16
Rate decrease
The decrease of basic rate and magnet rate is defined as follows:
• In the following modes, the pacing rate decreases by 11%:
DDD(R); DDT(R); D00(R); VDD(R); VDI(R); VVI(R); VVT(R); AAI(R); AAT(R); A00(R)
• In the modes DDI(R) and DVI(R), only the VA interval is extended by 11%. This
reduces the pacing rate by 4.5 to 11%, depending on the configured AV delay.
Expected service time after ERI
• The information is based on a lead impedance of 500 Ω at 100% pacing and the data
of the battery manufacturer.
• Parameter with high pacing energy:
110 bpm; 4.6 V; 1.5 ms; 500 Ω
• Parameters with low pacing energy:
30 bpm; 0.2 V; 0.1 ms; 500 Ω
• Interval between ERI and EOS for the single-chamber device in AAI(R)/VVI(R) mode,
for the double and triple chamber device in DDD(R) mode, in standard program and
with both high and low pacing energy:
— Mean value: 8 months
— Minimum value: 6 months
Explantation and Device Replacement
Explantation
• Disconnect the leads from the header.
• Remove the device and, if necessary, leads using state-of-the-art technology.
• Explants are biologically contaminated and must be disposed of safely due to risk of
infection.
Device replacement
The following applies to leads from a previous device that are intended for further use:
• Check the leads prior to connecting to the new device.
If, upon replacing the device, already implanted 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.
Basic principles:
• The device must not be resterilized and reused.
Cremation
Devices should not be cremated.
• Explant the device before the cremation of a deceased patient.
Disposal
BIOTRONIK takes back used products for the purpose of environmentally safe disposal.
• Clean the explant with a solution of at least 1% sodium hypochlorite.
• Rinse with water.
• Fill out explantation form and send to BIOTRONIK together with the cleaned device.
4 Parameters
Timing
Basic rate day/night
Rate hysteresises
Parameter
Range of values
Standard
SR DR HF
Basic rate
30 ... (5) ... 100 ... (10)
... 200 bpm
60 bpm
x
x
50 bpm
x
Night rate
OFF; 30 ... (5) ... 100 ... (10)
... 190 bpm
OFF
x
x
x
Night begins
00:00 ... (10 min) ... 11:50 PM
hh:mm
22:00 hh:mm x
x
x
Night ends
00:00 ... (10 min) ... 11:50 PM
hh:mm
06:00 hh:mm x
x
x
Parameter
Range of values
Standard
SR DR HF
Hysteresis
OFF;
-5 ... (-5) ... -25 ... (-20)
... -65 bpm
OFF
x
x
x
Repetitive / search
cycles
OFF; ON
OFF
x
x
x
401303--G_GA_Eluna-I-ProMRI_mul.book Page 16 Friday, October 2, 2015 4:57 PM
