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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,
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
thank you both!
Apr 15, 2022
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