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387158--G_GA_Lumax540_mul.book Page 8 Friday, February 1, 2013 5:38 PM
W WARNING
Unintentional shock delivery
A shock could be delivered when handling an activated ICD.
• If an already activated ICD is to be implanted: turn off ICD therapy.
W WARNING
Interference of heart rate monitoring
Radio frequency as during electrocautery can interfere with electromyografic moni-
toring, e.g. be interpreted as arrhythmia and trigger a shock.
• Turn off the detection function of the ICD during cauterization; the pacemaker
function can remain active.
• Additionally check the peripheral pulse of the patient.
Notes on applying a programming head (PGH)
The programming head (PGH) features a diagram of the device to assist in positioning
the head.
• Make sure the PGH is positioned correctly to ensure proper telemetry.
Notes on applying a permanent magnet
Applying a permanent magnet interrupts sensing and therapy of tachycardia events.
After 8 hours of this type of deactivation, the device automatically activates the therapy
functions again to prevent unintentional permanent deactivation.
• If detection interruptions of longer than 8 hours are required, the magnet has to be
briefly removed from the device. The 8 hour countdown restarts when the magnet
is applied again.
• Use BIOTRONIK accessories, permanent magnets of type M-50 or programming
head PGH with magnet.
Sequence
Proceed as follows:
1
Shape the device pocket and prepare the vein.
2
Implant the ICD leads and perform measurements.
3
Connect the device and ICD leads.
4
Insert the device.
5
Check the device with standard tests.
6
Close the device pocket.
All manuals and user guides at all-guides.com
W WARNING
Telemetry interference with inadequate pulse amplitude
If the pulse amplitude of the temporary program is not effective, the patient may get
into a hemodynamically critical condition. Telemetry interference can prevent correc-
tion of the critical amplitude.
• Lift the programming head 30 cm; the device switches automatically to the
W WARNING
Loss of pacing during exclusively left ventricular pacing
When only LV pacing is set and lead displacement occurs, the following dangers exist:
loss of ventricular pacing and the ATP therapy as well as induction of atrial arrhyth-
mia.
• Carefully check the pacing parameters.
Activating the ICD
Proceed as follows:
W WARNING
No ICD therapy as delivered
At the time of delivery, the device is programmed with the factory settings.
Follow-up
Follow-up intervals
Follow-ups must be performed at regular, agreed intervals.
• The first follow-up should be carried out by the physician using the programmer
• The next in-office follow-up should be carried out once a year and no later than
8
permanent program.
1
Select the device program for Lumax on the programmer.
2
Activate ICD therapy.
After Implantation
(in-office follow-up) approximately 3 months after implantation following the lead
ingrowth phase.
12 months after the last in-office follow-up.
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