20
Handling and Implantation
Fixating the Lead at the Lead Incision Point
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CAUTION
Tensile force on the endocardial fixation or impediment of the heart valve
The distance between the fixations at the lead tip and at the entry site of the lead
has to be dimensioned in such a way that the following conditions are met:
Purpose
Fixating the lead at the incision point in the vein or in the muscle minimizes the risk
of dislodgment.
The lead fixation sleeve enables secure and smooth fixation of the lead at its
incision point and decreases the risk of damaging the insulation or coil during
fixation.
Prerequisites
Placement of the lead and measurement of the threshold and the intracardiac
signals were successful.
Lead fixation sleeve
On delivery, the lead fixation sleeve with ligature grooves made of silicone is
mounted on the lead.
Instructions for use
Move the lead fixation sleeve back to the puncture or incision site and fixate it with
ligature sutures.
Application example: Fixate the lead at the incision site of the vein using the fixation
sleeve.
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Contraction of the heart and other movement of the patient should not put
tension on the fixation.
•
The tricuspid valve's function must not be hindered by the lead.
