Precautionary Measures While Programming - BIOTRONIK Evity 6 Manuel Technique

4 If the lead connector cannot be inserted completely, the set screw may be
protruding into the drill hole of the set screw block. Carefully loosen the set
screw without completely unscrewing it, so that it does not become tilted upon
retightening.
5 Use the screwdriver to perpendicularly pierce through the slitting in the center
of the silicone plug until it reaches the set screw.
6 Turn the set screw clockwise until the torque control starts (you will hear
a clicking sound).
7 Carefully withdraw the screwdriver without retracting the set screw.
• When the screwdriver is withdrawn, the silicone plug automatically seals the
lead connection safely.
Applying the programming head
The programming head (PGH) features a diagram of the device. This is used to assist in
positioning the head to ensure proper telemetry.
• Make sure the PGH is positioned correctly.
Establishing wandless telemetry
The programmer must be no less than 20 cm and no more than 3 m from the device;
ideally there should be no hindrances between the patient and the programmer.
• Switch on wandless telemetry on the programmer.
• Apply the programming head for about 2 s until successful initialization is displayed
on the programmer:
The wandless telemetry symbol is displayed in the navigator and the
signal strength is displayed in the status line.
• Remove the programming head.
Auto-initialization
Auto-initialization begins automatically once the first connected lead is sensed.
Auto-initialization is usually terminated 10 minutes after connection of the first lead. If
no other program has been transferred in the meantime, the device subsequently
works with active automatic functions in the factory settings or with the preset program
of the user.
en • English
Manual setting of the lead polarity or measurement of lead impedances is not neces-
sary.
Note: After auto-initialization, all parameters are activated as in the standard
program.
Behavior during auto-initialization
• During transmission of a permanent program:
Auto-initialization is terminated and the transferred program is active.
• During testing:
Tests cannot be performed during auto-initialization; stop it beforehand. Auto-
initialization will not be continued upon completion of the test.

Precautionary Measures while Programming

W CAUTION
Safety information
The programming of device systems requires special precautions.
• Please carefully take all precautionary measures into account.
Checking the device system
• After auto-initialization, perform a follow-up to see if the device system is
functioning properly.
• Perform a pacing threshold test to determine the pacing threshold.
Performing standard tests and monitoring the patient
Critical conditions can occur for the patient even during standard tests due to
inadequate parameter settings or interrupted telemetry.
• Ensure sufficient patient care even during tests.
• After the threshold test, check to determine whether the threshold is clinically and
technically justifiable.
• Continuously monitor the ECG and the patient's condition.
• Cancel testing if necessary.
11