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