First NayaMed ImplantNP X1 DR

UNIVERSITÄTSKLINIKUM Schleswig-Holstein

Kiel

Isolation of the vein used to the implant

Skin of the patient

Layer of a special

material covering

the skin used to

ensure sterility

Vein to be used for the

lead implant

“Preparation” of the vein

The implanter is

creating a knot in

the “upper” part of

the vein to

temporarily block

the blood flow

The lead is removed from the box

Lead insertion

At the lower part of

the vein the

implanter makes an

incision in the vein

wall using the

surgical scissors

Lead insertion

Cut in the vein

The knot done

before

Lead insertion

Using a Vein Lifter the lead is inserted into the vein.

The Vein lifter

Can be found in the lead’s package

NP X1 01 (NayaMed

Screw-In pacing

Lead)

Lead insertion

Once the tip of the lead is inserted… The lead can be manually pushed in the

vein

Lead insertionFrom this moment the doctor starts looking on the fluoroscopy the

advancement of the lead into the heart

The lead is already positioned

in the Ventricle

Lead insertionThe proximal part of the lead is fixated to the muscle

The connector of

the lead is

attached to the

Analyser cable

(to measure the

electrical

parameters of

the lead)

The cable will be

connected to the

programmer

Lead insertionThe same steps are done for the 2nd lead

Ventricular lead

Atrial lead

Pacemaker preparation

Pacemaker connection

Screw driver used to connect the leads’ connectors into the pacemaker

header

The screw driver is part of the pacemaker’s box

Pacemaker insertion

The pacemaker is inserted into the incision made initially by the implanter

Pacemaker insertion

Pacemaker insertion

The pacemaker is sutured to the patient

Final view under the Fluoroscopy

Leads

The X-Ray ID of the

Pacemaker

The NayaMed symbol

and the letters NMD

which are proper to

this pacemaker model

only

Skin closure… the patient could go back home the

same day