BIOTRONIK Evia DR, Техническое руководство

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Evia Technical Manual 149
14. Explantation
Explanted pulse generators or explanted accessories may not
be reused. Explanted pulse generators can be sent either to the
local BIOTRONIK representative or the BIOTRONIK home office
for expert disposal. If possible, the explanted pulse generator
should be cleaned with a sodium-hyperchlorine solution of at
least 1% chlorine and, thereafter, washed with water prior to
shipping.
The pulse generator should be explanted before the cremation of
a deceased patient.
C
AUT IO N
Device Incineration
- Never incinerate a pulse generator. Be
sure the pulse generator is explanted before a patient who
has died is cremated.
Explanted Devices
– Return all explanted devices to
BIOTRONIK.
14.1 Common Reasons to Explant a
Pulse Generator
A pulse generator may be explanted emergently or at a
physician's discretion at any time subsequent to an implant
procedure. Reasons for explant include, but are not limited to:
patient death; no output/intermittent output; loss of capture/
sensing; inability to program/interrogate the pulse generator;
infection, EOS (normal or premature); system upgrade;
physician preference for another pulse generator model; and/or
other reason(s) which may or may not be known to the pulse
generator manufacturer. Complications related to other portions
of the pacing system (i.e., lead, patient) may also result in pulse
generator explant.
Table 33
summarizes some of the more
common reasons for pulse generator explant.