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Biotronik: Integrated solutions with Schwarzer Cardiotek for modern CSP Therapies

Electrophysiology is one of the most dynamic fields in modern cardiology. Biotronik offers innovative solutions for cardiac rhythm therapies and works with Schwarzer Cardiotek in the field of conduction system pacing (CSP). The EP-TRACER 2 from Schwarzer Cardiotek is part of many Biotronik CSP procedures and supports the precise placement of pacing electrodes.

Biotronik: Innovative solutions for modern cardiac rhythm therapy

As a leading medical technology company with over 60 years of experience in the development of cardiac implants, Biotronik has become a major player in the field of electrophysiological therapies. Since its foundation in Berlin in 1963, Biotronik has been one of the pioneers in cardiac medical technology. The company has developed pacemakers, ICDs, CRT systems, remote monitoring and AI-controlled algorithms.

Pacemaker systems

Biotronik offers a wide range of pacemaker systems for various clinical indications:

  • Single-chamber pacemakers: For patients with isolated ventricular or atrial arrhythmias, equipped with advanced algorithms to optimise natural heart function.
  • Dual-chamber pacemakers: For physiological stimulation of the atrium and ventricle with synchronised AV sequential pacing function.
  • Adaptive rate pacemakers: With closed loop stimulation (CLS) technology that adapts the heart rate to the physiological needs of the patient.

Biotronik pacemakers are characterised by their long battery life, advanced stimulation algorithms and comprehensive diagnostic functions. Particularly noteworthy is the proprietary CLS technology, which enables more natural heart rate adjustment than conventional activity sensors.

Implantable cardioverter defibrillators (ICDs)

Biotronik’s ICD portfolio includes:

  • Single-chamber ICDs: For primary or secondary prevention of sudden cardiac death in patients with ventricular arrhythmias.
  • Dual-chamber ICDs: With atrial and ventricular pacing and differentiation between supraventricular and ventricular tachycardias.
  • Subcutaneous ICDs: An innovative alternative to transvenous systems that reduces the risk of lead-related complications.

Biotronik ICDs feature advanced arrhythmia detection algorithms with high specificity, reducing the risk of unnecessary therapy and improving quality of life.

Cardiac resynchronisation therapy (CRT)

Biotronik offers comprehensive CRT solutions for patients with heart failure and electrical dyssynchrony:

  • CRT pacemaker (CRT-P): For patients with heart failure and conduction disorders without a high risk of arrhythmia.
  • CRT defibrillator (CRT-D): Combines resynchronisation and defibrillation for life-threatening arrhythmias.

The adaptive CRT technology, which dynamically adjusts AV and VV delays to the haemodynamic requirements of the patient, is particularly innovative.

Electrode technology

  • Pacemaker electrodes: With active or passive fixation and optimised stimulation and sensing properties.
  • ICD electrodes: High-voltage electrodes with efficient energy delivery.
  • CRT electrodes: Designed for left ventricular stimulation via the coronary sinus system.

Of particular note are the Linox electrodes with steroid elution, which enable stable long-term performance.

Closed Loop-Stimulation (CLS)

CLS uses intracardiac impedance to control heart rate – independently of movement or respiration.

Advantages

  • Physiological frequency adjustment
  • Faster response to stress
  • Independence from physical activity
  • Better quality of life

Conduction System Pacing (CSP) and EP‑TRACER

CSP is a modern treatment option for bradycardia or left bundle branch block. The EP‑TRACER from Schwarzer Cardiotek supports the precise placement of electrodes in the His bundle with accurate signal processing and an integrated stimulator. Schwarzer Cardiotek supplies  important components for biotronic CSP procedures.

Conduction system pacing is considered a promising therapeutic approach for bradycardia and left bundle branch block. Highly accurate EP diagnostics are required for the precise placement of the pacing electrode in the area of the His bundle or the left Tawara branches. This is where the EP-TRACER from Schwarzer Cardiotek comes into play – a portable electrophysiology measurement system with integrated stimulator function that offers filters and display options optimised for CSP.

Schwarzer Cardiotek provides the device basis for many CSP implantations with Biotronik systems. Real-time visualisation of high-resolution signal spectra helps physicians to quickly and reliably identify the optimal stimulation site. Biotronik and Schwarzer Cardiotek thus combine clinical therapy expertise with leading signal technology.

Biotronik and Schwarzer Cardiotek: innovating together

Biotronik stands for innovative medical devices based on a network of strong partnerships. In collaboration with Schwarzer Cardiotek, care in the field of CSP is being taken to a new level. The combination of intelligent implants, advanced signal processing and patient-centred technology makes Biotronik a reliable partner for modern cardiac rhythm therapies.