BIOTRONIK Evity 6 Manuel Technique page 5

Leads
BIOTRONIK leads are sheathed in biocompatible silicone. They can be flexibly maneu-
vered, are stable long-term, and are equipped for active or passive fixation. They are
implanted using a lead introducer set. Some leads are coated with polyurethane which
is known to increase the gliding properties for the lead. Leads with steroids reduce
inflammatory processes. The fractal design of the leads allows for low pacing
thresholds, high pacing impedance, and a low risk of oversensing.
BIOTRONIK provides adapters to connect already implanted leads to new devices.
Telemetry
Telemetric communication between the device and the programmer can be carried out
following initialization either by applying the programming head (PGH) to the device or
by using wireless wandless telemetry in the programmer.
Programmer
Using the programmer, the pacing thresholds can be determined and all tests can
be performed during implantation and in-office follow-up. In addition to this, the
programmer is used to set mode and parameter combinations, as well as for interroga-
tion and saving of data from the device. Leadless ECG, IEGM, markers and functions are
displayed simultaneously on the color display.
Modes
The mode setting depends on the individual diagnosis:
Device type Modes
SR • VVI-CLS(8 series only)
• VVIR, V00R, AAIR, A00R
• VVI, VVT, V00, AAI, AAT, A00
• OFF
DR • VVI-CLS; DDD-CLS(8 series only)
• DDD-ADI, DDDR-ADIR (6 and 8 series)
• DDDR, DDIR, DVIR, D00R, VDDR, VDIR
• VVIR, V00R, AAIR, A00R
• DDD, DDT, DDI, DVI, D00, VDD, VDI
• VVI, VVT, V00, AAI, AAT, A00
• OFF
Device type
HF (QP)
(8 series)
Note: Home Monitoring is possible in all modes.
The OFF mode only functions temporary, i.e. during a test.
NBG codes
AAIR or VVIR is the NBG code for the antibradycardia mode of the single-chamber
device:
A/V Pacing in the atrium or ventricle
A/V Sensing in the atrium or ventricle
I Pulse inhibition in the atrium and ventricle
R Rate adaptation
Standard
VVIR
DDDR is the NBG code for the antibradycardia mode of the dual-chamber device:
D Pacing in the atrium and ventricle
D Sensing in the atrium and ventricle
D Pulse inhibition and pulse triggering
DDDR
R Rate adaptation
DDDRV is the NBG code for the antibradycardia mode of the triple-chamber device:
D Pacing in the atrium and ventricle
D Sensing in the atrium and ventricle
D Pulse inhibition and pulse triggering
R Rate adaptation
V Multisite pacing in both ventricles
4
Modes
• VVI-CLS, DDD-CLS
• DDD-ADI, DDDR-ADIR
• DDDR, DDIR, DVIR, D00R, VDDR, VDIR
• VVIR, V00R, AAIR, A00R
• DDD, DDT, DDI, DVI, D00, VDD, VDI
• VVI, VVT, V00, AAI, AAT, A00
• OFF
Standard
DDDR