BIOTRONIK ProMRI Evia HF Manual Tecnico página 15

Magnet response at ERI
After reaching ERI pacing is performed as follows after applying the magnet or
programming head:
Magnet Cycles 1 to 10:
response
Automatically Asynchronous with 80 bpm
Asynchronous Asynchronous with 80 bpm
Synchronous Synchronous with basic rate
reduced by 4.5 to 11%
Expected service time after ERI
• The information is based on a lead impedance of 500 ohm at 100% pacing and the
data of the battery manufacturer.
• Parameter with high pacing energy:
110 bpm; 4.6 V; 1.5 ms; 500 ohm
• Parameters with low pacing energy:
30 bpm; 0.2 V; 0.1 ms; 500 ohm
• Interval from ERI to EOS with triple-chamber device is DDD(R) mode in the stan-
dard program and both with high and low pacing energy:
— Mean value: 8 months
— Minimum value: 6 months
Explantation and Device Replacement
Explantation
• Disconnect the leads from the header.
• Remove the device and, if necessary, also remove the leads using state-of-the-art
technology.
• Explants are biologically contaminated and must be disposed safely due to risk of
infection.
Device replacement
The following applies to leads from a previous device that are intended for further use:
• Check the leads prior to connecting to the new device.
After 10th cycle:
Synchronous with basic rate
reduced by 4.5 to 11%
Asynchronous with 80 bpm
Synchronous with basic rate
reduced by 4.5 to 11%
14
If, upon replacing the device, already implanted leads are no longer used but left in the
patient, then an additional uncontrolled current path to the heart can result.
• Insulate connections that are not used.
Basic principles
• The device must not be resterilized and reused.
Cremation
Devices must not be cremated.
• Explant the device before the cremation of a deceased patient.
Disposal
BIOTRONIK takes back used products for the purpose of environmentally safe disposal.
• Clean the explant with an at least 1% sodium hypochlorite solution.
• Rinse off with water.
• Fill out the explantation form and send it to BIOTRONIK together with the cleaned
device.
6 Parameters
Modes
Evia family
The mode setting depends on the individual diagnosis:
Device type Mode
HF(-T) • DDD-CLS; VVI-CLS
• DDDR; DDIR; DVIR; DOOR
VDDR; VDIR; VVIR; VVTR; VOOR
AAIR; AATR; AOOR
• DDD; DDT; DDI; DVI; DOO
VDD; VDI; VVI; VVT; VOO
AAI; AAT; AOO
• DDD-ADI; DDDR-ADIR
• OFF
Note: Home Monitoring is possible in all modes.
Standard
DDDR