MRI SureScan Pacing Systems Protocol Guidelines
This document provides detailed protocols for MRI scanning of patients with Medtronic SureScan Pacing/ICD/CRT systems. It outlines the conditions, procedures, and safety considerations necessary for conducting MRI exams with these devices. Adhering to these guidelines ensures patient safety and optimal operation of the implanted systems during imaging.
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How do I fill this out?
To fill out this protocol, please begin by reviewing the screening requirements for MRI exams. Next, gather the necessary patient information and confirm approvals from their cardiologist. Finally, complete the checklist form as indicated to ensure compliance with all necessary conditions.

How to fill out the MRI SureScan Pacing Systems Protocol Guidelines?
1
Review the screening requirements for MRI exams.
2
Gather necessary patient information.
3
Confirm cardiologist approvals.
4
Complete the checklist form provided.
5
Ensure compliance with safety protocols.
Who needs the MRI SureScan Pacing Systems Protocol Guidelines?
1
Cardiologists requiring MRI for patient diagnosis.
2
Radiology departments conducting MRI scans.
3
Hospital staff for patient safety assessments.
4
Researchers studying the effects of MRI on pacing devices.
5
Healthcare professionals monitoring MRI protocols.
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What are the instructions for submitting this form?
To submit this form, ensure all required fields are completed. Once all information is accurately documented, you may email the form to the provided address or use the designated submission portal at your healthcare facility. In urgent cases, consider faxing the completed form to expedite processing.
What are the important dates for this form in 2024 and 2025?
Please note that important dates for adherence to this protocol will be set by your institution, but key compliance reviews often occur quarterly. Annual training sessions for staff should also be scheduled accordingly. It's crucial to check these dates regularly for updates.

What is the purpose of this form?
The purpose of this form is to ensure safety and compliance while conducting MRI scans on patients with Medtronic SureScan devices. It outlines the necessary protocols to protect patient health during imaging procedures. By following this form, healthcare professionals can significantly reduce risks associated with MRI for patients who have implantable devices.

Tell me about this form and its components and fields line-by-line.

- 1. Patient Information: Details about the patient undergoing the MRI scan.
- 2. Cardiologist Approval: Confirmation that the cardiologist has approved the MRI scheduling.
- 3. MRI Checklist: A detailed checklist to ensure all safety criteria are met before the MRI.
- 4. Device Parameters: Settings required for the SureScan devices during the MRI.
What happens if I fail to submit this form?
Failure to submit this form can lead to complications during the MRI procedure, including potential health risks for the patient. It's essential to follow through with the necessary protocols and ensure all patient information is accurately submitted.
- Patient Safety: Inadequate preparation may expose the patient to unnecessary risks.
- Compliance Issues: Failure to comply with protocols may lead to institutional penalties.
- Procedural Delays: Delays in obtaining necessary approvals can postpone scheduled MRI scans.
How do I know when to use this form?

- 1. MRI Scheduling: Used to document the necessary approvals and safety checks prior to an MRI.
- 2. Patient Monitoring: This ensures that patient safety measures are documented throughout the imaging process.
- 3. Device Settings Adjustment: To accurately adjust settings on implanted devices before and after the MRI.
Frequently Asked Questions
What is the purpose of this PDF?
This PDF outlines the protocols for MRI scanning of patients with Medtronic SureScan devices.
How do I access the editable features?
You can access the editable features by clicking the 'Edit' button on the PrintFriendly interface.
Can I save the changes made to the PDF?
Yes, once you have made your edits, you can save the document to your device.
What should I do if I am unsure about the contents?
You may consult a qualified healthcare professional for clarification.
Is there a guide for using this PDF?
Yes, the document provides detailed instructions on filling out and using the MRI protocol.
How often do I need to refer to this document?
It is advisable to refer to this document each time you are preparing for a patient MRI scan.
Who is responsible for ensuring compliance?
The healthcare team including cardiologists and radiologists are responsible for compliance.
Where can I find the specific conditions of use?
Specific conditions of use are outlined within the PDF itself.
What if the patient condition changes after the form is filled out?
Any changes in patient condition should be immediately communicated to the healthcare team.
Is training required for staff handling the MRI?
Yes, training for MRI procedures is mandatory for all staff involved.
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