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Use the following checklist to ensure that patients who have been
implanted with a BIOTRONIK device system labeled “MR Conditional”
can receive an MR scan safely.
*
We recommend that you check off the boxes in order to be certain
that a full body MR Conditional scan with BIOTRONIK ProMRI
®
systems is permissible.
ProMRI
®
checklist for the cardiology
department
Patient
Name
Address
City
Cardiac device system (please complete)
Device
Leads
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