BIOTRONIK Evia DR, Technical Manual

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8 Evia Technical Manual
4. Warnings and Precautions
Certain therapeutic and diagnostic procedures may cause
undetected damage to a pulse generator, resulting in
malfunction or failure at a later time. Please note the following
warnings and precautions:
Magnetic Resonance Imaging (MRI)
– Avoid use of magnetic
resonance imaging as it has been shown to cause movement of
the pulse generator within the subcutaneous pocket and may
cause pain and injury to the patient and damage to the pulse
generator. If the procedure must be used, constant monitoring is
recommended, including monitoring the peripheral pulse.
Rate-Adaptive Pacing
– Use rate-adaptive pacing with care in
patients unable to tolerate increased pacing rates.
4.1 Medical Therapy
Before applying one of the following procedures, a detailed
analysis of the advantages and risks should be made. Cardiac
activity during one of these procedures should be confirmed by
continuous monitoring of peripheral pulse or blood pressure.
Following the procedures, pulse generator function and
stimulation threshold must be checked.
Therapeutic Diathermy Equipment
– Use of therapeutic
diathermy equipment is to be avoided for pacemaker patients
due to possible heating effects of the pulse generator and at the
implant site. If diathermy therapy must be used, it should not be
applied in the immediate vicinity of the pulse generator/lead.
The patient's peripheral pulse should be monitored continuously
during the treatment.