BIOTRONIK Philos DR-T, Техническое руководство

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Philos DR-T Technical Manual 7
3. 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.
High Output Settings – High output settings combined with
extremely low lead impedance may reduce the life expectancy of
the pulse generator to less than 1 year. Programming of pulse
amplitudes, higher than 4.8 V, in combination with long pulse
widths and/or high pacing rates may lead to premature activation
of the replacement indicator.
3.1 Home Monitoring
Patient’s Ability – Use of Home Monitoring requires the patient
and/or caregiver to follow the system instructions and cooperate
fully when transmitting data.
If the patient cannot understand or follow the instructions
because of physical or mental challenges, another adult who can
follow the instructions will be necessary for proper transmission.
Cellular Phone Availability – Home Monitoring is not practical
for patients who live in areas where cellular telephone networks,
utilizing the GSM standard, are not available or are not likely to
become available in the near future.