BIOTRONIK Renamic User manual

Renamic
Medcal programmer and montorng devce
Quick Reference Guide
External Devices
Cardiac Rhythm Management

Telemetry status in 6 stages
(0 bars = 0% up to 5 bars = 100%)
Active function Patient name Device name and serial number
Heart rate
ECG monitor
(values derived from real-time IEGM)
Navigator with
navigation buttons
Forward/back navigation
ECG window
Button for exiting the follow-up
session. The start screen is displayed
and all interrogated data and test
results are stored.
Freeze function
(ECG snapshot of the last 60 sec.)
Help function (accessible from
any application window)
Button for enlarging/reducing
the ECG window
Function buttons (depending on
the current application window)
Application window
Display area for
status messages
Settings for the ECG display
Button for setting the gain
of the respective signal

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7
1
2
3
4
5
6
8
13
12
11
10
9
14
15
16
18
19
20

21
22
23
24
27
26
25
28
29
31
30

1 Touch screen
2 Device body
3 USB ports
4 ECG port
5 Slot for expansion module
6 Screen release button (right)
7 Fixation for carrying strap (right)
8 Pen holder
9 PGH compartment lid release button
10 Printer buttons
11 Stylus in pen holder
12 Safe program button
13 Emergency shock button
14 Carrying handle
15 Fixation for carrying strap (left)
16 Screen release button (left)
18 Paper tray for internal printer
19 On/off button
20 Power cord port and device fuse
21 PGH port
22 USB slot with Bluetooth USB adapter
23 PGH cable and ECG cable
24 Cable feedthrough for PGH cable
25 On/off LED
26 Programming head (PGH)
27 PGH compartment lid
28 Anti-slip stand
29 Gripping tab
30 Power cord in power cord storage compartment
31 Power cord compartment lid

Navgaton
Summary of the most important
follow-up data.
All parameters displayed
in bold print can be selected.
Other application windows are
opened on selection.
Change the programmable
parameters of the implanted device.
Display the signals
recorded by the implanted device.
Perform tests
(e.g. threshold test).
Display all interrogated
implanted device statistics.
Summary of the status of
the implanted device.
Open the patient data in the
[Parameters] application window.
Open the list of recently recorded
signals in the [Recordings]
application window.
Open the corresponding test in the
[Tests] application window. Adapt the basic settings for
individual configuration.
Print manager
(list of all stored printing data).

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Button for switching off the device in the user interface.
On/off button on the device
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.
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.
Switching the device on and off

Freeze/Prnt
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
[Freeze] button.
(1) (2)
Display of the IEGM amplitude (A, RV, LV) at the position of
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 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.
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".

Printing during follow-up
List of available data for
activated follow-up.
List of all stored follow-ups for the
implanted device being interrogated.
The activated follow-up is
highlighted in blue.
The current follow-up session is
selected by default.
Check box for selecting or deselecting
the follow-up data to be printed.
The [Print] 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
Print manager tab at any time using the [More] button.
Keys for selecting the print profiles.
The check boxes for available data are
adapted to the respective profile.

Printing and exporting stored data
Select the [Data manager] 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.
Use the arrows to expand
or collapse the summarized
follow-up data.
Select a column header to sort and
summarize the follow-up data.
Export follow-up data that has been
selected using the check boxes.
Import follow-up data in
BIOTRONIK backup format.
Export the selected follow-up data in
Adobe PDF format.
Data export settings.
Edit the patient name
selected with a check box.
Export

Select the [Data manager] button on the start screen and then [Options] 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).
Data export settings
Backup: Encrypted file format only for importing backup
data on a BIOTRONIK Renamic or ICS 3000 programmer.
Paceart-XML: Paceart compatible export format.
An XML file is created for each follow-up.
BIOTRONIK-XML: Open, freely available proprietary export
format based on the XML standard. An XML file is created
for each follow-up.
Select this function to transmit the export file in
BIOTRONIK XML format and as a PDF document
with each transmission.
Export to USB stick
Export to a device connected
via a Bluetooth adapter
(See Preferences for Bluetooth PIN)
When exporting to a USB stick, you can
enter a destination directory for the data.
The top level of the destination directory
must be the "BIOTRONIK" directory.
"USB stick\BIOTRONIK\..."

Adapting the settings
[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.
Select the [Preferences] button in the navigator and then select the desired tab and enter your preferences.
Preferences

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.
Settings for initial data export using the Bluetooth adapter

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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.
RF Telemetry
Preferred directions (2) for SafeSync RF telemetry
(2)
(2)
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.
1

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.
• 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.
• The closure will lock automatically.
Push back the separator flap
Place the separator flap under top sheet

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BIOTRONIK SE & o K
Woermannkehre 1
12359 Berln  ermany
Tel [phone]
Fax [phone]
salesbotronkcom
wwwbotronkcom
© BIOTRONIK SE & o K
All rghts reserved
Speccatons are subect to change wthout notce
12-X-30
Revson D (2012-06-29)
0123
0681 2010
Note: This quick reference guide does not serve as a replacement for the proper technical manual of the device.
Before using Renamic, please read the technical manual of the device including the safety warnings.