Pacemaker Systems from Boston Scientific
Pacemakers by Boston Scientific, including models ACCOLADE, ESSENTIO, VITALIO, INGENIO, and ADVANTIO, are designed to manage conditions such as symptomatic bradycardia, AV block, and bundle branch block, as well as to prevent symptomatic bradycardia in specific conditions. They are also appropriate for patients who could benefit from adaptive-rate pacing due to chronotropic incompetence, and those in need of AV synchrony maintenance.
Contraindications
Boston Scientific pacemakers should not be used in patients who have an implanted cardioverter defibrillator (ICD) with transvenous leads. There are also specific contraindications regarding pacing modes and features, particularly in patients with alternative pacing systems and those with atrial tachyarrhythmias.
Warnings
Thorough manual review prior to implantation is advised to avoid damage and potential patient injury or death. The devices are for single-use only, and reuse or reprocessing is prohibited. It is also crucial to have external defibrillation equipment accessible during implantation and testing. Furthermore, the pacemaker may enter a safety core operation in response to certain conditions, which is irreversible.
Precautions
Users are directed toward specific sections of the product labeling for precautions related to clinical considerations, environmental influences, and various therapeutic exposures. The document further advises against exposure to electromagnetic interference (EMI) and magnetic resonance imaging (MRI). Patients should be counseled on the avoidance of EMI sources.
Potential Adverse Events
The manual lists potential adverse events ranging from allergic reactions to device failure, and emphasizes psychological impacts on patients, including the fear related to the device’s operation.
Additional Features
There are new enhancements aimed at increasing efficiencies during implantation and subsequent checks. ESSENTIO model is highlighted for its feature of automatic daily monitoring, intended to provide remote monitoring capabilities and improve patient compliance. Furthermore, the ESSENTIO model boasts an extended battery life, projected to be over 12 years.
For further details or concerns, the manual directs medical professionals and patients or families to their respective contact information.
Manual:
Download: ACCOLADE, ESSENTIO, VITALIO, INGENIO, ADVANTIO Pacemakers User Manual
Chat: Powered By VoiceSphere