapters other than those identified by Boston Scientific

Adverse Effects

  • None known.
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 2–11 (Contraindications, Warnings, Precautions, Adverse Effects)

Cleaning the Programmer

  • Before cleaning: turn off, disconnect power cord, remove battery
  • Clean enclosure and touchscreen with a soft cloth lightly dampened with water, isopropyl alcohol, or mild detergent
  • DO NOT use a hand disinfectant solution on the Programmer or display
  • DO NOT allow cleaning solution or moisture to contact ports on the sides
  • DO NOT allow cleaning solution or moisture to contact the speaker/microphone openings on the bottom front
  • DO NOT use abrasive cloth or volatile solvents

Cleaning Cables and Wands

  • Soft cloth dampened with mild cleaning solution: green soap, green soap tincture (U.S. Pharmacopoeia), Borax, or alcohol-free hand soap
  • Remove residue with fresh cloth dampened with sterile water; towel-dry or air-dry
  • DO NOT use an ultrasonic cleaner
  • DO NOT immerse cables
  • DO NOT immerse Model 6395 or Model 3203 Telemetry Wands
  • DO NOT allow fluid to enter the wand cavity
  • Discard PSA/ECG cables and wands if surface cracks appear, cables discolor, become visibly worn, or labelling becomes unreadable

Disinfecting ECG and PSA Cables

  • 2% glutaraldehyde solution (e.g., Cidex)
  • 10% Sodium Hypochlorite bleach solution
  • Or a general medical-external-device disinfection solution per product instructions

Sterilization — Ethylene Oxide (EO)

Applicable to Model 6763 PSA Cable and Model 6395 Telemetry Wand. Model 3203 S-ICD Wand cannot be sterilized.
ParameterValue
Temperature maximum60 °C (140 °F)
Pressure differential106 kPa (15.4 psi)
Humidity maximum85% non-condensing
EO dwell time maximum2 hours
EO concentration minimum450 mg/L
Minimum aeration time12 hours at 60 °C (140 °F)
Max sterilization cycles6763 PSA cable = 50 · 6395 Wand = 25

Sterilization — Steam (Model 6763 only)

ParameterValue
Temperature maximum118 °C (244 °F)
Pressure differential96.5 kPa (14 psi)
Steam dwell time maximum30 minutes
Max sterilization cycles50

Sterilization — Flash (Model 6763 only)

ParameterValue
Temperature maximum134 °C (273 °F)
Pressure differential213.7 kPa (31 psi)
Flash dwell time maximum6 minutes
Max sterilization cycles50

Battery Removal & Installation (Fig 30-31)

  • Power off the Programmer; disconnect AC adapter
  • Underside: press Battery release button and slide cover (Fig 30)
  • Reverse direction to replace the cover
  • Lift battery using the battery lift-out tab; release retaining strap
  • Battery status LEDs on top of battery indicate 25% / 50% / 75% / 100%
  • Battery connector terminals are partially hidden; do not touch (charge present)
  • Use only Model 3300 Programmer to charge — any other charger may damage the battery or cause fire/explosion
  • Air shipping: battery charge must not exceed 30%

Storage & Transport

  • Press End Session, press & release power button, then unplug power cord from wall
  • Unplug all external cables and cords prior to transporting
  • Keep vents on the bottom of the Programmer free from obstruction
  • If stored outside normal operating conditions, let device reach ambient operating temperature range before use
  • Programmer is capable of continuous operation — will not auto-shut-off when unused
  • Fan turns on/off automatically to maintain optimum internal temperature
  • For long-term storage (months), remove the battery to prevent discharge

Service

  • Programmer must be serviced by Boston Scientific personnel only
  • If malfunction: leave configuration as it was at time of malfunction; contact Boston Scientific (info on back cover)
  • Save all PG data to a USB pen drive before returning — all patient and PG data will be erased on return
  • Remove the Lithium-ion battery before returning the Programmer; do not include the battery in the shipment
  • Pack in original shipping container or BSC-provided container
  • IEC/EN 62353 safety test every 24 months or per local regulations
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 42–52 (Maintenance, Service)

Troubleshooting — General Approach

  • Check that electrical cords and cables are securely connected
  • Check that cords and cables are in good working order (free of visible defects)
  • Cracked / discoloured / worn cables should be replaced

Telemetry — Poor / Intermittent / No Communication

Possible CauseCorrective Action
Incorrect application software or wrong Programmer for the PGInstall proper PG app; verify PG ↔ Model 3300 compatibility with Boston Scientific
Incorrect telemetry wandUse only Model 6395 Telemetry Wand for transvenous PGs
Poor connection between wand and ProgrammerDisconnect and reconnect the Model 6395 Wand
Programmer on battery power onlyConnect AC power — improves inductive telemetry distance
Excessive radio emissions from nearby equipmentReposition the Programmer; check ECG noise table below
Incomplete wand telemetryReposition wand over PG · flip wand over · disconnect/reconnect · power-cycle Programmer · try another wand/Programmer
RF signal obstructedEnsure clear line-of-sight between Programmer and PG; repeat interrogation
RF signal interferenceReposition Programmer; repeat interrogation
ZIP RF telemetry failsReposition Model 6395 Wand over PG; use Model 3203 S-ICD Wand as auxiliary antenna; see 9-step ZIP procedure in Connections tab
Programmer software version not currentContact Boston Scientific

ECG — Noise Problems

Possible CauseCorrective Action
Improper patient connectionsRecheck patient leads for adequate skin contact and correct limb-lead placement; confirm Right Leg Drive is connected
Excessive radio emissionsPower off / move away unneeded electrical equipment; route ECG cable away from AC cords; intertwine excess ECG-lead lengths
Ground loop / grounding issueGround the Programmer to a conductive patient bed (when applicable) via USB grounding cable; verify building outlet ground resistance <10 Ω (low-impedance measurement)
Harmful interference from / to other RF devicesReorient or relocate; increase separation distance; connect to outlet on different circuit or use battery power

Other Symptoms

SymptomCauseAction
Missing shock markers during shock deliveryNoise prevents shock marker reception at max telemetry distance (6 cm / 2.35 in)Review surface ECG for shock confirmation · review PG's Arrhythmia Logbook
Displayed clock driftsLow internal clock battery (not field-replaceable)Return Programmer to Boston Scientific for internal-clock-battery replacement
Unable to print to USB printerNot connected properlyCheck USB cable connections between printer and Programmer; wait 30 seconds after connect for system to recognise printer; check USB port type (2.0/3.0)
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, Table 3 (pp. 52–57)

Safety Standards

  • IEC 60601-1 — Medical electrical equipment, general requirements for basic safety and essential performance
  • IEC 60601-1-2:2014 — Electromagnetic disturbances, requirements and tests
  • IEC 62353 — Recurrent test and test after repair of medical electrical equipment (used every 24 months or per local regulations)

EMC — Emissions & Immunity (CISPR 11 class A)

Suitable for use in professional health care facility environments (industrial areas / hospitals). May not adequately protect adjacent RF communication services in a residential environment.
TestCompliance
Electrical fast transients / bursts±2 kV input AC power · ±1 kV SIP/SOP
Surges line-to-line±0.5 kV, ±1 kV input AC power
Surges line-to-ground±0.5 kV, ±1 kV, ±2 kV input AC power
Conducted disturbances induced by RF fields3 V/m from 0.15 MHz to 80 MHz · 6 V/m in ISM bands
Voltage dips0% UT for 0.5 cycle at 0°, 45°, 90°, 135°, 180°, 225°, 270°, 315° · 0% UT for 1 cycle · 70% UT for 25/30 cycles at 0°
Voltage interruptions0% UT for 250/300 cycles
ISM bands (0.15–80 MHz): 6.765–6.795 · 13.553–13.567 · 26.957–27.283 · 40.66–40.70 MHz.
Amateur radio bands (0.15–80 MHz): 1.8–2.0 · 3.5–4.0 · 5.3–5.4 · 7.0–7.3 · 10.1–10.15 · 14.0–14.2 · 18.07–18.17 · 21.0–21.4 · 24.89–24.99 · 28.0–29.7 · 50.0–54.0 MHz.

Radio Spectrum Compliance

RadioFrequency BandModulationPower (E.I.R.P.)
ZIP MICS (MedRadio)402–405 MHzFSK< 25 µW
ZIP Telemetry (ISM)902–928 MHzASK< 0.75 mW
Model 6395 Wand (inductive)Transmit 20 kHz · Receive 0–100 kHzOOK / QPSK< 13.7 dBµV/m @ 3 m
Bluetooth®2400.0–2483.5 MHzGFSK, π/4-DQPSK, 8DPSK< 9.6 mW
Wi-Fi 2.4 GHz2400.0–2483.5 MHzIEEE 802.11 b/g/n< 80 mW
Wi-Fi 5 GHz5150–5350 · 5470–5725 · 5725–5850 MHzIEEE 802.11 a/n/ac< 50 mW

FCC Information

  • Boston Scientific declares this device is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC for Radio and Telecommunications Terminal Equipment (RTTE)
  • For full Declaration of Conformity — contact Boston Scientific (information on back cover of manual)
  • No modification of this equipment is allowed unless approved by Boston Scientific. Unapproved changes or modifications could void the user's authority to operate the equipment

Essential Performance (per IEC 60601-1-2)

  • Interrogate and program a supported PG using wanded, inductive, and RF telemetry
  • Initiate STAT PACE, PSA STAT PACE, STAT SHOCK, or DIVERT THERAPY commands
  • Display real-time intracardiac electrograms
  • Support touchscreen tap and button-press interactions
  • Deliver pacing and perform impedance lead measurements (PSA)
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 61–65 (Tables 5–8: EMC, Radio, Network specifications)

Security Overview

All patient data is encrypted on the Programmer internal hard drive. The Programmer has network security safeguards in place to prevent malicious attacks. Sensible security practices are needed to protect patient data and Programmer integrity when connected to a network.

Software

  • All installed software has been approved by Boston Scientific — general-purpose software installation is not permitted
  • Internal software is locked from change and is re-verified upon each execution
  • Whenever Boston Scientific software updates are available, install them as soon as possible
  • Programmer settings should only be modified per guidance from verified Boston Scientific technical support or Health Care Delivery personnel

Patient Data Management

  • Patient data may be stored on the Programmer up to 14 days
  • Delete all patient data from the Programmer before shipping or whenever the Programmer leaves your direct control (refer to Patient Data Management Operator's Manual, Model 3931)
  • Only connect to known Bluetooth® devices to reduce the potential of transmitting patient data to inappropriate printers or devices

Network

  • Refer to Network and Connectivity Operator's Manual (Model 3924) for additional networking and connectivity security information
  • Connect Ethernet cable only to the RJ45 Ethernet port (LAN use only — not for telephone)
  • Avoid network configurations that expose the Programmer to public/unsecured Wi-Fi when handling patient data

Unsupported Hardware

  • Unsupported hardware, including unsupported USB devices, is ignored by the Programmer and is not accessed
  • USB devices connected to the Programmer should be controlled to limit potential introduction of malware

Security Vigilance

  • Boston Scientific continues to work with its partners to analyze emerging threats and evaluate potential impact on the LATITUDE Programming System

Physical Controls

  • Maintain good physical controls over the Programmer — a secure physical environment prevents access to the internals
  • USB devices connected to the Programmer should be controlled to limit potential malware introduction
  • Patient-sensitive information may be stored on the Programmer — appropriate precautions should be taken to secure the Programmer from unauthorized access

Compromised Programmer

If you believe the Programmer has been compromised by a security threat:
  1. Turn off the Programmer
  2. Disconnect it from the network
  3. Restart the LATITUDE Programming System
  4. If it fails the start-up self-test or does not operate as expected — discontinue use and contact Boston Scientific (information on back cover of manual)

Warranty Information (PDF p.70)

  • A warranty card is packaged with the LATITUDE Programming System
  • Unless otherwise agreed, the Programmer remains the property of Boston Scientific
  • Boston Scientific must perform all necessary servicing and repair work
  • For additional warranty information — contact Boston Scientific using the warranty card information
Boston Scientific™ LATITUDE Programming System Model 3300 — Operator's Manual, pp. 65–66 (Security), p. 70 (Warranty Information)
This product includes software components provided under the terms of the Apache Software License, Mozilla Public License, GNU Lesser General Public License, and GNU General Public License. This product includes software developed by the Apache Software Foundation (http://www.apache.org/). Copyright (c) 1999 The Apache Software Foundation. All rights reserved. For further information regarding licenses and source code availability, call BOSTON SCIENTIFIC Technical Services at 1-800-CARDIAC (within USA) or 651-638-4000 (outside USA). ────────────────────────────────────────────────────────── This simulator (v5.0.0) is an educational interface mock-up © 2026 Михмель А.В. Original Boston Scientific™ trademarks are property of Boston Scientific Corporation. This simulator is independent educational content and is not endorsed by, affiliated with, or representative of Boston Scientific Corporation.
ⓘ This function is intended for engineering use only. Device memory is read and saved. Reading device memory will not affect device function. Saving data for clinician use can be performed on the Data screen.

DOWNLOAD ALL DEVICE MEMORY

ⓘ It may take several minutes to fully interrogate the device.

MEETING

PROGRAMMER AUDIO

🔊
🎤
External USB Microphone

VIDEO

📷
Camera off
IMPORTANT: Local users must know how to use the connected medical equipment correctly, because delays or loss of network communication can occur at any time.

If the local user is too reliant on a remote user, lost or delayed network communication could result in harm to the patient.
Эти возможности добавлены автором симулятора и отсутствуют в реальном программаторе Boston.

🎓 Help Mode

Постоянное отображение всех тултипов с описанием параметров и норм. Удобно для обучения студентов и знакомства новых врачей с программой.

📚 Show Tutorial

Пошаговое введение в основной workflow: загрузка пациента, чтение настроек, изменение параметров, программирование изменений.

📋 Visit Summary

Печать сводки текущего визита для архива пациента: настройки, события, тесты, рекомендации.

🔄 Compare with Last Visit

Сравнение текущих настроек с предыдущим визитом — что изменилось.

📝 Patient Notes

Заметки врача по этому follow-up визиту. Сохраняются с пациентом.

💾 Save Session / Print Report

Сохранение текущей сессии или печать полного отчёта.

DATA MANAGEMENT

REPORTS

EPISODES

(Choose One)

REAL-TIME LOG

(Choose One)

PRINT

SAVE

DATA TRANSFER

SUMMARY — BATTERY STATUS
Time Remaining
One Year Remaining Explant
Approximate time to explant: > 8 years
Magnet Rate 100 min⁻¹
More than One Year Remaining 100 min⁻¹
One Year or Less Remaining 90 min⁻¹
Explant 85 min⁻¹
SUMMARY — BATTERY DETAIL
Charge Remaining 1.10 ampere-hours
Power Consumption N/R
(Measured with programmed parameters)
ⓘ
This device is using N/R% of the power it would use at the following parameters:
100% pacing, 60 min⁻¹, 2.5 V, 0.4 ms, 500 Ω
(These parameters are used to quote device longevity)
SUMMARY — PATIENT INFORMATION
- -
%
Тренды Daily Measurements за 12 месяцев. Канал:
Intrinsic AmplitudeNo data collected
Pace ImpedanceΩ
Pace ThresholdV
Last Daily
Measurement
—
Intrinsic
—
Impedance
—
Auto Threshold
—
—
—
- -
Intrinsic Amplitude
Impedance
Pace Threshold
● A
mV
Ω
V @ ms
■ V
mV
Ω
V @ ms
TESTS - ATRIAL THRESHOLD TEST
● A Rate
60
■ V Rate
60
STARTING TEST VALUES
Test Type
Mode
Lower Rate Limitmin⁻¹
Paced AV Delayms
Pacing Lead Config
AmplitudeV
Pulse Widthms
Cycles per Step
Today's Test — V @ — ms
Last Daily
Measurement — V @ — ms
Previous Session — V @ — ms
Implant N/R @ N/R
● A   Start Threshold Test

Welcome

Step body