BIOTRONIK Lumax 540 Manuel Technique page 5

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BIOTRONIK Home Monitoring
In addition to effective pacing therapy, BIOTRONIK provides a complete therapy
management system:
• With Home Monitoring, diagnostic and therapeutic information and technical data
are automatically sent to a stationary or mobile transmitter via an antenna in the
device header. The data are encrypted and sent from the transmitter to the
BIOTRONIK Service Center via the cellular phone network.
• The received data are deciphered and evaluated. Each physician can set the criteria
for evaluation to be used for each patient and can configure the time of notification
via E-mail, SMS or fax.
• A clear overview of the analysis results is displayed for the attending physicians on
the protected Internet platform HMSC (Home Monitoring Service Center).
• Data transmission from the device is performed with a daily device message.
• Device messages, which indicate special events in the patient's heart or in the
device, are forwarded immediately.
Technical manuals
The following technical manuals provide information about usage of the device system:
• Technical manual for the device
• Technical manual for the HMSC
• Technical manual for the programmer
• User manual for the device program:
— As a help function in the user interface
— As a file on CD
• Technical manual for the leads
• Technical manual for cables, adapters and accessories
Therapeutic and Diagnostic Functions
Overview
Depending on the type, the device program contains not only the ICD functions but also
all PM functions for 1, 2, or 3 chambers. The patient's heart rhythm is continuously
monitored; each arrhythmia is classified according to the heart rate and the adjustable
detection criteria. Depending on the preset values, antibradycardia as well as anti-
tachycardia therapy is inhibited or delivered.
All manuals and user guides at all-guides.com
Antitachycardia pacing
The ICD can treat ventricular tachycardia with antitachycardia pacing (ATP); ATP can
also be delivered in the VF zone (ATP One Shot) when the rate stability indicates that
this will be effective before shock delivery (monomorphic rapid VTs).
Cardioversion, defibrillation
The ICD can treat ventricular tachyarrhythmia with cardioversion and/or defibrillation.
Shock polarity and energy can be programmed for individual therapies. Shock energies
between 1.0 and 40 J are possible. Before delivery of the first shock, the ICD can verify
that the tachyarrhythmia is still ongoing; in this verification mode the device can iden-
tify spontaneous conversion of the tachyarrhythmia and cancel shock delivery.
• The shock paths can be set between the different shock coils (SVC/RV) and/or the
housing.
Home Monitoring: Message retrieval
The device sends information to the service center in two ways; automatically once a
day, and when triggered by certain events. All data can be viewed on the Internet sub-
sequently.
• IEGM-Online HD
markers
• Direct information on sustained atrial arrhythmia including IEGM Online HD
• Regular IEGM recordings of the intrinsic rhythm for remote diagnosis
• Daily transmission of atrial heart rate variability (SDANN)
Transmission of the following data:
• Device settings
• Impedance measurement values
• Sensing measurement values
• 30-second IEGM recording
• Statistics
Transmission is carried out on a weekly or monthly basis.
Antibradycardia pacing
Innovative rate hystereses, automatic sensor functions, and a night program promote
the patient's intrinsic rhythm, avoid overdrive pacing, and facilitate adaptation of the
device to the individual needs of the patient.
Positive AV hysteresis functions support the intrinsic conduction and thus the natural
contraction sequence. Negative AV hysteresis functions support the cardiac resynchro-
nization therapy by maintaining pacing in stress situations.
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with 3 channels in high resolution (High Density) with annotated