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Cardiac Rhythm Management External Devices Quick Reference Guide Renamic Medical programmer and monitoring device...
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Telemetry status in 6 stages Device name and serial number Patient name Active function (0 bars = 0% up to 5 bars = 100%) Heart rate ECG monitor (values derived from real-time IEGM) Button for setting the gain of the respective signal Freeze function (ECG snapshot of the last 60 sec.) Button for enlarging/reducing the ECG window Settings for the ECG display Display area for Navigator with status messages navigation buttons Application window Button for exiting the follow-up session. The start screen is displayed Help function (accessible from and all interrogated data and test any application window) results are stored. Function buttons (depending on Forward/back navigation the current application window) ECG window...
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1 Touch screen 18 Paper tray for internal printer 2 Device body 19 On/off button 3 USB ports 20 Power cord port and device fuse 4 ECG port 21 PGH port 5 Slot for expansion module 22 USB slot with Bluetooth USB adapter 6 Screen release button (right) 23 PGH cable and ECG cable 7 Fixation for carrying strap (right) 24 Cable feedthrough for PGH cable 8 Pen holder 25 On/off LED 9 PGH compartment lid release button 26 Programming head (PGH) 10 Printer buttons 27 PGH compartment lid 11 ...
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Navigation All parameters displayed Summary of the most important Change the programmable in bold print can be selected. follow-up data. parameters of the implanted device. Other application windows are opened on selection. Perform tests (e.g. threshold test). Display the signals recorded by the implanted device. Open the patient data in the Display all interrogated [Parameters] application window. implanted device statistics. Summary of the status of the implanted device. Open the list of recently recorded [Recordings] signals in the Print manager application window. (list of all stored printing data). Open the corresponding test in the Adapt the basic settings for [Tests] application window. individual configuration.
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Switching the device on and off The on/off button (19) is located on the back left side of the device. To switch on the device: • Press the on/off button (19) once to the pressure point. The on/off LED (25) on the front left side of the device lights up. To switch off the device: • Press the on/off button (19) once to the pressure point or • Shut down the device via the user interface. On/off button on the device Note: If the power supply to Renamic is interrupted, the device will require approximately 60 seconds to restart once the power supply is reconnected. If the power supply to Renamic is not interrupted and the device is switched off using the button on the screen or the on/off button on the device (19), then the device will require approximately 30 seconds to restart. Button for switching off the device in the user interface.
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Freeze/Print Freeze function (ECG/IEGM recording) Renamic constantly stores the last 60 seconds of the real-time signals (IEGM, ECG and markers) displayed in the ECG window. The Freeze function can be used to pause the signal display in order to analyze events that have occurred within the last 60 seconds. Key below the ECG area to open the Display of the IEGM amplitude (A, RV, LV) at the position of [Freeze] button. the left caliper (1) and the right caliper (2) Keys for precise placement of the caliper lines. The calipers can also be positioned on the ECG display itself (select, hold and drag). Circle function to check constant distances between several events Button for printing the displayed recording section. The recording is simultaneously stored as a file in the follow-up data of the print and data manager tabs with the designation "Freeze". Button for saving as a file in the follow-up data of the print and data manager tabs with the designation "Freeze". Selection to print or store the entire length of 60 seconds, only the window contents, or the section between the caliper lines.
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Printing during follow-up [Print] The button is available in every application window for immediate printing. All data interrogated and produced during follow-up are automatically stored and can be displayed in the [More] Print manager tab at any time using the button. List of available data for activated follow-up. List of all stored follow-ups for the implanted device being interrogated. Keys for selecting the print profiles. The activated follow-up is The check boxes for available data are highlighted in blue. adapted to the respective profile. The current follow-up session is selected by default. Check box for selecting or deselecting the follow-up data to be printed.
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Export Printing and exporting stored data [Data manager] Select the button on the start screen. All stored follow-up data can be viewed, printed, exported and sorted according to the displayed columns. Lines containing the same information in the sorted column are summarized. For example, if the follow-up data is sorted according to the "Patient" column, then all follow-up data for a single patient will be summarized. However, if the "Date" column is selected for sorting, then all follow-up data will be summarized for the same date but with various different patients. Select a column header to sort and summarize the follow-up data. Edit the patient name selected with a check box. Data export settings. Use the arrows to expand or collapse the summarized Export follow-up data that has been follow-up data. selected using the check boxes. Export the selected follow-up data in Import follow-up data in Adobe PDF format. BIOTRONIK backup format.
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Data export settings [Data manager] [Options] Select the button on the start screen and then to configure the data export settings. Activate or deactivate the check boxes to set the format in which the follow-up data will be exported via the available interfaces (USB stick, Bluetooth adapter, serial RS 232 interface). Export to USB stick Select this function to transmit the export file in Export to a device connected BIOTRONIK XML format and as a PDF document via a Bluetooth adapter with each transmission. (See Preferences for Bluetooth PIN) Backup: Encrypted file format only for importing backup data on a BIOTRONIK Renamic or ICS 3000 programmer. When exporting to a USB stick, you can enter a destination directory for the data. The top level of the destination directory BIOTRONIK-XML: Open, freely available proprietary export must be the "BIOTRONIK" directory. format based on the XML standard. An XML file is created "USB stick\BIOTRONIK\..." for each follow-up. Paceart-XML: Paceart compatible export format. An XML file is created for each follow-up. ...
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Preferences Adapting the settings [Preferences] Select the button in the navigator and then select the desired tab and enter your preferences. [Follow-up] tab: Configures which measurements and tests are performed automatically during follow-up and how the results are output. [Tests] tab: Sets parameters affecting the test sequence during follow-up. [Print] tab: Configures a PCL compatible external printer that is connected via a USB or Bluetooth adapter, or sets up different printing profiles for printing the follow-up data. [System] tab: Sets the time, daylight saving time (DST) or winter time, date, language of the user interface and the help function. [Connectivity] tab: Sets up communication connections to other devices.
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Settings for initial data export using the Bluetooth adapter The Bluetooth connection has to be established before Renamic can export data via the Bluetooth adapter. The Bluetooth search dialog box appears the first time an export is performed via the Bluetooth adapter. Once the search is finished, Renamic displays all devices available for connection. The first time an export is performed, the Renamic Bluetooth PIN must be entered into the PC that is to be connected via Bluetooth. The Bluetooth PIN for connecting the Renamic is: 1358. The Bluetooth connection only has to be configured once.
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RF Telemetry Place Renamic in the ideal position for SafeSync RF telemetry Various factors can impair the quality of the SafeSync RF telemetry connection. The current connection quality (1) is displayed in the programmer’s status bar. This display can be used to determine the optimum position. In doing so, take the delay in the field strength display (1) into consideration. Proceed as follows if the connection quality is impaired: • Change the position of the programmer or its orientation to the implanted device by slightly rotating or moving it. When you do this, consider the delay in the field strength display (1) and observe the preferred direction for SafeSync RF telemetry (2). • Ensure that no objects or persons are located in the path between Renamic and the implanted device. • Position Renamic as far away as possible from other electrical devices. • Do not place the device to be implanted directly on metal surfaces, as the effectiveness of the antenna is significantly reduced in the vicinity of electrically conductive surfaces. Preferred directions (2) for SafeSync RF telemetry...
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Placing paper in the printer tray • Open the printer tray by applying slight pressure from above. • Do not pull the tray all the way out. • Removing the paper tray: Printers without release key: • Pull the tray all the way out. Printers with a release key: • Press down the key on the right side and pull the tray all the way out. • Push back the separator flap. • Pull back the top sheet of the ream of paper. • Insert the ream of paper into the tray from the top so that the wide marking on the ream of paper is on the left side. Push back the separator flap • Place the separator flap under the top sheet of paper. • Guide the top sheet over the separator flap and the rubber roller. • Push the tray into the device until it stops. If too much paper is in the tray and it is difficult to push into the device, remove some paper and repeat the steps.
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