Preventing unintentional shock delivery
WARNING
Shock delivery with activated ICD
There is a risk of unintended shock delivery when handling an activated ICD.
• Deactivate ICD therapy before touching the device during implantation, device
replacement and explantation.
Avoiding damage to the header
There is a blind plug for DF-1 and IS-1 connections in the header. The provided set
screws must be carefully loosened or tightened.
• Loosen set screws with the supplied screwdriver. Use only BIOTRONIK screw-
drivers with torque control!
• Do not forcibly pull out the blind plug!
• If lead revision is necessary, re-order sterile screwdrivers from BIOTRONIK.
Preventing short circuits in the header
WARNING
Short circuit due to open lead connector ports
Connector ports in the header which are open and thus not electrolyte-proof may
cause undesired current flows to the body and penetration of body fluid into the
device.
• Either leave unused ports closed with the premounted blind plugs, or close them
using the supplied blind plugs.
Ensure that connections are clean
In case of contamination during implantation:
• Clean lead connectors with a sterile cloth.
• Rinse connection only with sterile water.
en • English
Connecting the lead connector to the device
1
Disconnect stylets and stylet guides.
2
DF-1/IS-1 connection:
• Connect the DF-1 connector for the right-ventricular shock coil to RV.
• Connect the DF-1 connector for the supraventricular shock coil to SVC.
Or connect a subcutaneous array to SVC.
DF4/IS-1 connection:
• Connect the DF4 connector to RV
3
DF-1/IS-1 connection:
• Connect the bipolar IS-1 lead connector for the atrium to RA.
• Connect the IS-1 lead connector for the right ventricle to RV.
• Connect the unipolar or the bipolar IS-1 lead connector for the left ventricle
to LV.
DF4/IS-1 connection:
• Connect the bipolar IS-1 lead connector for the atrium to RA.
• Connect the unipolar or the bipolar IS-1 lead connector for the left ventricle
to LV.
4
Push the lead connector into the header without twisting or bending the
connector or conductor until the connector tip (on the DF-1 connector) or the
insertion indicator (on the DF4 connector) becomes visible behind the set screw
block. This indicator can vary depending on the manufacturer of the lead used.
5
If you cannot easily plug the lead connector into the connection:
• Use only sterile water as lubricant.
6
If the lead connector cannot be inserted completely, the set screw may be
protruding into the drill hole of the set screw block.
• Use the screwdriver to perpendicularly pierce through the slitted point in
the center of the silicone plug until it reaches the set screw.
• Carefully loosen the set screw without completely unscrewing it, so that it
does not become tilted upon retightening.
7
Turn the set screw clockwise until torque control starts (you will hear a clicking
sound).
9