Lumax Family of ICDs and CRT‑Ds - BIOTRONIK USA - News

10 Lumax Family Technical Manual
Cross Threading Setscrew(s)—To prevent cross threading the
setscrew(s), do not back the setscrew(s) completely out of the threaded
hole. Leave the torque wrench in the slot of the setscrew(s) while the
lead is inserted.
Tightening Setscrew(s)—Do not overtighten the setscrew(s). Use only
the BIOTRONIK supplied torque wrench.
Sealing System—Be sure to properly insert the torque wrench into the
perforation perpendicular to the connector receptacle. Failure to do so
may result in damage to the plug and its self‐sealing properties.
1.4.4 Follow‐up Testing
Defibrillation Threshold—Be aware that changes in the patient’s
condition, drug regimen, and other factors may change the defibrillation
threshold (DFT), which may result in non‐conversion of the arrhythmia
post‐operatively. Successful conversion of ventricular fibrillation or
ventricular tachycardia during arrhythmia conversion testing is no
assurance that conversion will occur post‐operatively.
Resuscitation Availability—Ensure that an external defibrillator and
medical personnel skilled in cardiopulmonary resuscitation (CPR) are
present during post‐implant device testing should the patient require
external rescue.
Safe Program—Within the EP Test screen, pressing the “Safe Program”
key on the programmer head immediately sends the safe program to the
ICD⁄CRT‐D.
1.4.5 Pulse Generator Explant and Disposal
Device Incineration—Never incinerate the ICD⁄CRT‐D due to the
potential for explosion. The ICD⁄CRT‐D must be explanted prior to
cremation.
Explanted Devices—Return all explanted devices to BIOTRONIK.
Unwanted Shocks—Always program ICD Therapy to OFF prior to
handling the device to prevent the delivery of serious shocks to the
patient or the person handling the device during the procedure.