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BIOTRONIK Reocor D Manual Tecnico página 9

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6
Lead connection
Behavior
during use
Pacing with
high rates
The connections of Reocor D and the temporary pacing
leads must be secured and checked regularly.
The patient cable must first be connected to Reocor D
and then to the leads.
The temporary leads, to which the Reocor D is connected,
represent a low-impedance conductor to the myocar-
dium for electric current. Therefore line-powered devices
that are operated in the patient's vicinity must be
grounded in accordance with established guidelines.
When handling already implanted leads, their connector
pins and metal contact surfaces must not touch or come
into contact with electrically conductive or wet surfaces.
If the cable has become disconnected from the Reocor D,
it must be reconnected immediately and the security of
the connection inspected.
When using unipolar leads, two unipolar leads must be
used for each chamber for effective pacing.
During use of Reocor D, the protective cover must be
completely closed to prevent inadvertent resetting of the
programmed parameters.
Secure Reocor D either horizontally on a non-slip surface
or on the patient with an armband, or operate it from a
hanging position on the infusion stand using the hanger
on the back of the device.
Reocor D must not be worn directly on the skin.
During use of Reocor D, the heart rate of the patient is to
be monitored with an ECG monitor with alarm function.
For disturbances caused by electromagnetic interference
(EMI), Reocor D will trigger asynchronous pacing when
certain limits are exceeded. Depending on whether the
interference was sensed in the atrium or in the ventricle,
the following operating modes will result for the duration
of the interference:
Undisturbed operating mode
SSI, SST
VDD
DDD
Pacing the heart with rates higher than 180 ppm over a
long period of time can cause severe hemodynamic com-
plications. Pacing with high rates should only be per-
formed when continuous monitoring is ensured.
Interference by EMI
S00
VAT, VVI, V00
DAD, DVI, D00

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