BIOTRONIK Lumax 540 Manuel Technique page 4

387158--G_GA_Lumax540_mul.book Page 3 Friday, February 1, 2013 5:38 PM
V Shock in the ventricle
V Antitachycardia pacing (ATP) in the ventricle
E Detection via IEGM analysis
DDDR is the NBG code for the antibradycardia mode of the dual-chamber and triple-
chamber devices:
D Pacing in both chambers
D Sensing in both chambers
D Pulse inhibition and pulse triggering
R Rate adaptation
VVIR is the NBG code for the antibradycardia modes of the single-chamber devices:
V Ventricular pacing
V Sensing in the ventricle
I Pulse inhibition in the ventricle
R Rate adaptation
ICD leads
The leads are sheathed with biocompatible silicone. They can be flexibly maneuvered,
are long-term stable, and are equipped for active or passive fixation. They are
implanted using a lead delivery set. Some leads are coated with polyurethane which 
is known to increase the sliding properties for the lead.
Leads with steroids reduce inflammatory processes. The fractal design of the elec-
trodes provides for low pacing thresholds.
Note: Device and lead have to match; Kentrox A+ Steroid and Linox Smart DX leads
match the Lumax 540 VR-T DX.
Device/ICD lead connection scheme
BIOTRONIK ICDs are designed for connection to ICD leads with a bipolar IS-1 connec-
tion (pacing/sensing) and DF-1 connection for shock coils.
Note: A bipolar as well as a unipolar coronary sinus lead can be connected to the left
ventricular CS connection of the Lumax HF variant. Several pacing polarities can be
set with a bipolar CS lead.
en • English
All manuals and user guides at all-guides.com
Connection schemes of the device types:
VR-T
SVC
Device and lead connections:
Atrium
Right ventricle
Left ventricle
Possible technical failures
In principle, technical failures in the device due to component failures cannot be ruled
out; they occur, however, very rarely. Possible causes of such malfunctions include the
following:
• Battery depletion
• Lead dislodgment
• Lead fracture
• Insulation defects
Programmer
The portable programmer is used to transfer the current device program to the device.
In addition to this, the programmer is used for interrogation and storage of data from
the device. The programmer acts as an ECG and IEGM monitor with Miniclinic.
The programmer communicates with the device via the programming head. It has a TFT
touch screen with a color display, on which the ECG, IEGM, marker and functions are
shown simultaneously.
The programmer has, among others, the following functions:
• Perform all tests during in-office follow-up
• Display and print real-time and saved IEGMs with annotated markers
• Determine the pacing threshold
3
VR-T DX DR-T
SVC
RV
RV
VR-T VR-T DX DR-T
— IS-1 bipolar
IS-1 bipolar
2 x DF-1 unipolar
—
HF-T
SVC
SVC
RV
RV
HF-T
IS-1 unipolar or bipolar