Note:
If necessary, the device can also be programmed before or during auto-
initialization.
16
Implantation
Implantation Procedure
Implantation site
In general, the pacemaker is implanted subcutaneously or subpectorally,
depending on the lead configuration as well as the anatomy of the patient.
Overview: Implanting
Avoid damage to the header
Set screws must be tightened or loosened with care.
•
Loosen set screws with the supplied screwdriver. Use only BIOTRONIK
screwdrivers with torque control!
•
If lead revision is necessary, re-order sterile screwdrivers from BIOTRONIK.
!
!
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.
!
!
WARNING
Inadequate therapy
Insufficient lead spacing or inappropriate lead positioning may lead to far-field
sensing.
Preventing short circuits
in the header
Keeping distance
between leads
1
Shape the device pocket and prepare the vein.
2
Implant the leads and perform measurements.
3
Connect device and leads.
4
Insert the device.
The device starts auto-initialization on its own.
5
Guide the fixation suture through the opening in the header and fixate the
device in the prepared device pocket.
6
Close the device pocket.
7
Prior to testing and configuration, wait for the successful completion of
automatic device initialization.
•
Close unused connector ports with blind plugs.
•
Leads must not contact each other. Position the tip and ring of newly implanted
leads with a sufficient distance from old implanted leads.
