Patient Information; Replacement Indications - BIOTRONIK ProMRI Eluna 8 SR-T Manuel Technique

Patient Information

Patient ID card
A patient ID card is included in delivery.
• Provide the patient with the patient ID card.
• Request that patients contact the physician in case of uncertainties.
Prohibitive signs
Premises with prohibitive signs must be avoided.

• Draw the patient's attention to prohibitory signs.
Possible sources of interference
Electromagnetic interference should be avoided in daily activities. Sources of inter-
ference should not be brought into close proximity with the device.
• Draw the patient's attention to special household appliances, security checkpoints,
anti-theft alarm systems, strong electromagnetic fields, cell phones, and transmit-
ters among other things.
• Request patients to do the following:
— Use cell phones on the opposite side of their body from the device.
— Keep the cell phone at least 15 cm away from the device both during use and
when stowing.

Replacement Indications

Possible battery levels
The time span from the beginning of service (BOS) to elective replacement indication
(ERI) is determined by, among others, the following:
• Battery capacity
• Lead impedance
• Pacing program
• Pacing to inhibition ratio
• Pacemaker circuit properties
en • English
The following are the defined pacemaker operational statuses:
BOS Beginning of service Battery is in good condition; normal follow-up.
The replacement time has been reached. 
ERI Elective replacement
indication The pacemaker must be replaced.
EOS End of service End of service time with regular pacemaker activity
ERI activation
ERI detection is automatically activated after the following events:
• Successful auto-initialization
• Storage for longer than 24 months
ERI display
ERI is displayed as follows:
• On the programmer after interrogation of the pacemaker
• By a defined decrease in the basic rate as well as the magnet rate
Change of the mode with ERI
This change depends on the mode which is set. It is displayed on the programmer.
• Single-chamber modes: VVI
• Double-chamber modes: VDD
• Triple-chamber modes: Double-chamber pacing, one biventricular setting is kept
Deactivated functions with ERI
The following functions are deactivated:
• Atrial pacing
• Night program
• Rate adaptation
• Atrial and ventricular capture control
• Rate fading
• Atrial overdrive pacing
• IEGM recordings
• Statistics
• Home Monitoring
• Rate hysteresis
• Ventricular pacing suppression
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