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BIOTRONIK BIOMONITOR IV User Manual

BIOTRONIK BIOMONITOR IV
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BIOMONITOR IV
Technical Manual

Table of Contents

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BIOTRONIK BIOMONITOR IV Specifications

General IconGeneral
Device TypeImplantable Cardiac Monitor
SizeSmall
Remote MonitoringYes
MRI CompatibilityConditional
Implantation DepthSubcutaneous
Data TransmissionWireless
Detection CapabilitiesAtrial fibrillation, bradycardia, tachycardia
CommunicationWireless
Sensing TechnologyAdvanced signal processing

Summary

Device Description

BIOMONITOR IV Insertable Cardiac Monitor

The primary implantable device for subcutaneous ECG monitoring.

BIOTRONIK Programmer

Tool for setup, viewing, saving, and printing stored information.

BIOTRONIK Cardio Messenger Smart

Telemetry device for forwarding data to the Home Monitoring Service Center.

Indications for Use

Cardiac Arrhythmias Detected

Lists arrhythmias like AF, bradycardia, tachycardia, pause, SRD.

Patient Use Cases

For patients at risk or with symptoms of cardiac arrhythmias.

Contraindications

General Contraindications

No known contraindications, patient condition is key for tolerance.

Warnings and Precautions

MR Safety Information

Covers device conditions, patient requirements, and scanner limits for MR scans.

Implanted Pacemakers and Defibrillators

Potential impact of co-implanted devices on BIOMONITOR IV function.

Medical Therapy Interactions

Risks and precautions with diathermy, TENS, defibrillation, radiation, etc.

Storage and Handling

Proper procedures to prevent device damage and ensure functionality.

Electromagnetic Interference (EMI)

Sources and effects of EMI on the device and patient safety.

Home Monitoring System Overview

Overview of the wireless remote monitoring system.

Explant and Disposal Procedures

Procedures for device removal, incineration, and return.

Programmable Parameters

Parameters Overview

Setup of recording criteria for arrhythmias via the programmer.

ProgramConsult Menu

Preconfigured programming sets based on patient indications for easier setup.

Atrial Fibrillation (AF) Settings

Configuration of AF detection parameters like sensitivity, windows, and intervals.

Tachycardia Settings

Programming tachycardia detection using rate limits and counters.

Bradycardia Settings

Configuring bradycardia detection with zone limits and duration.

Sudden Rate Drop (SRD) Settings

Parameters for detecting sudden decreases in heart rate.

Pause Duration Settings

Defining the minimum duration for a pause event to be detected.

Symptom Recording

Patient-activated recording of symptomatic episodes.

Resting Rate Period

Setting the time and duration for collecting resting heart rate data.

Home Monitoring (HM) Configuration

Settings for automatic data transmission to the Home Monitoring system.

Sensing Settings

Adjusting signal sensing parameters for optimal detection.

Patient Data Entry

Inputting patient, physician, and hospital information.

Diagnostics

Diagnostics Overview

Summary of statistical information stored by the device.

General Statistical Information

Details on how statistics are collected and reset.

Activity Diagnostics

Information on heart rate, variability, and activity trends over 240 days.

AF Details Diagnostics

Analysis of AF events, including trends, time of occurrence, and duration.

Sensing Diagnostics

R-wave trends and noise duration trends for signal quality assessment.

Other Functions and Features

Home Monitoring System

Enables remote monitoring of patient cardiac status.

Information Transmission to Home Monitoring

How data is sent via CardioMessenger.

Types of Report Transmissions

Details on trend and event reports.

Transmitted Data Description

Data categories included in the Home Monitoring Report.

SmartECG Episode Evaluation

Automatic evaluation of recorded episodes against set criteria.

Patient Data Memory

Storage and retrieval of patient-specific data.

Position Indicator

Tool to aid in programmer head positioning for communication.

Product Storage and Handling

Sterilization and Storage Guidelines

Procedures to maintain sterility and proper storage conditions.

Follow-up Procedures

General Considerations for Follow-up

Importance of follow-up visits and product features.

Real-time sECG Display

Live display of subcutaneous ECGs on the programmer.

Follow-up Page Overview

Information displayed on the follow-up screen.

Recordings Log

List of stored episodes with event details.

sECG Episode Types

Minimum snapshots for different arrhythmia types.

Atrial Fibrillation sECG Example

Visual example of an AF recording with markers.

Tachycardia sECG Example

Visual example of a tachycardia recording.

Bradycardia sECG Example

Visual example of a bradycardia recording.

Pause sECG Example

Visual example of a pause recording.

Symptom sECG Example

Visual example of a symptom event recording.

Elective Replacement Indication (ERI)

Service Cycle Definitions

Explains BOS, ERI, and EOS for device service life.

Nominal Longevity

Expected service life in years under standard conditions.

Insertion and Removal

Opening the Sterile Container

Procedure for safely opening the sterilized packaging.

Device Insertion Process

Steps for implanting the BIOMONITOR IV using the FIT OneStep Tool.

Device Removal Procedure

Guidelines for safely removing and disposing of the device.

Remote Assistant III

General Information

Overview of the accessory for manual ECG recording.

Functional Testing

How to test the Remote Assistant III for proper function.

Device Layout

Identification of key components like trigger key and LEDs.

Triggering a Manual Recording

Step-by-step guide for patients to initiate an ECG recording.

Battery LED Indicator

Explanation of battery status based on LED behavior.

Signal Transmission LED

Interpretation of LED signals for recording success.

Technical Data

Programmable Parameters Summary

Lists key parameters and their ranges for AF, Tachy, Brady, SRD, Pause, Symptom.

Materials in Contact with Human Tissue

Details on device coatings like Silicone and Iridium.

Electrical Data and Battery

Power source and battery voltage information.

Mechanical Data

Physical dimensions, mass, and volume of the device.

Order Information

FCC Statement - BIOMONITOR

Compliance information for the BIOMONITOR device with FCC rules.

FCC Statement - Remote Assistant

Compliance information for the Remote Assistant with FCC rules.

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