Kappa 700 vs Adapta

It seems like for those of us with Medtronics that they are almost exclusively using the Adapta for a replacement. I also keep hearing about having difficulty programming it to work as well as the Kappa.

Any input or stories would be appreciated. I'm coming up on replacement of my Kappa and want to get ahead of the game.

One other question. Is there a model number for the Adapta or are they all the same?

thanks,

frank

14 Comments

Adapta PM

by buttercupad65 - 2009-10-11 01:10:16


I just recently had mine replaced in July of this year, with an "AdaptaL ADDRL1" is what it has on my temporary card I was given in the hospital. I had some trouble when I first got home, feeling weak and very tired, come to find out they set my PM @ 60 bpm instead of where the old one was set at 70 bpm. I had to go back and have them change it, after that I have not had any further problems. I still have the occasional A-fib episodes but I was having them before the PM change.

buttercup

Thanks!

by ElectricFrank - 2009-10-11 01:10:55

This site is a wealth of information! I appreciate all the input.

It sounds like the Adapta is OK as long as they don't get creative an program a bunch of "features".

Jessie mentioned that it won't go below 60. If this is the ventricular lower pacing limit that would be a problem for me. My current one is set to 55. When I'm relaxed my sinus rate goes down to 55-60 and there is no reason to be interfering with my natural rhythm. I really sleep well don't want to interfere with that either.

I'll keep everyone posted. I have an office checkup this Thurs and will ask the Medtonic rep for detailed information on the possibilities. I would rather stick with Medtronic if I can as I have a good relationship with their reps. I don't want to have to train a new rep. G(:

frank

frank

by jessie - 2009-10-11 03:10:08

i meant mine is set not to go below 60 but i believe it can be set below 60 if that is your need. i jsut found that they knew what they were doing and i just let them go ahead as i sure didn't know. so hope this helps frank jessie

Sounds good

by ElectricFrank - 2009-10-11 03:10:31

Jessie,
Thanks. I wondered, now I know.

frank

Adapta

by golden_snitch - 2009-10-11 03:10:38

Hi Frank!

The Adapta would certainly be a good choice, and actually when I decided about my new pacer it was pretty close between the Sorin Group Reply and the Adapta. However, I decided not to have the Adapta because of its rate-response. In addition to the accelerometer I need a physiological sensor, and the Adapta hasn't got one. I know that I need one because in my old Kappa 401 I had both, accelerometer plus minute ventilation, and we once switched the minute ventilation off, and I didn't do well at all. Also, the Adapta's mode switch algorithm (called MVP) didn't suit my needs well enough. It switches after two out of four blocked p-waves, and when you often go into 3:1 or even 4:1 blocks like I do, then this switch doesn't help. But still the Adapta's MVP and the mode-switch I have in my Reply are the best algorithms to minimize ventricular pacing according to several journal articles. Just got back from German Cardiac Society's Congress, and that's what I heard there, too.

So, I had my old Kappa replaced with a Sorin Group Reply. It has the so-called SafeR mode switch and it has accelerometer plus minute ventilation.

If you like, I can send you an article published in EuroPace Journal very recently which deals with novel pacing algorithms. It's a review and the authors explain the various new features and the pros and cons. Can't send it today, can't access it from at home, but tomorrow at work I'll be able to. So, if you send me a private message with an e-mail address, I'll pass on the article.

Best wishes
Inga

Kappa 700 vs Adapta

by cordial - 2009-10-11 03:10:57

Adapta Model Numbers:
Adapta DR ADDR01, ADDR03, ADDR06, ADD01
Adapta DR ADDRL1
Adapta DR ADDRS1
Adapta SR ADSR01, ADSR03, ADSR06
Adapta VDD ADVDD01

Adapta (Model #ADDR01) is a new pacemaker that is designed to provide further automaticity advances by including the managed ventricular pacing (MVP) feature designed to promote intrinsic conduction (natural flow of electricity in the heart) by reducing unnecessary ventricular (lower chamber of the heart) pacing (electrical impulses). Adapta also contains a feature called TherapyGuide that is designed to allow the user to select certain conditions for each subject and receive a list of suggested pacemaker parameter value changes based on those conditions.

The Medtronic Adapta Series pacemakers are similar in design and function to the Medtronic Kappa 700 Series
models. The following features, for which data was collected in the Kappa 700 study, are also included in the
Adapta Series pacemakers:
¡ñ Rate Response ¨C This feature is unchanged from the Kappa 700 Series models.
¡ñ Capture management ¨C The Kappa 700 Series models included Ventricular Capture Management (VCM). A few minor improvements have been made to the VCM feature in the Adapta Series models.
¡ñ Automatic polarity configuration ¨C This feature is unchanged from the Kappa 700 Series models.
¡ñ Sensing assurance ¨C This feature is unchanged from the Kappa 700 Series models.

my medtronic Adapta SR01

by aldeer - 2009-10-11 04:10:56

After I had my first visit with the rep, she said she could set it at whatever I wanted, but would not do 65 for they save that reading for a "problem". She spoke as tho I could go lower than 60, but I said 60 would be fine. Have had no problem with it, but it sure goes between 80 and 100 without too much trying! G: aldeer

Those numbers

by ElectricFrank - 2009-10-11 05:10:40

I keep reading those single numbers. There are actually 4 possibilities that they could mean.

1. Lower ventricle tracking limit
2 Upper ventricle tracking limit
3.Lower Rate Response rate
4. Upper Rate Reponse rate.

This is why it is a good idea to get a copy of the report.
I'm wondering if a lot of the readings aren't the Rate Response settings and if it is turned off mean nothing.

frank

My lower rate is set to 50

by mandogrl - 2009-10-11 09:10:46

Hi Frank!
They had to adjust mine a couple times (Dual lead adapta), 'cuz having it set to 60 was waking me up. They did some other adjustments too so I wouldn't FEEL it pace, like I did before.
It works good for me, but they said I have some "far-field r-wave oversensing" and some very minor "afibs" about 1/2 year ago. I don't feel any different. Been two years. Hope it helps.
Mine only paces 9% of the time, but it does the trick.

Hi Frank,

by Gellia2 - 2009-10-11 09:10:56

I know when I had my last replacement (2007), Adapta was available but my EP chose the Medtronic EnPulse for me.
I also have a congenital third degree block.

It has done by me very well! I had the rate response turned off with your very thoughtful and informative advice.

Now I'm better than ever. I'm just hoping to get a longer battery life than my old Kappas(I think I've had three or four of them) have given me.

Maybe check out the EnPulse. It would be nice if our drs told us why they chose what they do.

Best to you, Frank (and thanks again on that RR advice!).
Gellia

hi frank

by jessie - 2009-10-11 11:10:16

i have an adaptaDR model#ADDRLI DUALLEAD IMPLANTED IN 206 AUGUST. I JUST HAD ME CHECK AND HAVEN SEVEN MORE YEARS LEFT. IT I HAS SERVED ME WELL. HOP THIS HELPS. DO YOU NEED THE NUMBER OF THE LEADS TOO? JESSIE

i have the same magster

by jessie - 2009-10-11 11:10:35

i have the same pacemaker magster and have never had it tweaked. it can't go below 60 jessie

pacemaker change from Kappa to Adapta

by justjaz - 2010-07-10 05:07:09

I am in elective replacement period (experiencing dizziness) and due for a replacement is in a few days. The Adapta seems to be the recommended choice.

I am an avid hiker, but the absence of a blood oxygen monitor seems like it will still leave me "tapping" to get up the mountains in Montana. I also have sleep difficulty and wonder if the Kappa is involved. I hope the new Adapta is not inconsistant.

I suspect there will be considerable tweaking to get the sensitivity right.

Is there any manufacturer who has a better model for people who love to hike and bike and exercise?

Newbie Here: Just got ADAPTA ADDR01

by PHop2010 - 2010-07-29 05:07:16

Hi,
I just got an ADAPTA ADDR01 on Monday for my slow heart. Had pre-syncope on and off since late April. Had two recorded AV Block Type II (pauses) while on Doxazosin for the high blood pressure in May. Thought it was all the BP meds fault, until I went off the BP meds, and had pre-syncope again a few times. Up til the recurrence, I wasn't convinced I needed the pacemaker. Got a 2nd opinion from Beth Israel in Boston, same recommendation. Got it done. So far so good (3 days!). Still can't believe it's all happened.
Does anyone know how you can use the Serial # to find out where it was manufactured ? Like, was it Minneapolis, South America, or Singapore ? I'm a software tester/manager for 15+ yrs now.
Thanks/Pete

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