Medtronic 2020C2 Reference Guide

CareLink Express

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TM

Monitor

2020B/2020C

Warning: For use with Medtronic implantable cardiac devices
only.

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Caution: Federal Law (USA) restricts this device to sale by or on

the order of a physician.

Intended use

The Medtronic CareLink Express monitor Models 2020B and
2020C are portable interrogation and data transfer tools used with
Medtronic implantable cardiac devices.

Monitor features

1. Power button

2. Power Status light (green)

3. Reading Status lights (green)

4. Sending Status lights (green)

5. Sending Complete Status light
(green)

6. Battery Status light (orange)

7. Antenna Position Status light
(orange)

8. Telephone Line Status light (orange

www.medtronic.com

Manufacturer

Medtronic, Inc.
710 Medtronic Parkway
Minneapolis, MN 55432-5604
USA
Tel. [phone]
Fax [phone]

Medtronic E.C. Authorized
Representative

Medtronic B.V.
Earl Bakkenstraat 10
6422 PJ Heerlen
The Netherlands
Tel. [phone]
Fax [phone]

The following list includes trademarks or registered trademarks of
Medtronic in the United States and possibly in other countries. All other
trademarks are the property of their respective owners.

CareLink, CareLink Express, Medtronic, Medtronic CareLink

© Medtronic, Inc. 2011
M947433A001D
2011-10-06

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Europe/Africa/Middle East
Headquarters

Medtronic International Trading
Sàrl
Route du Molliau 31
Case Postale 84
CH-1131 Tolochenaz
Switzerland
Tel. [phone]
Fax [phone]

*M947433A001*

Using the monitor

• Refer to the supported device card to determine the

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appropriate monitor to use when interrogating the patient’s
implanted cardiac device.

• Interrogate the patient’s device with the Model 2020B first. If
the Model 2020B does not identify the patient’s device, then
interrogate it with the Model 2020C.

• The monitor must be connected to an analog telephone line
wall socket within 15 minutes of the interrogation to complete
the transmission to the Medtronic CareLink network. If the
monitor is not connected to an analog telephone line socket
within 15 minutes, the monitor powers down, the patient’s
data is lost, and the interrogation must be performed again.

• If a sterile barrier is required between the monitor antenna
and the patient, cover the antenna and antenna cable with
Medtronic Sterile Sleeve Model 6177, and follow standard
sterile procedures.

1. Press the power button.

2. Hold the antenna directly over the patient’s implanted

cardiac device to begin interrogation.
— When the monitor identifies the implanted cardiac

device, the first green Reading Status light turns solid
and the monitor beeps twice.

— The patient’s implanted device may emit a tone when

the antenna is placed over it.

— The monitor completes the device interrogation when

Reading Status lights turn solid and the monitor beeps
twice.

— Reposition the antenna if the orange Antenna Position

Status light illuminates.

— Remove the antenna when the interrogation is

complete.

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3. Connect the monitor to an analog telephone line wall
socket within 15 minutes of completing the device
interrogation. Approximately every 25 seconds the monitor
beeps 5 times, until the monitor is connected to an analog
telephone line wall socket. The monitor stops beeping
when data transmission begins. The monitor automatically
begins to transmit the data from the implantable cardiac
device to the Medtronic CareLink network.

Monitor setup

1. Install the four AA batteries, with proper polarity, into the
battery compartment on the bottom of the monitor.

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2. Select the appropriate telephone line settings.

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• The dialing type selector switch is marked T (Tone) and P
(Pulse). Position the switch to select the appropriate type of
telephone dialing system for your facility.

• The dialing prefix selector configures the monitor to obtain a
telephone line for placing a call. Select N (None) if no prefix is
required to reach an external telephone line. If a number
must be dialed to obtain an external line, position the switch
to the position that corresponds to the required dialing prefix
number.

• Put the monitor in a place where the patient can sit
comfortably and the front of the monitor is visible.

• The monitor must be connected to an analog telephone line
wall socket when updating the monitor software or sending a
transmission to the Medtronic CareLink network.

• Before using the monitor, turn off any television sets or
computer monitors that are within 6 feet of the monitor or its
antenna.

• Do not place the monitor anywhere it could get wet.

Caution: Do not get the monitor wet. Water can damage the
monitor. If the monitor is exposed to water, contact your
Medtronic representative.

Connecting the monitor to a telephone line wall socket

The monitor does not need to be connected to an analog
telephone line wall socket during the interrogation of a patient’s
implanted cardiac device. However, if the monitor is not
connected to an analog telephone line wall socket during
interrogation, connect it within 15 minutes of the interrogation to
complete the transmission to the Medtronic CareLink network.

1. Locate the monitor and the telephone cord.

2. Locate the sockets on the left side of the monitor.

3. Plug one end of the telephone cord into the telephone sockets
on the left side of the monitor.

Choose a place to set up the monitor

• Consider the following recommendations for choosing a
place to set up the monitor:

• Put the monitor in a place where the patient can sit
comfortably and the front of the monitor is visible.

• The monitor must be connected to an analog telephone line
wall socket when updating the monitor software or sending a
transmission to the Medtronic CareLink network.

• Before using the monitor, turn off any television sets or
computer monitors that are within 6 feet of the monitor or its
antenna.

• Do not place the monitor anywhere it could get wet.
Caution: Do not get the monitor wet. Water can damage the
monitor. If the monitor is exposed to water, contact your
Medtronic representative.

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Connecting the monitor to a telephone line wall socket

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The monitor does not need to be connected to an analog
telephone line wall socket during the interrogation of a patient’s
implanted cardiac device. However, if the monitor is not
connected to an analog telephone line wall socket during
interrogation, connect it within 15 minutes of the interrogation to
complete the transmission to the Medtronic CareLink network.

1. Locate the monitor and the telephone cord.

2. Locate the sockets on the left side of the monitor.

3. Plug one end of the telephone cord into the telephone sockets
on the left side of the monitor.

4. Connect the monitor to an analog telephone line wall socket
within 15 minutes of completing the device interrogation.

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• If the monitor is turned on and plugged into an analog
telephone line wall socket, and if you have successfully
interrogated a device within the last 15 minutes, the
monitor will beep twice and automatically begin dialing the
programmed telephone number. The transmission
completes when all of the Sending Status lights turn solid,
the Sending Complete Status light turns solid, and the
monitor beeps twice.

• The monitor turns off automatically after two minutes, once
the transmission completes.

Update the monitor software to support newer devices

1. Verify that the telephone cord is connected to one of the
monitor telephone sockets and an analog telephone line wall
socket.

• Press and hold the power button for 10 seconds.

• The Telephone Line Status indicator light illuminates.

• The first Sending Status light turns solid, and then the

remaining two lights turn solid, as the monitor connects to
the Medtronic CareLink network and updates the monitor
software.

• The software download begins.

• The Sending Complete light turns solid and the monitor

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beeps twice when the software update completes.

• The download completes in approximately four minutes.

Troubleshooting

The monitor status lights indicate system status and errors.
Orange lights indicate battery, antenna, or telephone line errors.
Green lights indicate normal monitor status, but can also indicate
errors or unsuccessful operation.

Orange Battery Status light blinks

The orange Battery Status light should not be lit when you are
using the monitor. If the monitor beeps and the orange Battery
Status light blinks:

• The batteries are low and should be replaced.

• Verify that the batteries are installed correctly, if no status
lights come on after pressing the Power button.

Orange Antenna Position Status light blinks

The orange Antenna Position Status light should not be lit when
you are using the monitor. If the orange Antenna Position Status
light begins blinking and you hear short beeps:

• Verify that the hand strap on the top of the antenna is facing
out and away from the patient.

• Verify that the antenna is placed over the patient’s implanted
cardiac device. If necessary, reposition the antenna over the
patient’s implanted cardiac device.

Notes:

• If the monitor does not identify the patient’s device, the
orange Antenna Position Status light blinks and you hear
short beeps.

• When the antenna is repositioned correctly, the orange
antenna Position Status light turns off, the green status lights
blinks, and the monitor resumes data collection.

Orange Telephone Line Status light blinks

• The orange Telephone Line Status light should not be lit when
you are using the monitor. If the monitor beeps and the
orange Telephone Line Status light blinks:

• Check that the telephone cord is fully inserted into the
telephone line socket on the left side of the monitor and the
analog telephone line wall socket.

• Check that the telephone line settings are correctly
positioned. If you need help determining the type of
telephone line, contact your local telephone carrier.

• Verify that the correct prefix number is selected if necessary
for your facility.

• Verify that the monitor is connected to an analog telephone
line and not a digital VoIP or fiber optic telephone line. If
necessary, contact your telephone company to verify the type
of telephone line at the facility’s location.

Green Power Status light does not illuminate

The green Power Status light illuminates when the monitor is
powered on. If the green Power Status light does not illuminate:

• Verify that the batteries are installed correctly. If necessary,
replace the batteries.

Green Reading Status lights do not illuminate during device interrogation

The green Reading Status lights verify that the monitor has
successfully interrogated the patient’s implanted cardiac device.
The first green light illuminates and the monitor beeps twice
when the monitor identifies the patient’s implanted cardiac
device. The remaining 4 lights first blink, and then turn solid as
the monitor interrogates the patient’s device. The interrogation
completes when all of the lights turn solid and the monitor beeps
twice.

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• If the Reading Status lights stop blinking and remain lit for

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more than 3 minutes, or if the monitor turns off before the
data is read, repeat steps 1 through 4 in “Using the monitor”.

• If the monitor shuts off after the third Reading Status light
illuminates, the monitor has not successfully interrogated the
device. Add additional fabric layers, such as a towel folded
over multiple times, between the antenna and the patient’s
implanted device, and repeat steps 1 through 4 in “Using the
monitor”.

Green Sending Status or Sending Complete Status lights do not illuminate

The green Sending Status and Sending Complete Status lights
verify that the monitor has successfully transmitted the data from
the interrogation of the patient’s implanted cardiac device to the
Medtronic CareLink network.
If the green Sending Status lights do not illuminate, if the Sending
Status lights remain lit for more than 1 hour, if the Sending
Complete Status light does not illuminate, or if the monitor turns
off before the patient’s data is transmitted:

• Verify all telephone settings.

• Repeat steps 1 through 4 in “Using the monitor”.

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