BIOTRONIK ICD Series, Техническое руководство

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Implantation
Explantation and Device Replacement
Explantation • Interrogate the device status.
• Deactivate VT and VF therapies prior to explantation.
• Remove the leads from the header. Do not simply cut them loose.
• Use state-of-the-art techniques to remove the device and, if necessary, the
leads.
• Explants are biologically contaminated and must be disposed of safely due to
risk of infection.
Device replacement 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.
• Deactivate VT and VF therapies prior to device replacement.
• Insulate connections that are not used.
Basic principles:
• The device must not be resterilized and reused.
Cremation Devices should 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 dis-
posal.
• Clean the explant with an at least 1% sodium hypochlorite solution.
• Rinse off with water.
Note: Normal oxidation processes may cause ICD housing discolorations. This is
neither a device defect nor does it influence device functionality.