User Manual

Table Of Contents
Note: If necessary, the device can also be programmed before or during auto-
initialization.
16
Implantation
Implantation Procedure
Implantation site
In general, the pacemaker is implanted subcutaneously or subpectorally,
depending on the lead configuration as well as the anatomy of the patient.
Overview: Implanting
Avoid damage to the header
Set screws must be tightened or loosened with care.
Loosen set screws with the supplied screwdriver. Use only BIOTRONIK
screwdrivers with torque control!
If lead revision is necessary, re-order sterile screwdrivers from BIOTRONIK.
!
!
WARNING
Short circuit due to open lead connector ports
Connector ports in the header which are open and thus not electrolyte-proof may
cause undesired current flows to the body and penetration of body fluid into the
device.
!
!
WARNING
Inadequate therapy
Insufficient lead spacing or inappropriate lead positioning may lead to far-field
sensing.
Preventing short circuits
in the header
Keeping distance
between leads
1 Shape the device pocket and prepare the vein.
2 Implant the leads and perform measurements.
3 Connect device and leads.
4 Insert the device.
The device starts auto-initialization on its own.
5 Guide the fixation suture through the opening in the header and fixate the
device in the prepared device pocket.
6 Close the device pocket.
7 Prior to testing and configuration, wait for the successful completion of
automatic device initialization.
Close unused connector ports with blind plugs.
Leads must not contact each other. Position the tip and ring of newly implanted
leads with a sufficient distance from old implanted leads.