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BIOTRONIK Enitra 6 DR User Manual

BIOTRONIK Enitra 6 DR
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Enitra 6/8 Pr oMRI
®
Pacemaker | Bradyarrhythmia Therapy |
Cardiac Resynchronization Therapy
Technical Manual
417801
Revision: B (2016-03-23)
© BIOTRONIK SE & Co. KG
All rights reserved.
Specification subject to modification, revision and improvement.
® All product names in use may be trademarks or registered trademarks held
by BIOTRONIK or the respective owner.
Index 417801Technical ManualEnitra 6/8
0123 2016
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
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BIOTRONIK Enitra 6 DR Specifications

General IconGeneral
Device TypeImplantable Cardioverter Defibrillator (ICD)
ManufacturerBIOTRONIK
TelemetryBIOTRONIK Home Monitoring
MRI ConditionalYes
Defibrillation EnergyUp to 40 J
TherapyDefibrillation, Pacing
Bradycardia Pacing ModesDDD, VVI, AAI
Remote MonitoringYes (BIOTRONIK Home Monitoring)
ProgrammingBIOTRONIK Programmer

Summary

Product Description

Intended Medical Use

Defines the purpose and target patient population for the Enitra pacemaker system.

Indications

Pacing Modes

Details recommended pacing modes for different symptomatic conditions.

Contraindications

System Overview

Lead Connections

Explains the standardized lead connection types (IS-1, IS4) and compatibility notes.

Telemetry

Explains how telemetric communication is established with the programmer.

Programmer

Details the functions of the programmer for testing and data management.

Modes

Lists the available pacing modes dependent on the individual diagnosis.

NBG Codes

BIOTRONIK Home Monitoring

Describes the comprehensive therapy management system using Home Monitoring.

Diagnostic and Therapy Functions

Diagnostics Functions

Explains data recording, impedance measurements, and IEGM display.

Antibradycardia Pacing

Details sensing, pacing thresholds, and timing adaptations for pacing.

Resynchronisation Therapy

Describes functions for resynchronizing ventricles and LV lead optimization.

ProMRI Devices and MRI

Explains how devices recognize MRI fields and activate MRI programs.

Home Monitoring Functions

Details automatic data transmission and initiated test messages for Home Monitoring.

General Safety Instructions

Operating Conditions

Lists technical manuals providing usage information and care instructions.

Single Use Only

States that the device and screwdriver are for single use and must not be reused.

Possible Complications

General Medical Complications

Covers general complications like fluid accumulation, infections, and therapy ineffectiveness.

Possible Technical Failures

Lists potential technical failures such as lead dislodgement or component failure.

Electromagnetic Interference (EMI)

Discusses device sensitivity to EMI and BIOTRONIK's design for minimal susceptibility.

Device Behavior in Case of EMI

Explains asynchronous pacing during interference and magnet response to static fields.

Possible Risks

Procedures to Avoid

Lists procedures like ultrasound and nerve stimulation that may harm the patient or device.

Potentially Risky Therapeutic and Diagnostic Procedures

Warns about interference risks from external electrical sources and diagnostic procedures.

External Defibrillation

Explains potential device damage and lead tissue changes from external defibrillation.

Radiation Therapy

Advises avoiding radiation therapy due to device damage risks and required precautions.

Magnetic Resonance Imaging

Warns about MRI risks due to magnetic fields and potential device damage or warming.

Implantation

Implantation Procedure

Lists required parts for implantation, including device, leads, and programmer.

Having Parts Ready

Specifies essential components needed for the implantation procedure.

Keeping an External Defibrillator Ready

Stresses the importance of having a defibrillator available for emergencies.

Overview: Implanting

Provides a step-by-step summary of the implantation process.

Avoid Damage to the Header

Advises on careful handling of set screws to prevent header damage.

Preventing Short Circuits in the Header

Warns about open connector ports causing current flow and body fluid penetration.

Keeping Distance Between Leads

Highlights the need for adequate lead spacing to prevent far-field sensing issues.

Connecting the Lead Connector to the Device

Details the process of connecting lead connectors to the device header.

Applying the Programming Head

Explains how to position the programming head for proper telemetry.

Establishing Wandless Telemetry

Describes the process and requirements for establishing wireless telemetry.

Auto-Initialization

Explains that auto-initialization starts automatically after the first lead is sensed.

Precautionary Measures While Programming

Caution: Safety Information

Reiterates the need for special precautions during device programming.

Checking the Device System

Advises performing a follow-up to ensure proper device system function post-initialization.

Performing Standard Tests and Monitoring the Patient

Details critical tests and patient monitoring during programming.

Do Not Interrupt Wandless Telemetry

Warns against disconnecting telemetry modules during treatment.

Avoiding Critical Parameter Settings

Advises against setting risky parameter combinations and checking compatibility.

Manually Setting Lead Polarity

Recommends setting lead polarity only for bipolar leads to avoid issues.

Setting Sensing

Suggests using automatic sensitivity control for safety and avoiding manual settings.

Setting the Sensitivity

Provides recommendations for setting sensitivity values based on standards.

Preventing Device-Induced Complications

Lists functions to prevent complications like PMT protection.

Preventing Conduction of Atrial Tachycardia

Details functions to prevent atrial tachycardia conduction to the ventricle.

Unipolar Pacing with ICD

Warns against unipolar pacing when an ICD is also implanted.

Follow-up

Follow-up with the Programmer

Outlines the procedure for conducting in-house follow-up using the programmer.

Replacement Indications

Expected Service Times After ERI

Provides estimates for remaining service times after ERI.

Explantation and Device Replacement

Parameters

PMT Protection

Explains PMT protection and VA criterion settings.

Pacing and Sensing

Rate Adaptation

MRI Program

Tolerances of Parameter Values

Technical Data

Battery Data

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