aan de onderlaag vastgehecht met de bijgevoegde huls

English translation: they are secured to the underlying tissue with suture sleeves

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Dutch term or phrase:aan de onderlaag vastgehecht met de bijgevoegde huls
English translation:they are secured to the underlying tissue with suture sleeves
Entered by: Francina

15:07 Mar 28, 2008
Dutch to English translations [PRO]
Medical - Medical (general)
Dutch term or phrase: aan de onderlaag vastgehecht met de bijgevoegde huls
This phrase has me stumped. The context is pacemaker implantation. After the leads have been positioned satisfactorily and their function tested they are "aan de onderlaag vastgehecht met de bijgevoegde huls". Apologies for the fact that this is a query about a whole phrase and not a single word.
An explanation of this phrase would be much appreciated.
ebell
Local time: 20:42
they are secured to the underlying tissue with suture sleeves
Explanation:
Suture sleeves reduces lead damage and dislodgement.

http://www.wipo.int/pctdb/en/wo.jsp?IA=WO2004028345&DISPLAY=...
suture sleeves for anchoring the lead bodies of implantable medical devices such as cardiac pacemakers, and more particu- larly to a suture sleeve assembly for securely gripping and anchoring a lead body without damage thereto.




--------------------------------------------------
Note added at 3 hrs (2008-03-28 18:15:04 GMT)
--------------------------------------------------

'bijgevoegde huls'=came with/provided with the leads

http://www.bostonscientific-international.com/Device.bsci?pa...
Suture Sleeve
Always use a suture sleeve when implanting a lead. Use of the suture sleeve, which is provided with the lead, will lessen the possibility of lead dislodgment and protect the lead body from damage by a securing ligature.
Selected response from:

Francina
United States
Local time: 15:42
Grading comment
Thank you very much for your help - much appreciated
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +1they are secured to the underlying tissue with suture sleeves
Francina
3they are stitched into the lower layer of the heart chamber wall
Max Nuijens


  

Answers


45 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
they are stitched into the lower layer of the heart chamber wall


Explanation:
Somehow descriptions skip the part where the leads are connected to the inside of the heart chambers, which consists of layes of musscles. I found only one reference:

"When the doctor is happy that the leads are in the best position, they are stitched in ..."

I suppose these stitches should not be too superficial, but into deeper or lower levels of the chamber wall.

With regard to the case or casing through which the leads are inserted into the heart via the connecting blood vessels, this is used to direct and stabilize the leads, bring them into the right position.

How the leads are stitched into the heart chamber wall, I have no idea.


    Reference: http://londonarrhythmiacentre.co.uk/treatments-pacemakers.ht...
    Reference: http://www.bostonscientific.com/procedure/ProcedureLanding.b...
Max Nuijens
Netherlands
Local time: 21:42
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 28

Peer comments on this answer (and responses from the answerer)
neutral  Tina Vonhof (X): I would not give more detail than what the source text provides.
3 hrs
Login to enter a peer comment (or grade)

2 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
they are secured to the underlying tissue with suture sleeves


Explanation:
Suture sleeves reduces lead damage and dislodgement.

http://www.wipo.int/pctdb/en/wo.jsp?IA=WO2004028345&DISPLAY=...
suture sleeves for anchoring the lead bodies of implantable medical devices such as cardiac pacemakers, and more particu- larly to a suture sleeve assembly for securely gripping and anchoring a lead body without damage thereto.




--------------------------------------------------
Note added at 3 hrs (2008-03-28 18:15:04 GMT)
--------------------------------------------------

'bijgevoegde huls'=came with/provided with the leads

http://www.bostonscientific-international.com/Device.bsci?pa...
Suture Sleeve
Always use a suture sleeve when implanting a lead. Use of the suture sleeve, which is provided with the lead, will lessen the possibility of lead dislodgment and protect the lead body from damage by a securing ligature.


Francina
United States
Local time: 15:42
Specializes in field
Native speaker of: Native in EnglishEnglish, Native in DutchDutch
PRO pts in category: 137
Grading comment
Thank you very much for your help - much appreciated

Peer comments on this answer (and responses from the answerer)
agree  Tina Vonhof (X)
1 hr
Login to enter a peer comment (or grade)



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