Explantation and Device Replacement
Explantation
• Disconnect the leads from the header.
• Remove the device and, if necessary, leads using state-of-the-art technology.
• Explants are biologically contaminated and must be disposed of safely due to risk of
infection.
Device replacement
The following applies to leads from a previous device that are intended for further use:
• Check the leads prior to connecting to the new device.
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.
• Isolate unused lead connectors and close unused connector ports.
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 disposal.
• Clean the explant with a solution of at least 1% sodium hypochlorite.
• Rinse with water.
• Fill out explantation form and send to BIOTRONIK together with the cleaned device.
4 Parameters
Note: Unless described separately, information for device type HF also applies to
device type HF QP.
Timing
Basic rate day/night
Parameter
Range of values
Basic rate
30 ... (5) ... 100 ... (10)
... 200 bpm
Night rate
OFF; 30 ... (5) ... 100 ... (10)
... 200 bpm
Night begins
00:00 ... (10 min) ...
23:50 hh:mm
Night ends
Rate hystereses
Parameter
Range of values
Hysteresis
OFF; -5 ... (-5) ... -25 ... (-20)
... -65 bpm
Repetitive/ search cycles
OFF; ON
AV delay
Parameter
Range of values
AV delay
Low; Medium; High; Fixed;
Individual
20 ... (5) ... 350 ms
(in 6 rate ranges)
CLS and all HF modes:
20 ... (5) ... 350 ms
(in 6 rate ranges)
Sense compensation
OFF; -10 ... (-5) ... -120 ms
16
Standard
SR DR HF
60 bpm
x
x
50 bpm
x
OFF
x
x
x
—
x
x
x
Standard SR DR HF
OFF
x
x
x
OFF
x
x
x
Standard
SR DR HF
Low
x
x
180-170-160-
x
150-140 ms
150-140-130-
x
x
120-120 ms
-45 ms
x
x