BIOTRONIK ProMRI Estella SR Manual Tecnico página 9

Implantation
Implanting
Implantation site
• Depending on lead configuration and the patient's anatomy, pacemakers are
generally implanted subcutaneously or subpectorally on the right side.
Sequence
1 Shape the device pocket and prepare the vein.
2 Implant the leads, perform the measurements, and fixate the leads.
3 Connect device and leads.
The device starts auto-initialization on its own.
4 Insert the device.
5 Guide the fixation suture through the opening in the header and fixate the
device in the prepared device pocket.
6 Close the device pocket.
7 Prior to testing and configuration, wait for the successful completion of
automatic device initialization.
Note: If necessary, the device can also be programmed before or during auto-initial-
ization.
Applying the programming head
The programming head (PGH) features a diagram of the device. This is used to assist in
positioning the head to ensure proper telemetry.
• Make sure the PGH is positioned correctly.
Connecting PM Leads
Connection options
BIOTRONIK pacemakers are designed for leads with unipolar or bipolar IS-1
connection. For sensing and pacing, a unipolar or a bipolar lead can be used:
• Atrium: IS-1 unipolar or bipolar
• Right ventricle: IS-1 unipolar or bipolar
Note: Use only adapters approved by BIOTRONIK for leads with different connections.
• If you have any questions concerning the compatibility of other manufacturers'
leads, please contact BIOTRONIK.
Connection schemes
Connection schemes for dual-chamber and single-chamber devices:
Dual-chamber
DDDR
A
IS-1
Preventing short circuits in the header
W WARNING
Short circuit due to open lead connections
Connections in the header which are open and thus not electrolyte-proof may cause
undesired current flow to the body and penetration of bodily fluids into the device.
• Close unused connections with blind plugs.
Connecting the lead connector to the device
Proceed as follows:
1 Disconnect stylets and insertion aids from the lead connector.
2 • Connect the unipolar or bipolar IS-1 lead connector ventricle to RV.
• Connect the unipolar or bipolar IS-1 lead connector atrium to A.
3 Push the lead connector into the header without bending the conductor
until the connector tip becomes visible behind the set screw block.
4 If the lead connector cannot be inserted completely, the set screw may be
protruding into the cavity of the set screw block. Carefully loosen the set
screw without completely unscrewing it, so that it does not become tilted
upon retightening.
8
Single-chamber
VVIR /AAIR
IS-1