HBO safety: Biotronik device

Hello, we have a new pt referral for osteo, but he has an implanted BioMonitor 2 AF. All BIOTRONIK CRM devices are not recommended for HBO due to the potential for damage or impaired function of the implant after exposure. The device will no longer be monitored by the cardiologist, but he plans on leaving the implant in place. When I called to speak with BIOTRONIK technical support, the recommendation still was the same. (not to use in HBO) BUT... if the wound care physician and cardiologist wanted to do a risk/benefit analysis...that the decision would be up to them. Just wondering if this has come up before and what was done? Thanks for any input!

Apr 5, 2022 by Lisa Fischer, LVN

3 replies

Jeff Mize
RRT, CHT, UHMSADS

Lisa,
Thank you for your question. In situations where the manufacturer states that the device is not recommended for use in hyperbaric environments, due to the potential for damage. We would NOT proceed or initiate a course of treatment.

Apr 5, 2022

Eugene Worth
MD, M.Ed., FABA, ABPM/UHM

Just to add a physician perspective … when a manufacturer tells me that the device is “not recommended,” and to continue would damage the device, then I listen. This is a definite NO GO for me. Yes, even if the cardiologist has no intention of using the device in the future.

Apr 5, 2022

Lisa Fischer
LVN

thank you both!

Apr 15, 2022

* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

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