Patient Information; Replacement Indications - BIOTRONIK Idova 7 Manual Tecnico

Follow-up with the programmer
Use the following procedure for in-office follow-up:
1 Record and evaluate the ECG.
2 Interrogate the device.
3 Evaluate the status and automatically measured follow-up data.
4 Check the sensing and pacing functions.
5 Possibly evaluate statistics and IEGM recordings.
6 Manually perform standard tests if necessary.
7 Possibly customize program functions and parameters.
8 Transmit the program permanently to the device.
9 Print and document follow-up data (print report).
10 Finish the follow-up for this patient.

Patient Information

Patient ID card
A patient ID card is included in delivery.
• Provide the patient with the patient ID.
• Request that patients contact the physician in case of uncertainties.
Prohibitory signs
Places with prohibitory signs must be avoided.
•Draw the patient's attention to prohibitory signs.
Possible sources of interference
Electromagnetic interference should be avoided in daily activities. Sources of interfer-
ence should not be brought into close proximity with the device.
• Draw the patient's attention to special household appliances, security checkpoints,
anti-theft alarm systems, strong electromagnetic fields, cell phones, and transmit-
ters among other things.
• Request patients to do the following:
— Use cell phones on the side of their body that is opposite of the device.
— Keep the cell phone at least 15 cm away from the device both during use and
when stowing.

Replacement Indications

Possible battery levels
• BOS: Beginning of Service: > 70% charge
• MOS 1: Middle of Service: 70% to 40% residual charge
• MOS 2: Middle of Service: < 40% residual charge
• ERI: Elective Replacement Indication, (i.e. RRT: Recommended Replacement Time)
• EOS: End of Service
Elective Replacement Indication (ERI)
Elective Replacement Indication can be detected by Home Monitoring.
W CAUTION
Temporally limited therapy
If ERI occurs shortly after follow-up and is only detected during the subsequent
follow-up, then the remaining service time can be much less than 3 months.
• Replace device soon.
• The device can monitor the heart rhythm for at least 3 more months.
• At least 6 maximum energy shocks can be delivered until EOS occurs.
• The selected parameters in the device program do not change.
EOS replacement indication
End of Service can be detected by Home Monitoring.
W WARNING
Patient at risk of death
If EOS replacement indication occurs before replacement of the device, then the
patient is without therapy.
• Replace device immediately.
• Monitor patient constantly until immediate replacement of the device!
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