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BIOTRONIK Eluna 8 User Manual

BIOTRONIK Eluna 8
35 pages
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BIOTRONIK SE & Co. KG
Woermannkehre 1
12359 Berlin · Germany
Tel +49 (0) 30 68905-0
Fax +49 (0) 30 6852804
sales@biotronik.com
www.biotronik.com
Eluna 8
SR(-T), DR(-T), HF-T (Pr oMRI
®
)
Pacemaker | Bradyarrhythmia Therapy |
Cardiac Resynchronization Therapy
Technical Manual
403587
Revision: F (2014-08-04)
© BIOTRONIK SE & Co. KG
All rights reserved.
Specification subject to modification, revision and improvement.
® Registered trademarks of BIOTRONIK SE & Co. KG:
BIOTRONIK Home Monitoring, Eluna, ProMRI
Index 403587Technical ManualEluna SR(-T), DR(-T), HF(-T)
0123
0681 2014
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BIOTRONIK Eluna 8 Specifications

General IconGeneral
Device TypePacemaker
ModelEluna 8
ManufacturerBIOTRONIK
MRI ConditionalYes
Rate ResponseYes
Wireless Remote MonitoringYes

Summary

Product Description

Intended Medical Use

Defines the purpose and objectives of the Eluna pacemaker for bradycardia therapy.

Diagnosis and Therapy Forms

Explains how the device monitors and treats cardiac rhythm using BIOTRONIK Home Monitoring.

Indications

Lists general guidelines and device type indications based on symptoms and cardiology recommendations.

Pacing Modes and MR Conditional Use

Pacing Modes

Details indicated pacing modes for various cardiac symptoms and conditions.

MR Conditional

Explains the safety of ProMRI® labeled pacemakers in MRI environments.

Contraindications

Guidelines and Parameter Checks

Mentions general guidelines and the need to check parameter compatibility after programming.

Contraindicated Pacing Modes and Parameters

Lists specific contraindications for pacing modes and parameter combinations.

System Overview

Device Family and Variants

Describes the different Eluna device variants (SR, DR, HF) with/without Home Monitoring.

Device Housing and IS-1 Lead Connection

Details the device housing material and explains IS-1 lead connection assignments.

Leads and Telemetry

Describes BIOTRONIK leads and explains telemetric communication via SafeSync®.

Programmer, Modes, and NBG Codes

Programmer Functionality

Details the programmer's role in implantation, follow-up, and data management.

Pacing Modes and NBG Codes

Lists pacing modes for device types and explains NBG codes for device configurations.

Home Monitoring and Product Ordering

BIOTRONIK Home Monitoring System

Describes the therapy management system and its features for remote monitoring.

Eluna Order Numbers and Package Contents

Lists order numbers for Eluna devices and details package contents.

Diagnostic and Therapy Functions

General Overview and Diagnostic Functions

Highlights features for diagnosis, data recording, and IEGM display.

Antibradycardia Pacing Features

Describes automatic adjustments for pacing thresholds, timing, and rate adaptation (CLS).

Resynchronisation Therapy

Details VV delay configuration and diagnostics for triple-chamber devices for resynchronization.

Therapy Programs and Monitoring Functions

Therapy Programs

Explains the two types of therapy programs: default and individual settings.

Home Monitoring Data Transmission

Lists information automatically sent by the device via Home Monitoring.

General Safety Instructions

Operating Conditions and Manuals

Lists applicable technical manuals and specifies operating conditions.

Storage, Temperature, and Sterility

Provides guidelines for shipping, storage, temperature, and single-use sterility.

Possible Complications and Risks

Medical Complications and Technical Failures

Covers general medical complications, technical failures, and specific issues like myopotentials.

Electromagnetic Interference (EMI) and Magnetic Fields

Discusses device sensitivity to EMI, behavior during interference, and static magnetic fields.

Risks from Procedures and Therapies

Procedures to Avoid and Potentially Risky Procedures

Lists procedures that may harm the patient or device and risks from diagnostic/therapeutic procedures.

External Defibrillation and Radiation Therapy Risks

Explains device protection from defibrillation and risks associated with radiation therapy.

Magnetic Resonance Imaging (MRI) Considerations

MRI Safety and ProMRI® Functionality

Advises against MRI due to field effects and details ProMRI® conditional use.

Implantation Procedure

Preparation: Parts and Defibrillator

Lists required components for implantation and emphasizes having a defibrillator ready.

Device Unpacking and Parts Check

Provides instructions and warnings for safe unpacking and checking of device components.

Implantation Steps and Lead Handling

Implantation Site and Overview

Describes general implantation sites and provides a step-by-step overview of the process.

Header Care and Preventing Short Circuits

Details handling the header, set screws, and preventing short circuits from open connector ports.

Lead Spacing and Positioning

Warns about inadequate therapy due to improper lead spacing or contact.

Connecting Leads and Telemetry Setup

Connecting Leads to the Device

Details the step-by-step process for connecting leads to the device header.

Programming Head and Telemetry Contact

Explains positioning the programming head and establishing telemetry contact.

Auto-Initialization and Behavior

Describes the auto-initialization process and device behavior during this phase.

Precautionary Measures During Programming

System Checks and Patient Monitoring

Advises on checking the device system, performing tests, and monitoring the patient.

Telemetry Management and Parameter Settings

Covers telemetry interruption, cancellation, critical parameter settings, and sensitivity.

Preventing Complications and Managing Risks

Preventing Device-Induced Complications and Arrhythmias

Details functions to prevent complications like PMT, atrial tachycardia, and risks from LV pacing.

Lead Failure Recognition and Power Management

Explains how to recognize lead failure and discusses power consumption and service time.

Magnet Response

Magnet Response in Standard and ERI Modes

Details magnet response settings for standard programs and after reaching ERI.

Patient Magnet Application Guidelines

Provides guidance for patients on when and how to perform magnet application.

Follow-up Procedures and Patient Safety

Follow-up Intervals and Methods

Defines intervals for in-office follow-up and explains Home Monitoring support.

Patient Information and Interference Sources

Covers patient ID card, prohibitive signs, and sources of electromagnetic interference.

Replacement Indications and Device Handling

Battery Status and ERI Indicators

Explains battery levels, ERI activation, display, and mode changes upon reaching ERI.

Deactivated Functions and Service Time

Lists functions deactivated with ERI and details expected service time after ERI.

Explantation and Device Replacement Procedures

Device Handling and Disposal

Provides instructions for explantation, device replacement, cremation, and safe disposal.

Parameters: Timing

Basic Rate and Rate Hysteresis Settings

Defines basic rate, night rate, rate changes, and hysteresis settings.

AV Delay and AV Hysteresis Settings

Details AV delay, sense compensation, safety interval, and AV hysteresis configurations.

Parameters: Pacing and Rate Control

Ventricular Pacing and Upper Rate Settings

Covers ventricular pacing modes, triggering, upper rate limits, and Wenckebach response.

Mode Switching and Pacing Suppression

Details mode switching criteria, intervention rates, and ventricular pacing suppression.

Parameters: Refractory, Blanking, and Sensing

Refractory Periods and Blanking Periods

Defines refractory periods (including PVARP) and blanking periods.

PMT Protection and Pacing/Sensing Settings

Explains PMT protection, VA criterion, pulse amplitude, pulse width, and sensitivity settings.

Parameters: Capture Control and Recording

Atrial and Ventricular Capture Control

Details settings for atrial and ventricular capture control, including safety margins.

Lead Configuration and Pacing Features

Describes lead polarity settings, atrial overdrive pacing, and IEGM recording types.

Parameters: Rate Adaptation and Statistics

IEGM Recordings, Statistics, and Rate Adaptation

Covers IEGM recordings, statistical rates, CLS, and accelerometer-based rate adaptation.

Parameters: MRI, Preset Programs, and Configurations

MRI Program Settings and Modes

Details MRI program modes and preset parameters for ProMRI® devices.

Preset Programs and Lead Configuration

Describes standard/safe programs, lead configuration, and post-initialization parameters.

Detailed Parameter Settings

Timing and Delay Settings

Covers AV hysteresis, sense compensation, AV safety delay, and VW delay.

Protection and Sensing Settings

Includes T-wave protection, far-field protection, PMT protection, VA criterion, and sensitivity.

Amplitude, Width, Refractory, and Response Settings

Details pulse amplitude, width, refractory periods, and magnet response.

Mode Control and Pacing Features

Covers mode switching, onset/resolution criteria, capture control, and pacing suppression.

Tolerances of Parameter Values

Rate, Amplitude, and Width Tolerances

Lists tolerances for basic rate, interval, magnet rate, pulse amplitude, and pulse width.

Sensitivity, Refractory, and Impedance Tolerances

Details tolerances for sensitivity, refractory periods, lead impedance, and activity rates.

Technical Data: Mechanical Characteristics

Housing Measurements and Materials

Provides dimensions, volume, mass for device housings and lists contact materials.

X-ray Identification and Electrical Properties

Specifies X-ray ID, electrically conductive surface, components, and interference resistance.

Technical Data: Battery Characteristics

Battery Specifications and Storage Effects

Lists battery specifications and explains service time reduction after storage.

Power Consumption and Service Time Calculation

Details power consumption values and factors for calculating mean service times.

Mean Service Times for SR(-T) Devices

Provides estimated mean service times for SR(-T) devices based on various parameters.

Mean Service Times for DR(-T) Devices

Mean Service Times for HF-T Devices

Legend for Device Labels

Explanation of Label Icons

Explains the meaning of various icons found on device labels, including MR conditional.

Device and Connector Examples

Shows examples of device types, NBG codes, connectors, and associated items.

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