23
Handling and Implantation
Lead Placement
!
!
CAUTION
Damage to the lead as a result of mechanical overstress
When positioning the lead, make sure it is not knotted, twisted or bent.
!
!
CAUTION
Damage to the lead as a result of mechanical overstress
If the active device is implanted underneath the pectoral muscle, ensure that no
parts of the lead lie between the housing of the device and the ribs.
Otherwise local pressure and abrasion can damage the lead insulation.
Depending on the implantation site and patient's anatomy, the lead may be longer
than required to connect the active device and position the lead in the heart.
In this case, we recommend placing the excess lead length around the active device
in loose loops.
Schematic diagram: Placing the lead around the active device
Pinching between clavicle and
1st rib
To prevent mechanical overstress from causing failure of the pacing/sensing
function, make sure that the lead does not become pinched between the clavicula
and the first rib after implantation.