Follow-Up - BIOTRONIK ProMRI Eluna 8 SR-T Manuel Technique

Magnet response with ERI
After reaching ERI, pacing is performed as follows after applying the magnet or
programming head:
Magnet Cycles 1 to 10
response
Automatic Asynchronous with 80 bpm
Asynchronous Asynchronous with 80 bpm
Synchronous Synchronous with basic rate
reduced by 4.5 to 11%
Magnet application by patients
If patients are performing their own magnet application, the synchronous magnet
response has to have been programmed. Patients should also know the following:
• When may the magnet be used?
In cases of severe dizziness and indisposition.
• How long is the magnet placed on the pacemaker?
1 to 2 s.
• What happens when the magnet is applied?
The IEGM of the last 10 seconds is stored.
• What has to happen after magnet application?
The patient has to contact the physician for a follow-up.

Follow-up

Follow-up intervals
Follow-ups must be performed at regular, agreed intervals.
• Following the lead ingrowth phase, approximately 3 months after implantation, 
the first follow-up should be carried out by the physician using the programmer 
(in-office follow-up).
• The next in-office follow-up should be carried out once a year and no later than
12 months after the last in-office follow-up.
After 10th cyle
Synchronous with basic rate
reduced by 4.5 to 11%
Asynchronous with 80 bpm
Synchronous with basic rate
reduced by 4.5 to 11%
14
Follow-up with BIOTRONIK Home Monitoring
Monitoring using the Home Monitoring function does not serve to replace regular in-
office appointments with the physician required for other medical reasons.
Follow-up supported by Home Monitoring can be used to functionally replace in-office
follow-up under the following conditions:
• The patient was informed that the physician must be contacted if symptoms worsen
or if new symptoms arise despite the use of the Home Monitoring function.
• Device messages are transmitted regularly.
• The physician decides whether the data transmitted via Home Monitoring with
regard to the patient's clinical condition as well as the technical state of the device
system are sufficient. If not, an in-office follow-up has to be carried out.
Possible early detection due to information gained via Home Monitoring may necessi-
tate an additional in-office follow-up. For example, the data may indicate at an early
stage lead problems or a foreseeable end of service time (ERI). Furthermore, the data
could provide indications of previously unrecognized arrhythmias or modification of
therapy by reprogramming the device.
Follow-up with the programmer
Use the following procedure for in-house follow-up:
1 Record and evaluate the ECG.
2 Interrogate the device.
3 Evaluate the status and automatically measured follow-up data.
4 Check the sensing and pacing functions.
5 Possibly evaluate statistics and IEGM recordings.
6 Manually perform standard tests if necessary.
7 Possibly customize program functions and parameters.
8 Transmit the program permanently to the device.
9 Print and document follow-up data (print report).
10 Finish the follow-up for this patient.
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