>> << biotronik renamic manuals & user guides. It has a small footprint 60% smaller than its predecessor and a flexible antenna, helping to make it more comfortable and cosmetically preferred for patients. /StructParent 2 it enables the automatic transmission of a patient s ca. /Count 7 /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] Using the patient connector near these devices could interfere with communication between the Reveal LINQ ICM and the patient connector. /ArtBox [0 0 612 792] 9. /A << Europace. Patient-provider engagement is further enhanced by BIOMONITOR IIIm Patient App which can be used to check device status, record symptoms,and also serve as a digital patient ID card.6. /F 4 43 0 R] >> When an AF episode is ongoing during transmission, the monitor transmits both its onset episode and duration. The injection procedure allows for several wound closure techniques to be used, including the use of tissue adhesives. You can find detailed information about the requirements, conditions and measures for safely conducting an MRI scan in the ProMRI System Technical Manual. /TT1 48 0 R /TT3 66 0 R >> *S#5;`65|F 2&Z=Z@Cr.)LOI"sO. /Type /Catalog * free* shipping on qualifying offers. endstream }); ACTIVE-IMPLANTABLE CARDIAC DEVICES, DIAGNOSTIC - ACCESSORIES, SYSTEM OF ENTERING STERILE LINQ II - LNQ22TK, Complete classification of medical devices, Progressive number assigned to the medical device, End of validity is not present for the medical device. with home monitoring, the state heart to the patient device, your of your heart' s health and your implant are cardiomessenger ( 2). >> >> The injection procedure allows for several wound closure techniques to be used, including the use of tissue adhesives. LINQ II ICM enables remote programming capability for all device parameters post-insertion from the clinic, which may reduce patient office visits and scheduling hassles. it sends information on your heart to the transmitter, your cardiomessenger ( 2), usually at night. /CropBox [0.0 0.0 612.0 792.0] << The scan exclusion zone is determined by the MRI scanner's field of view and the size of the patient. /Rotate 0 BioMonitor 2-AF and Remote Assistant - Mediadatabase BIOTRONIK SE & Co. KG - CRM, Arrhythmia Monitoring, Cardiac Monitor, Accessories, Complete View, Product Family, Gray Background >> 43 0 R] >> 2017. /Parent 2 0 R This website shows the maximum value for the whole body SAR. Products cardiomessenger smart heart rate monitor pdf manual download. The website will guide you through the large variety of system-specific MR conditions by requesting information on the implanted device and lead combination. %PDF-1.6 % BIOTRONIK Remote Assistant III NCC CCAI20LP0360T8 NCC CCAI20LP0360T8 Remote Assistant III (17 kHz) The following details are provided for BIOTRONIK Remote Assistant III from the Taiwanese National Communication Commission type approval licensing registration system. /Im0 67 0 R Precautions:The AccuRhythm AI ECG classification system may incorrectly adjudicate a true positive episode as an AI false episode, causing that episode to be suppressed in the remote monitoring system. hours reduction in clinic review time21. >> kg biotronik, inc. home monitoring also has been shown to reduce: hospitalizations caused by atrial arrhythmias or strokes by 66% ( compas) in- office visits by 45%, and inappropriate shock delivery by 52% early detection biotronik home monitoring provides early detection of arrhythmias, including silent, asymptomatic arrhythmias, allowing for earlier intervention. /GS0 37 0 R Medtronic, Medtronic logo, andEngineering the extraordinary are trademarks of Medtronic. /Length 397 >> /CropBox [0 0 612 792] /BleedBox [0 0 612 792] Clear P-wave and R-wave visibility supports faster, more confident ECG evaluation. >> >> The Patient Assistant activates the data management feature in the Reveal insertable cardiac monitor to initiate recording of cardiac event data in the implanted device memory. It is simple to use, and requires no patient interaction for successful daily data transmissions. Artificial Intelligence Enables Dramatic Reduction of False Atrial Fibrillation Alerts from Insertable Cardiac Monitors. 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R] endobj 2 Nlker G, Mayer J, Boldt LH, et al. endobj >> /CropBox [0 0 612 792] More information (see more) Language Title Revision Published Download PDF Change history Printed copy The LINQ II ICM is an insertable automatically-activated and patient-activated monitoring system that records subcutaneous ECG and is indicated in adult patients, and in pediatric patients who are at least 2 years old, in the following cases: There are no known contraindications for the insertion of the LINQ II ICM or its accessories. /ColorSpace << PDF BIOMONITOR III - mars /Type /Page stream /TT0 47 0 R /Type /Page /CS /DeviceRGB Standard text message rates apply. 1 BIO|CONCEPT. >> Access interactive courses, videos, and educational resources to extend your learning on LINQ II ICM. Medtronic inductive telemetry uses short-range communication to protect patient information. 2 0 obj << cardiomessenger smart with biotronik home monitoring enhances safety for cardiac device patients new patient device allows for earlier therapy adjustments in heart patients with pacemakers, icds, crt and biomonitor devices. 1 0 obj December 2016;27(12):1403-1410. /F 4 /TT1 48 0 R it allows your doctor to continuously access information about your implanted system. /Im0 67 0 R /Resources 50 0 R /Subtype /Link See the One-Step Injection procedure here. /Filter /FlateDecode if you need assistance. /ExtGState << AF sensitivity may vary between gross and patient average. /Type /Action Clear P-wave and R-wave visibility helps achieve faster, more confident ECG evaluation. /MediaBox [0 0 612 792] /CropBox [0 0 612 792] PDF BIOTRONIK, Inc. Jon Brumbaugh Vice President, Regulatory Affairs and OK is displayed at the top left = connected. /MediaBox [0 0 612 792] Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA. << >> Please contact your local BIOTRONIK representative. K201865 FDA clearance. stream /TrimBox [0 0 612 792] endobj No need for unnecessarily complicated delivery tool assemblies. 5 Varma N et al. It is comfortable, discreet, suits different body forms, and MRI scanning can be performed without any waiting period after injection, as the device is 1.5 T and 3.0 T full-body MR conditional. /TT2 55 0 R BIOMONITOR III features simplified programming by indication-based program sets and enhanced signal quality by improved filtering and data compression. 2020. /Type /Page >> /Rotate 0 /TT1 64 0 R >> For further information, please call Medtronic at 1-800-929-4043 and/or consult the Medtronic websiteatwww.medtronic.com. BioMonitor 2-AF and Remote Assistant - Mediadatabase BIOTRONIK SE & Co. KG 1 BIO|CONCEPT.BIOMONITOR III, data on file, 3 Varma N et al. /Type /Group /Type /Page biotronik cardiomessenger ii- llt transmitter for biotronik home monitoring technical manual ( cardio messenger ii- llt, transmitter for biotronik home monitoring) [ biotronik] on amazon. /Contents 46 0 R /ExtGState << stream << user manuals, guides and specifications for your biotronik renamic medical equipment. : Berlin-Charlottenburg HRB118866B, Managing Directors: Dr. Alexander Uhl (Chairman), Dr. Andreas Hecker, Stephan Schulz-Gohritz. Biotronik home monitoring is an award- winning remote monitoring system that provides continuous and automatic wireless remote monitoring of cardiac patient and device status. << enable_page_level_ads: true Potential adverse events from the LINQ II ICM include, but are not limited to, device rejection phenomena (including local tissue reaction), device migration, infection, and erosion through the skin. biotronik home monitoring home monitoring service center crm / / manual tcnico / / biotronik home monitoring l_ ga_ hmsc- iii_ es_ cover. 9539 Reveal XT Patient Assistant:Operation of the Model 9539 Patient Assistant near sources of electromagnetic interference, such as cellular phones, computer monitors, etc., may adversely affect the performance of this device. /TT2 48 0 R biotronik, a leading manufacturer of cardiovascular medical technology, recently announced the ce approval of cardiomessenger smart. 5 0 obj biotronik home monitoring is a pioneering and award- winning remote cardiac monitoring system. BIOMONITOR III fits a variety of body types. BIOMONITOR III works with BIOTRONIKs fully automatic Home Monitoring. Indications:The Reveal XT insertable cardiac monitor is an implantable patient-activated and automatically activated monitoring system that records subcutaneous ECG and is indicated in the following cases: The Reveal XT Patient Assistant is intended for unsupervised patient use away from a hospital or clinic. 16 0 obj this transmitter automatically transmits medical and technical information to a mobile device, the cardiomessenger. With BIOMONITOR IIIm Vital Data Sensor, fever can be monitored remotely and hands-free which enables more effective at home care. Performance of an Implantable Cardiac Monitor to Detect Atrial Fibrillation: Results of the DETECT AF Study. /ColorSpace << Security Maintain adequate physical security of the patient connector to prevent unauthorized use that could lead to harm to patients. /Rect [40.95 36 85.101 45.216] /Font << Ousdigian K, Cheng YJ, Koehler J, et al. >> /ExtGState << Potential Complications:Potential complications of the Reveal LINQ device include, but are not limited to, device rejection phenomena (including local tissue reaction), device migration, infection, and erosion through the skin. /GS1 45 0 R BIOMONITOR III is the ICM that delivers both an easy injection procedure and efficient post-procedure monitoring, and our unique BIOvector design provides clear signals for easier evaluation and a better-informed diagnosis. /W 0 /CropBox [0 0 612 792] /Annots [10 0 R 11 0 R] /Resources << >> Make sure you entered the device name, order number or serial number correctly. >> /StructParents 2 /BS << Lux-Dx* ICM, Confirm Rx* with SharpSense* technology, Jot Dx*, and BIOMONITOR* III have no published clinical evidence showing AF episode PPV or AF sensitivity. /GS7 22 0 R BIOMONITOR IIIm has longevity of 5.5 years. /Subtype /Link %PDF-1.4 In general, the use of medical devices is only allowed if they are approved. biotronik home monitoring allows clinics the capability biotronik home monitoring manuale to replace device interrogation during in- office follow- up visits1 and to provide early detection of arrhythmias. 2019, doi: 10.1111/pace.13728. The slew rate of the MRI scanner's gradient fields is shown in tesla per meter per second per axis (T/m/s per axis). /C2_1 46 0 R /Type /Page BIOMONITOR III and BIOMONITOR IIIm can be activated by the patientusing the Remote Assistant III to record cardiac rhythm during symptomatic episodes. >> /Pages 2 0 R endobj endstream << 2. 43 0 R] /TT2 65 0 R /Annots [27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R Care is exercised in design and manufacturing to minimize damage to devices under normal use. December 2017;14(12):1864-1870. }ljxO4!sm4!lO4!l4!l8:7dYAs=8ug]YzYzYzYzYz_s|0s\Cuvt~:r+r8sCq4f>Q'/^dY>MQo+{mw7zyfi Av=&. /BleedBox [0 0 612 792] Reproduced with Permission from the GMDN Agency. /ExtGState << Environmental precautions To ensure safe and effective operation, use the device with care to avoid damage to the patient connector from environmental factors that may impair its function. will be shown for BIOTRONIK products that have been tested under the conditions of an MR scan and are approved as MR conditional with a scan exclusion zone. 7 BIOTRONIK BioMonitor 2 technical manual. /Length 525 LINQ II ICM is the world's most accurate ICM,1-13 featuring enhanced algorithms, remote programming, and 4.5-year longevity.14. /Type /Page >> >> If the monitor is connected to the cellular network in your area there will be a green light or "OK" displayed on your unit. /Parent 2 0 R /Rect [40.95 36 85.101 45.216] 2010, 122(4). google_ad_client: "ca-pub-5568848730124950", Jot Dx ICM K212206 FDA clearance letter. Neither data such as the serial number, product names or order numbers, nor the result will be stored. /l%Z1ZHkDOOM/ {Ygp{ 7pv7+r:.n?PYACm?.p^h Monitoring Devices Merlin PCS Help Manual for SJM Confirm, Confirm Rx ICM, Jot Dx Manual. /CropBox [0.0 0.0 612.0 792.0] Home Monitoring Service Center - 3.55.0 10/29/22 - (03:56), Watch this video to learn more about the LINQ II insertable cardiac monitor. endobj 2021. We are working quickly to recover this service. /Kids [3 0 R 4 0 R 5 0 R 6 0 R 7 0 R 8 0 R 9 0 R] Heart Rhythm. Patients with the LINQ II ICM should avoid sources of diathermy, high sources of radiation, electrosurgical cautery, external defibrillation, lithotripsy, therapeutic ultrasound and radiofrequency ablation to avoid electrical reset of the device, and/or inappropriate sensing as described in the Medical procedure and EMI Warnings, Precautions and Guidance Manual. These products are not a substitute for appropriate medical attention in the event of an emergency and should only be used as directed by a physician. << /CS0 [/ICCBased 60 0 R] >> Hip and eye - permissible positioning zone. >> BIOMONITOR III - Biotronik Brand Name: Remote Assistant Version or Model: III Commercial Distribution Status: In Commercial Distribution Catalog Number: 435292 Company Name: BIOTRONIK SE & Co. KG Primary DI Number: 04035479158330 Issuing Agency: GS1 Commercial Distribution End Date: Device Count: 1 Labeler D-U-N-S Number*: 315620229 * Terms of Use /S /URI >> Nlker G, Mayer J, Boldt LH, et al. /Type /Pages /GS0 62 0 R 8 0 obj /TT3 66 0 R TRUST Study, Heart, Lung and Circulation 2009, 18 (s106), 4 Ricci R. P et al HoMASQ study, Europace, 2010, 12 (5). >> /Contents [52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R] /Kids [3 0 R 4 0 R 5 0 R 6 0 R 7 0 R 8 0 R 9 0 R] << There are no known adverse events associated with the use of any LINQ II ICM wireless accessory. /Font << gerhard hindricks, leipzig heart center, germany, presented results of a meta- study showing that biotronik home monitoring is associated with a 38 percent reduced risk for all- cause mortality after one ye. however, remote monitoring for patients with implanted devices is increasingly being recommended in treatment guidelines. /Count 7 << /TT0 63 0 R 3 Piorkowski C et al. It has a projected battery life of 4 years and is compatible with Magnetic Resonance Imaging for full-body scans at 1.5 and 3 Tesla. Electromagnetic Compliance (EMC) testing shows that the patient connector provides reasonable protection against harmful interference and provides EMC immunity in a typical medical installation. /ExtGState << what is cardiomessenger smart with biotronik home monitoring? com contact medtronic terms of. /BS << >> /XObject << BIOMONITOR III is the ICM that delivers both an easy injection procedure and efficient post-procedure monitoring, and our unique BIOvector design provides clear signals for easier evaluation and a better-informed diagnosis. The unit is battery operated making it easy for patients while travelling, with a battery life of up to 48 hours. The Bluetoothword mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Medtronic is under license. Presented at AHA Conference 2021. biotronik home monitoring biotronik home monitoring is the world s most advanced telemonitoring solution for patients with cardiac devices. Lux-Dx*ICM,Confirm Rx*with SharpSense*technology, Jot Dx*, and BIOMONITOR*III have no published clinical evidence showing AF episode PPV or AF sensitivity. /CS0 [/ICCBased 42 0 R] /TT2 65 0 R /Type /Action Prerfellner H, Sanders P, Sarkar S, et al. endobj hVR8 $[lMQ$d "pD/[_-9 ;eVw[X" 09 (a1%#$($@, !$"B &G?&!z4 >A00vJBjA}:*lu-:GGk+]+YVQ])i[l/tlVJ>}uThtd$ZAe a)\f[Gf65d~bNFtf)wvKH.pjT0+4 _^(604~Vz<18Y Z g`Vp }| 2 s CP0m Ycd>4P@ 6)];TP &1L0J)zgx9r{N29})j/w,a\nD:uLL:YnBLI100* "V_)-|W*^RTW#Xm>\h_F`[ CBA{X )8~f @2pE%]AG?HhIGlD@k(5n^M|r(#"'# >> November 2018;20(FI_3):f321-f328. /Tabs /S 43 0 R] page 7 car di om es s enger _ i i - s_ en. MRI scans should be performed only in a specified MR environment under specified conditions as described in the device manual. 2020. Neurohormonal, structural, and functional recovery pattern after premature ventricular complex ablation is independent of structural heart disease status in patients with depressed left ventricular ejection fraction: a prospective multicenter study. biotronik home monitoring what is so special about the biotronik home monitoring system? /Resources << Data availability and alert notifications are subject to Internet connectivity and access, and service availability. how home monitoring works your device ( 1) is equipped with a special transmitter. /TT0 63 0 R /Rect [90.257 307.84 421.33 321.64] @ZvA(thp[x@^P@+70YCT1 5f The FIT OneStep injection tool provides an ideal pocket to accommodate the device securely and easily. Without complicated set-up procedures, Home Monitoring demonstrates improved patient adherence. /Filter /FlateDecode /BleedBox [0 0 612 792] /MediaBox [0 0 612 792] endstream if( $robots ) : ?> /MediaBox [0 0 612 792] /Subtype /Link /StructParents 0 >> crm / / biotronik home monitoring cardiomessenger smart enechnical manual t es manual tcnico fr manuel techniqueh_ ga_ cardiomessenger- smart_ e- mul_ cover. manual library instructions for use and product manuals for healthcare professionals. hbbd```b``z "XDH`RLE`5[E|H R0Dr 6$d`$4&_ O endobj /StructParents 0 Warnings/Precautions:Patients with the Reveal LINQ ICM should avoid sources of diathermy, high sources of radiation, electrosurgical cautery, external defibrillation, lithotripsy, therapeutic ultrasound, and radiofrequency ablation to avoid electrical reset of the device, and/or inappropriate sensing as described in the medical procedure and EMI precautions manual. PDF Jon Brumbaugh 6024 Jean Road Regulation Number: 21 CFR 870.1025 /XObject << >> /TrimBox [0 0 612 792] /A << h+L5hHJarx(|9Jx$ {K=j2|l!YF ql2-h&fG4t^*O]=:xh p)1FG4SQ.* * Third-party brands are trademarks of their respective owners. /CS0 [/ICCBased 60 0 R] /ProcSet [/PDF /Text /ImageC] dear patient: you have received a biotronik pacemaker or implantable cardioverter- defibrillator ( icd) with home monitoring function. /Annots [10 0 R 11 0 R 12 0 R 13 0 R] endobj >> /Tabs /S September 24, 2013;62(13):1195-1202. % /CS1 [/Separation /Black [/ICCBased 42 0 R] Penela D, Fernndez-Armenta J, Aguinaga L, et al. Caution: Federal law (USA) restricts prescription devices to sale by or on the order of a physician. 5 0 obj 5178 0 obj <> endobj home monitoring pacemakers and icds are additionally equipped with a special transmitter. >> with biotronik home monitoring, healthcare providers have a complementary option to routine follow- up visits, while maintaining in- person follow- ups every 12 months. It is also 1.5T and 3.0T full-body MR conditional with no post-injection waiting period limitations. 1 0 obj This website will assist you in determining whether an implanted BIOTRONIK ProMRI system is MR conditional in the country/region where the MRI scan will be performed. var tpl_folder = "https://www.medicaldevices24.com/public/tpl"; /Contents 71 0 R required expertise in addition to having basic medical knowledge, the user must be thoroughly familiar with the operation of a device system. The use of wireless devices in the medical environment must be evaluated and authorized by the responsible organization. Download the specifications sheet for details on the LINQ II insertable cardiac monitor. /Resources << are permitted for patient monitoring in an mri environment. >> endif; ?> 13 0 obj << * details on these conditions and requirements can be found in the biotronik promri system technical manual ( www. /TT1 64 0 R RF interference may affect device performance. << No manual transmissions. /TT2 49 0 R These products are not a substitute for appropriate medical attention in the event of an emergency. PDF BIOMONITOR III Pro - usermanual.wiki Note: A maximum slew rate of 125 T/m/s per axis is valid for Evia, Entovis, Estella and Ecuro models up to and including serial number 66237094. Overwriting older relevant episodes make classification more difficult. /ExtGState << hZks?a>Jr*VidhG`HHA@G3 +TTL~{GS*Xc+#chNLI $Wr9cu=_YSL'JYWEU\*E.ecNrU8+F/qng*c8l`eF\c7)q 5kxQG1]aU0\ Gs)r5GYp ^1qZ*@)fb SE.T 8GQH@^VXW~$]I0ItQc&"x J1$5Dx_Nf>x]o;A]a,eH, FP+?nMAp bi({y|0N^z(^wy8! MRI scans should be performed only in a specified MR environment under specified conditions as described in the Reveal LINQ MRI Technical Manual. >> Where can I find the order number of the product? you have received a device with the additional home monitoring function by biotronik. /W 0 your IT-Support or your BIOTRONIK contact person. /TrimBox [0 0 612 792] /ColorSpace << biotronik home monitoring manual free pdf instructions. Sorry, the serial number check is currently unavailable. >> /Length 449 1. /Version /1.4 >> BIOMONITOR III and /A << BIOTRONIK Home Monitoring is a pioneering and award-winning remote cardiac monitoring system. search only for biotronik home monitoring manuale. It is also 1.5T and 3.0T full-body MR conditional and there is no waiting period after the injection procedure. /Contents 49 0 R /Contents [14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R] /Resources << J Cardiovasc Electrophysiol. /ExtGState << You can find detailed information about the requirements, conditions and measures for safely conducting an MRI scan in the. endobj BIOMONITOR III enables up to six ECGs to be transmitted by Home Monitoring each day, increasing physicians opportunity to evaluate patient status remotely. BIOTRONIK BIOMONITOR III. /Im1 51 0 R endstream endobj 36 0 obj <>/OCGs[56 0 R 57 0 R]>>/OpenAction 37 0 R/Outlines 28 0 R/Pages 33 0 R/Type/Catalog>> endobj 37 0 obj <> endobj 38 0 obj <>/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/Thumb 14 0 R/TrimBox[0 0 595.27557373 790.866149902]/Type/Page>> endobj 39 0 obj <>stream the home monitoring system is comprised of a home monitoring- enabled biotronik pacemaker or defibrillator, cardiomessenger home transmitter, which wirelessly and automatically collects and transmits implant data, and the biotronik home monitoring service center, which allows clinics to review and assess. >> >> Procedural simplicity makes it ideal for in-office settings. endobj /StructParents 2 /BleedBox [0 0 612 792] Unlike bulky Holter monitors, the small device is barely noticeable to the patient. It must not be exceeded during the scan. << /ArtBox [0 0 612 792] HMk09$m)=&C:NJR/Rb {d3&_fw&RovmV}{0d\ &M.MU+>M,0E$T;bm`?oa; E\7P}J>e% << /TT3 58 0 R /S /URI This website shows the maximum for the slew rate value, which must not be exceeded during the scan. As follower of the group you will receive email notifications of events in the group. BIOMONITOR III fits a variety of body types. /ArtBox [0 0 612 792] The validation study performance and time study results were projected onto 16,301 LINQ II patients to calculate the time saved per year in 200 LINQ II ICM patients. Starting from the top of the skull, the permissible positioning zone for the isocenter is at the level of the eyes or the lower edge of the eye socket. All other brands are trademarks of a Medtronic company. >> /XObject << Data on file. /Im1 51 0 R The MyCareLink patient monitor must be on and in range of the device. /URI (https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm) BIOMONITOR III, data on file. Cardiac Rhythm /CS1 [/Separation /Black [/ICCBased 42 0 R] >> endobj endobj << Field of view Reveal LINQ Mobile Manager System:The Reveal LINQ Mobile Manager app is intended for programming and interrogating the Reveal LINQ ICM LNQ11. Every year, more and more patients are receiving ICMs all of which must be actively managed, creating an additional workload for everyone involved. Confirm Rx* ICM DM3500 FDA clearance letter. Pairing, initialization and data transmission are all automatic, not requiring any active patient involvement. For further information, please call Medtronic at 1-800-328-2518 and/or consult the Medtronic website atwww.medtronic.com. Circulation. /Im0 67 0 R home monitoring enhances safety for cardiac device patients. /CS /DeviceRGB /Subtype /Link /Filter /FlateDecode /Type /Page /CS1 [/ICCBased 61 0 R] /BS << /Subtype /Link /XObject <<