31 After Implantation
Explantation and Implant Replacement
Explantation • Disconnect the leads from the header.
• Remove the implant and, if necessary, leads using state-of-the-art technology.
• Explants are biologically contaminated and must be disposed safely due to risk
of infection.
Implant replacement • Implanted leads of a predecessor implant must be checked before they are con-
nected to a new implant.
Cremation Implants should not be cremated.
• Explant the implant before the cremation of a deceased patient.
Disposal BIOTRONIK takes back used products for the purpose of environmentally safe dis-
posal.
• Clean the explant with an at least 1% sodium-hyperchlorine solution.
• Rinse off with water.
• Fill out explantation form and send to BIOTRONIK together with the cleaned
implant.
WARNING
Interference with functioning of the implant system
If, upon replacing the implant, predecessor leads are no longer used but left in
the patient, then an additional uncontrolled current path to the heart can result.
• Insulate connections that are not used.
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