Medtronic 2090 Reference Guide

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MEDTRONIC CARELINK® 2090

Programmer for Medtronic and Vitatron Devices

Programmer Reference Guide

Caution: Federal Law (USA) restricts this device to sale by or on the order of a physician.

Medtronic CareLink 2090 0

Programmer Reference Guide 0

A guide for setting up and using the Medtronic CareLink 2090 Programmer.

The following are trademarks or registered trademarks of Medtronic in the United States and possibly in other countries: CareLink, Jewel, Marker Channel, Medtronic, Medtronic CareLink, Paceart, Reveal, SessionSync, and Vitatron

All other trademarks are the property of their respective owners.

1 Introduction to the Programmer 9

Explanation of packaging and product symbols 10

About this guide 11

Description and intended use 12

Warnings 12

Precautions 14

Regulatory compliance 16

Security features for the Windows XP operating system 17

Software requirements 18

Programmer functions 19

System components 21

Display screen features 28

2 Set up the Programmer 33

Basic setup 34

Connect peripheral devices 39

3 Update Programmer software using the Software Distribution

Network 41

The Software Distribution Network 42

Connect to the SDN using a dial-up connection 42

Connect to the SDN using a wired network connection 49

Connect to the SDN using a wireless network connection 51

4 Conduct a patient session 53

Prepare for a patient session 54

Initiate a patient session 64

End a patient session 68

Store components 69

5 Manage reports and data 71

Reports 72

Session data 72

Save to a PDF file 72

Save to diskette 73

Programmer Reference Guide

Contents

Save to USB 73

View reports that are saved to media 75

Vitatron Manual-Guided Reset 76

6 Use printers 77

Use external printers 78

Install printer paper 82

Printer buttons 83

Tear off a printout 84

Low paper supply 84

7 Select options 85

About the between sessions tool palette 86

Adjust Programmer time and date 87

Select audible tones 88

Set the interval for report deletion 88

Manage patient data privacy 90

Improve the detection of pacing artifacts 93

Check the software version 94

Start the demonstrations option 95

View and update Programmer location and hardware information 95

Select other software 97

Remove other software applications 98

Obtain technical manuals 98

8 SessionSync (Optional) 101

About SessionSync 102

Configure SessionSync 102

Enable and disable SessionSync 104

View SessionSync Status icon 105

Use Automatic SessionSync 106

Use Manual SessionSync for supported devices 107

SessionSync error message descriptions 108

View SessionSync Status screen 109

Update SessionSync status 109

Test the SessionSync network connection 109

Programmer Reference Guide

9 Service the Programmer 113

Clean the system components 114

Sterilize the programming head, ECG cable, and lead wires 114

Replace a PC card 115

Programmer specifications 116

Special notice 119

Medtronic limited warranty 120

Index 121

Contents

Programmer Reference Guide

Introduction to the Programmer1

Explanation of packaging and product symbols 10

About this guide 11

Description and intended use 12

Warnings 12

Precautions 14

Regulatory compliance 16

Security features for the Windows XP operating system 17

Software requirements 18

Programmer functions 19

System components 21

Display screen features 28

Chapter 1

Explanation of packaging and product symbols

Refer to the package label and product to see which symbols apply to this product.

Caution

Consult instructions for use

The product complies with both Canadian and U.S. requirements for meeting UL safety standards.

Type BF applied part

Type CF applied part

Serial number

Temperature limitation

Programmer Reference Guide

Off

Wireless communication enabled

Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product according to local regulations. See http://recycling.medtronic.com for instructions on proper disposal of this product.

RF transmitter

Caution: Strong magnet

Alternating current

Battery

Introduction to the Programmer

Diskette

Network connection port

USB port

Printer port

Microphone port

Headphones port

Manufacturer

Reorder number

Humidity limitation

About this guide

This guide describes the features and functions of the Medtronic CareLink 2090 Programmer (referred to as the “Programmer”).

Package contents

Programmer, software installed

Product documentation

Accessories

For U.S. audiences only.

Programmer Reference Guide

Chapter 1

Description and intended use

The Medtronic CareLink 2090 Programmer is a portable, line-powered (AC) microprocessor based system with software to interrogate and program Medtronic and Vitatron implantable devices. Other features include:

■

Automated software updates using a dial-up or local area network (LAN) connection, depending on the hardware configuration. This allows the Programmer to program new devices and to provide new features as they become available.

■

A large, bright screen that is adjustable for viewing when sitting or standing.

■

Keyboard to make entering information easier.

■

Fast printing speed of 50 mm per second on recorder paper.

■

ECG recording and diagnostic data reporting. Refer to the technical manuals supplied with the software and hardware accessories for specific details.

Warnings

These warnings apply in general to using the Programmer for programming implantable device parameter settings. Refer to the reference guides for the implantable device and the Programmer software for more information related to specific implantable device models.

Modification of equipment – Do not modify this equipment. Modifications may reduce system effectiveness and impact patient health.

Telecom voltage limitation – When using a modem or combo card, make sure that the telecom voltage does not exceed 125 V. Excessive voltage may damage the programmer.

Programmer Reference Guide

Introduction to the Programmer

Warnings

Importance of reference documentation – Implantable device programming should be done only after careful study of the reference guide for the implantable device and after careful determination of appropriate parameter values based on the patient’s condition and pacing system used. The implantable device reference guide contains a complete description of implantable device operation and important information, such as indications for use, contraindications, warnings, and precautions. The instructions contained in this reference guide and the reference guide supplied with the Programmer software are limited to the mechanics of setting up the Programmer and selecting the correct options for the desired programming function. Improper use of the Programmer could result in erroneous or inadvertent programming and improper operation of telemetry and measurement functions.

Measurement function – The Programmer is also intended to detect and measure pulse rate, AV interval and pulse width, and implantable device artifacts. The device takes these digital measurements with the assistance of optional skin electrodes. Medtronic and Vitatron make no claims or warranties as to the effectiveness of the Programmer as a diagnostic tool to the physician.

Equipment compatibility – The Programmer must be used only for interrogating and programming compatible Medtronic or Vitatron implantable devices. Direct stimulation through energy coupling may occur if the Programmer is used on other implanted devices. The Programmer is not compatible with programmable devices of other manufacturers.

Internal electrodes – Do not connect the Programmer to wires or electrodes internal to the body. The Programmer is designed to be medically safe only when attached to surface electrodes.

Defective equipment – If technical and safety inspection reveals a defect which could harm the patient, clinicians, or third parties, the device should not be used until it has been properly repaired. The operator must immediately notify Medtronic of these defects.

Programmer Reference Guide

Chapter 1

Precautions

VGA monitor use – To protect against interference or surge/leak

currents, the use of a secondary VGA monitor that meets an applicable safety standard such as UL 60950 or IEC 60950 is strongly recommended.

ECG cable integrity – Upon opening the package, if the ECG cable appears damaged, do not use it. Contact your local Medtronic representative.

Care in handling ECG cable wire – Do not pull on the insulated cable wire to disconnect the cable. Tension on the insulated cable wire may result in damage to the cable.

Electrocautery / external defibrillation – Do not position the programming head over an implanted device during electrocautery or external defibrillation procedures.

Do not immerse – Take care to prevent liquid from entering the Programmer and programming head. Do not immerse the Programmer or any accessories in any liquid or clean them with aromatic or chlorinated hydrocarbons.

Autoclaving – Do not autoclave the programming head or ECG cable and lead wires.

Electromagnetic interference (EMI) – The programming head has been tested for compliance with industrial EMI regulations. Any use outside the patient environment may result in the programming head malfunctioning.

Radio-frequency (RF) interference – Portable and mobile RF communications equipment can interfere with the Programmer’s operation. Although this transmitter has been approved by the Federal Communications Commission, there is no guarantee that it will not receive interference or that any particular transmission from this transmitter will be free from interference.

Programmer Reference Guide

Damaged equipment – If the case of the Programmer is cracked or if any of the connectors are damaged, contact your Medtronic representative. If there is insulation damage to the power cord or accessory cables or if any of the wall or equipment plugs are damaged, please replace the part and dispose of it according to local regulations or return the part to Medtronic.

Electrode quality – Use of high-quality silver/silver chloride (Ag/AgCl) electrodes can minimize the occurrence of small DC voltages that can block the ECG signal. Use electrodes that are fresh and from the same box. Prepare the patient’s skin according to the directions provided with the electrodes.

Flammable anaesthetic mixture – The Programmer is not suited for use in the presence of a flammable anaesthetic mixture.

Avoid damage from programming head – Keep the programming head away from any device or material that will be damaged by the magnetic field, including computer diskettes.

Environmental precautions

Introduction to the Programmer

Precautions

To ensure safe and effective operation, use the device with care to avoid damage to the Programmer from environmental factors that may impair its function. Care is exercised in design and manufacturing to minimize damage to devices under normal use. However, electronic devices are susceptible to many environmental stresses including, but not limited to, the following examples.

■

The unit should not be dropped or mishandled in such a manner as to cause physical damage to the unit. This may impair device function. Even if the unit works immediately after being dropped, operational damage may have occurred that may not be observed until some future time.

■

Fluid should not be spilled on the unit. Even though care is exercised in design and manufacture of the unit to minimize leakage, fluid incursion may occur, which could impair functioning of the unit.

■

The Programmer may be affected by electrostatic discharge (ESD). In an environment likely to cause ESD, such as a carpeted floor, you should discharge any charge collected on your body before touching the device.

Programmer Reference Guide

Chapter 1

Regulatory compliance

■

If there is any concern that damage has occurred, the unit should be returned to Medtronic for inspection and any needed repair.

Besides these listed examples, various other environmental factors may impair proper performance of the unit in the hospital setting. Always use good health management practices to prevent environmental damage to the unit.

Electrically-operated medical devices, such as the Programmer require special care (in terms of EMC) when being installed. Refer to the accompanying insert: Electromagnetic Compatibility Declaration.

Do not open the device. The Programmer is constructed to minimize risk from environmental factors. Opening the unit may make the unit susceptible to environmental factors.

Rapid temperature changes may affect proper operation. Always allow the temperature to stabilize in the environment in which the device is used before using the device.

Prolonged storage or operation of the device in high humidity may affect proper operation.

Regulatory compliance

US Federal Communications Commission (FCC)

FCC ID:LF5MICS (for Programmer) FCC ID:LF59767 (for Programming head)

The following provision applies to the low frequency communications system in the device:

This device complies with Part 15 of the FCC Rules respectively. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. The user is cautioned that changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment.

The following provision applies to the UHF communications system in the device:

Programmer Reference Guide

Introduction to the Programmer

Security features for the Windows XP operating system

This transmitter is authorized by rule under the Medical Device Radio Communications Service (47 C.F.R. Part 95) and must not cause harmful interference to stations operating in the 400.150 -

406.000 MHz band in the Meteorological Aids (i.e., transmitters and receivers used to communicate weather data), the Meteorological Satellite, or the Earth Exploration Satellite Services and must accept interference that may be caused by such aids, including interference that may cause undesired operation.This transmitter shall be used only in accordance with the FCC Rules governing the Medical Device Radio Communications Service. Analog and digital voice communications are prohibited. Although this transmitter has been approved by the Federal Communications Commission, there is no guarantee that it will not receive interference or that any particular transmission from this transmitter will be free from interference.

Security features for the Windows XP operating system

The operating system software for the Programmer is based on Microsoft Windows XP.

The popularity of Windows XP has made it a common target for threats including network attacks and viruses. In addition, many of the features on the Programmer rely on connecting to a hospital or clinic network. The great benefit of features that rely on network connections comes with a slight increase in the possible vulnerability of the Programmer to network-originated threats.

What Medtronic has done to promote security on the Programmer

Medtronic has gone to great lengths to promote the safety and reliability of the Programmer. The Programmer is configured as a special purpose device, with no general purpose access. Because unnecessary software components such as Internet Explorer and Microsoft Office are common targets of malicious attacks, those components are not installed on the Programmer.

The operating system portion of the internal hard disk is write-protected. Each time the Programmer is restarted, it starts in a known good state. Unsupported hardware, including unsupported PCMCIA cards or USB devices, are ignored by the operating system and cannot be accessed from the Programmer. For wireless security, Medtronic also supports WPA-PSK (TKIP) in addition to WEP (Wired Equivalent Privacy).

Programmer Reference Guide

Chapter 1

Software requirements

Medtronic continues to work with its partners to analyze emerging threats and evaluate potential impact on the Programmer.

What hospitals and clinics can do to promote the security of 2090 Programmers

The most important step hospitals and clinics can take to minimize the chance of the Programmer’s security being compromised is to have a secure network. This includes firewalls and security policies to keep the network, and any devices connected to it, safe and free from security threats originating from outside the network. Some threats, such as denial-of-service attacks, which cause a targeted system to continually respond to bogus network requests, can only originate and affect systems at the local level.

What to do if you suspect the Programmer has been compromised

If you believe the Programmer has been compromised by a security threat, turn off the Programmer, and disconnect it from the network or remove the network card, then restart the system. Contact Medtronic Technical Support for further assistance.

Software requirements

The Programmer requires software from Medtronic and Vitatron to operate. Once installed, the software remains on the Programmer hard drive.

Medtronic and Vitatron periodically update the software to add functions to the Programmer. See Chapter 3, “Update Programmer software using the Software Distribution Network” on page 41.

Programmer Reference Guide

Programmer functions

The following list summarizes some of the Programmer functions. Specific functions depend on the implantable device model being programmed or monitored and the software installed.

Programming functions:

■

Permanent and temporary adjustment of parameter values.

■

Selection of nominal parameter values established by Medtronic, Vitatron or by the user.

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Emergency buttons for VVI pacing.

Telemetry functions:

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Automatic detection of the device model, and automatic application start-up, if the programming head is in proper position when the Programmer is turned on.

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Automatic confirmation of a programmed change.

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Reporting of currently programmed parameter values in effect and battery status of the implanted device.

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Reporting of real-time measurements of implantable device operating parameters such as battery voltage, output energy, etc.

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Display and printout of Marker Channel telemetry to simplify EGM analysis.

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Display and printout of an atrial and/or ventricular intracardiac electrogram (EGM) taken from the electrodes of the implantable device lead system.

Introduction to the Programmer

Programmer functions

ECG and other diagnostic functions:

■

ECG window on programming and telemetry data screens provides a continuous view of the patient’s ECG.

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Full-window ECG display including a freeze option and an amplitude adjustment feature; ECG display includes Marker Channel telemetry, EGM waveforms, or both when available.

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Continuous multi-channel recording (ECG and Marker Channel telemetry or ECG and EGM, for example).

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Stimulation threshold test functions.

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Direct measurement of pulse rate, AV interval, and pulse width.

Programmer Reference Guide

Chapter 1

Programmer functions

Software update function:

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Temporary implantable device inhibition.

■

Printout of programmed and measured information for permanent record.

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Automatic update and installation of application software via a dial-up or network connection to the Medtronic Software Distribution Network.

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Updates available from the Software Distribution Network on a 24 hour/7 day per week basis.

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Updates available from Medtronic personnel.

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Clinical software applications that have Uninstall Software capability may be removed using the Programmer Desktop.

Programmer Reference Guide

System components

Figure 1-1. Programmer components - front view

Introduction to the Programmer

System components

1Display screen

2 Emergency VVI

button

3 Microphone jack

4 Headphone jack

5 Keyboard cover

6 Keyboard

7 Printer controls

8 Telephone cord

(not supplied)

9 Printer paper

10 Programming

head (ordered separately)

11 Touch pen

12 Electrode leads

13 ECG cable

with plug

14 Reference guide

15 Disk drive, PC

card cover

16 Power cord

17 Ethernet cable

(not supplied)

Programmer Reference Guide

Chapter 1

System components

Note: Only accessories approved by the manufacturer should be used.

Display screen – Display can be positioned smoothly from closed to nearly horizontal. Programming options are selected on the screen with the touch pen.

Emergency VVI button – Used to deliver bradycardia VVI operation.

Microphone jack – Intended for future use.

Headphone jack – Intended for future use.

Keyboard cover – Slides forward to protect the keyboard.

Keyboard – Used to enter information.

Printer controls – Select paper speeds of 12.5, 25, or 50 mm/s.

Push a button once to select printing speed. Push it again to stop printing. The Paper Advance button allows the user to properly align the paper.

Telephone cord – Connects the Programmer modem to a telephone jack. The telephone cord must be 26 wire gauge minimum. (Not supplied by Medtronic.)

Ethernet cable – Used to connect the Programmer to the clinic’s network. The Ethernet cable must be Category 5 or better. (Not supplied by Medtronic.)

Printer paper – Paper for the internal printer.

Programming head – Provides the communication link between

the Programmer and the patient’s implantable device. The programming head contains a strong permanent magnet, radio-frequency (RF) transmitter and receiver, and light array. It must be held over the implantable device during a program or interrogate operation. (Ordered separately; not supplied with Programmer.)

Programmer Reference Guide

Introduction to the Programmer

System components

Touch pen – Used to select options on the display screen. Predetermined options are selected by applying the pen to the screen.

Electrode leads / ECG cable – Connects the Programmer to skin electrodes on the patient for ECG and measurement functions requiring surface detection of cardiac and implantable device signals. Five color-coded lead wires connect the cable to standard, disposable skin electrodes applied to the patient.

Note: If you received a five-lead cable with a plug, the plug can be removed for five-lead ECG applications.

Reference guide – Programmer Reference Guide, provides information about setting up the Programmer and between session features.

Disk drive, PC card cover – Provides access to the disk drive and the PC card. If applicable to your Programmer hardware, also provides access to USB port(s) and either Integrated Ethernet or parallel connector.

Power cord – Connects the Programmer to an AC power outlet.

Figure 1-2. Front connectors (keyboard turned up)

1 Programming head (yellow marker)

2 Analog Input/Output (green marker)

3 ECG cable (black or blue marker)

Programming head – The programming head connector has a yellow marker.

Programmer Reference Guide

Chapter 1

System components

Analog Input/Output – Allows an external monitor or recorder to be connected to the Programmer. This connector has a green marker.

ECG cable – Connects the ECG cable to the Programmer. This connector has a black or blue marker.

Figure 1-3. Left view

1 ON/OFF switch

2Cooling fan

3 Expansion slot

4Printer

ON/OFF switch – Controls power (AC) to the Programmer. Once the Programmer is turned off, wait 2 seconds before turning it on again.

Cooling fan – Internal fan provides continuous airflow to prevent the internal circuitry from overheating.

Expansion slot – Allows for additional features to be added, such as the Analyzer that is available as an option.

Printer – Integral thermal printer with text and graphic output capabilities. According to the selected function, the printer provides data reports or it can print out a continuous ECG with accompanying Marker Channel telemetry, EGM, or both when available.

Programmer Reference Guide

Introduction to the Programmer

System components

Figure 1-4. Right view

1 Disk drive, PC card cover

2 Infrared window

Infrared window – Intended for future use.

Programmer Reference Guide

1 2

Chapter 1

System components

Figure 1-5. Disk drive, PC card cover open (two variations of Programmer hardware are shown)

1PC card slot

2 Parallel connector

3 Disk drive

1PC card slot

2 Disk drive

3 Integrated Ethernet

4 USB port

PC card slot – There are different types of PC cards that can be plugged into the PC card slot:

These PC cards can be used to connect to the Software Distribution Network, to transfer information using SessionSync (provided it is supported by the device), and for connecting the Programmer to a consultant’s computer.

Warning: When using a modem or combo card, make sure that the telecom voltage does not exceed 125 V. Excessive voltage may damage the programmer.

Parallel connector – Allows a printer to be connected to the Programmer.

Programmer Reference Guide

■

The Modem card.

■

The Combination Ethernet/Modem Network card, referred to as the combo card.

■

The Wireless Ethernet card, referred to as the Wireless card.

Introduction to the Programmer

System components

Disk drive – Accommodates a 3.5 inch (90 mm) formatted diskette that is IBM-compatible.

Integrated Ethernet – Allows the Programmer to connect to the Software Distribution Network and the Paceart data management system using an Ethernet connection.

Figure 1-6. Back view (power cord door open)

1 USB port(s)

2 VGA output port

3Power cord

USB port(s) – Allows installation of software, software updates, and future device application installations. The USB port can also be used to connect to a USB printer or a USB flash drive.

VGA output port – Allows porting the screen image of the Programmer to an external VGA monitor or for conversion of the output signal to NTSC/PAL format for presentation on a television monitor. For technical guidance, please contact Technical Services at the telephone number listed on the back cover of this manual.

Caution: To protect against interference or surge/leak currents, the use of a secondary VGA monitor that meets an applicable safety standard such as UL 60950 or IEC 60950 is strongly recommended.

Power cord – Connects the Programmer to line (AC) power.

Programmer Reference Guide

Chapter 1

Display screen features

The Programmer display screen is an interactive device that displays text and graphics. It is also a control panel that displays buttons and menu options that you can select using the touch pen.

Features and conventions of the display screen

This section provides an overview of the features of the display screen. For more information, refer to the reference guide for the implanted device. Figure 1-7 shows the main elements of the typical screen. Vitatron display screens may be different; see the reference guide for the implanted device. If you see a button, select it to display the Vitatron Select Model screen.

Figure 1-7. Main elements of a display screen example

1Task bar

2 Status bar

3 Live Rhythm Monitor window

4 Waveform adjustment bars

5 Task area

6 Command bar

7 Buttons

8 Tool palette

Task b a r

Programmer Reference Guide

Introduction to the Programmer

Display screen features

The task bar can contain these icons/indicators:

Tabl e 1 -1 . Task bar icons/indicators

Icon Name Function

Position head light array

Turns green to indicate successful communication between the programming head and the device. The greater the number of green bars on the array, the better the communication. A minimum of two green bars should be lit.

SessionSync icon Provides information about the connection

Analyzer indicator/selector

Device indicator/selector

USB indicator Turns green to indicate USB flash drive is

Diskette indicator Turns green to indicate diskette drive is

and data transfer status between the Programmer and the data management system. SessionSync is an optional feature. If your device does not support SessionSync, a red symbol will be superimposed over the icon. Refer to the topic “About SessionSync” on page 102 for detailed information.

Used to start an analyzer session or, if your device supports concurrency, to switch to an analyzer session from a device session. When an analyzer session is running, the indicator box turns green. (For more information on the optional Analyzer, see the 2290 Analyzer Reference Guide.)

Used to go to the Select Model screen on the Programmer desktop or, if your device supports concurrency, to switch to a device session from an analyzer session. When a device session is running, the indicator box turns green.

available for saving PDF reports and patient data. When USB indicator is green, diskette is not available. When inserting a USB flash drive, you may experience a slight delay before it is available for use.

available for saving PDF reports and patient data. When diskette indicator is green, USB is not available.

Programmer Reference Guide

Chapter 1

Display screen features

Status bar

Before selecting a model, the status bar has no information. For specific information about the status bar, refer to the reference guide for the implanted device. After model selection, the status bar may include:

■

1 Status bar

Live Rhythm Monitor window

This window is a partial view of the full-screen display of the ECG, and contains a Status bar and a Waveform adjustment bar that lets you make changes to the waveform display. You can expand this window to its full size by selecting the small square button in the upper-right corner of the window or by selecting

The present pacing mode.

Test condition status.

The device model.

[Adjust...].

Programmer Reference Guide

After model selection, Marker Channel and telemetered EGM waveform traces may be available.

Refer to the appropriate reference guide for the implanted device for more information about the Live Rhythm Monitor. Refer to the

2290 Analyzer

Reference Guide for information about the controls

on the Waveform Adjustment bar.

1 Waveform Adjustment bar

Task area

The portion of screen between the Live Rhythm Monitor window at the top and the command bar at the bottom changes according to the task or function you select.

Introduction to the Programmer

Display screen features

Command bar

The bar at the bottom of the screen shows the command buttons for automatically launching the proper software application and displaying the Vitatron Select Model screen. For information on what command buttons are available after selecting a model, see the reference guide for the implanted device.

Buttons

Buttons like those shown below let you operate the Programmer using the touch pen. You can “press” a button by touching it with the tip of the touch pen.

1 Inactive button (indicated by a lighter color)

Buttons may directly execute a command, such as

[Freeze], or

they may open a window that prompts another action. Usually such buttons have a label ending with an ellipsis, such as

[Strips...] or [Adjust...].

A procedure may instruct you to “press and hold” a button. Press the tip of the touch pen to the button and maintain pressure until it is time to “release” the button.

When a button is inactive, it appears a lighter color and does not execute a command when you press it with the touch pen.

Tool palette

The collection of buttons and icons along the edge of the screen is referred to as the “tool palette.” These are the controls you will use to choose the task or function screen you want displayed. For more information, see “About the between sessions tool palette” on page 86. For information about the session tool palette, refer to the reference guide for the implanted device.

Programmer Reference Guide

Set up the Programmer2

Basic setup 34

Connect peripheral devices 39

Chapter 2

Basic setup

Before setting up the Programmer, select a sturdy location for it without blocking the air vents on the right and left sides. The Programmer uses a power cord, so the location must be near an AC outlet.

This section describes how to:

■

Position the display

■

Connect the ECG cable

■

Connect the programming head

■

Connect the power cord

■

Connect the telephone line

■

Connect the Ethernet cable

■

Turn on the Programmer

■

Troubleshoot potential interference

Programmer Reference Guide

Position the display

Set up the Programmer

Basic setup

1. Press inward on the two buttons on each end of the handle.

2. Lift up the display

3. Place it at a comfortable viewing angle.

Connect the ECG cable

1. Slide the keyboard cover all the way back. Press the latch and flip up the keyboard.

2. Line up the arrow on the ECG cable with the red dot on the ECG connector.

3. Plug the cable into the connector with the black or blue marker on the right.

4. Flip down the keyboard, making sure the cable passes through the notch on the right or left side.

Programmer Reference Guide

Chapter 2

Basic setup

About the ECG cable

The Medtronic Model 2090 EC/ECL ECG cable and lead wires connect the Programmer to skin electrodes for ECG and measurement functions requiring surface detection of cardiac and implantable device signals.

The ECG cable is designed for use with five lead wires. However, some physicians prefer to use only four lead wires. If four lead wires are used, insert the chest ECG plug into the middle cable port of the ECG cable.

Note: Improper insertion of the cable plug may damage the connector pins.

Cautions:

■

Upon opening the package, if the ECG cable appears damaged, do not use it. Contact your local Medtronic representative.

■

Do not pull on the insulated cable wire to disconnect the cable. Tension on the insulated cable wire may result in damage to the cable.

Connect the programming head

Programmer Reference Guide

1. Slide the keyboard cover all the way back. Press the latch and flip up the keyboard.

2. Line up the red dots on the programming head cable and the programming head connector.

3. Plug the cable into the programming head connector with the yellow marker on the left.

4. Flip down the keyboard, making sure the cable passes through the notch on the right or left side.

Connect the power cord

Connect the telephone line

Set up the Programmer

Basic setup

1. Open the back cover by pressing on both latches.

2. Plug the power cord into the Programmer.

3. Plug the power cord into AC power outlet. The Programmer automatically adjusts to the available line power.

4. Make sure the power cord passes through the notch on the left side and close the cover.

1. Locate the disk drive/PC card cover on the right side of the Programmer and flip down the cover.

2. Connect the telephone line to the RJ-11 connector on the modem card or combo card. (The combo card is shown.)

3. Connect the opposite end of the telephone line to an analog telephone jack.

4. If you replaced the card, you will need to reboot the Programmer before using it.

Programmer Reference Guide

Chapter 2

Basic setup

Connect the Ethernet cable (as applicable to your hardware)

1. Locate the disk drive/PC card

cover on the right side of the Programmer and flip down the cover.

2. Connect the Ethernet cable to the

Integrated Ethernet connection.

3. Alternatively, the Ethernet cable

can be connected to the RJ-45 connector on the combo card instead of using the integrated Ethernet connection.

4. Connect the opposite end of the

Ethernet cable to a network jack.

Turn on the Programmer

1. Locate the ON/OFF switch on the left side of the Programmer.

2. Press inward on the top of the ON/OFF switch.

Notes:

The Programmer will not operate without the appropriate software installed. Should the Programmer not operate, check the version of software that is loaded on the Programmer, and update it if necessary. See the topic “Check the software version” on page 94, for more detailed instructions.

The first time the Programmer is turned on following one of these

Programmer Reference Guide

changes, the start-up will take 2 minutes:

■

When a new keyboard language is installed

■

When the keyboard is removed (the Programmer has been previously turned ON with a keyboard)

■

When a keyboard has been added (the Programmer has been previously turned ON without a keyboard)

■

When the PC card has been removed (the Programmer has been previously turned ON with a PC card)

■

When a PC card has been added (the Programmer has been previously turned ON without a PC card)

Troubleshoot potential interference

To address possible harmful interference between the Programmer and other devices, you are encouraged to take one or more of the following measures to address the situation:

■

Reorient or relocate the devices.

■

Increase the separation between the devices.

■

Connect the equipment to an outlet on a different circuit.

■

Consult Medtronic for help.

Set up the Programmer

Connect peripheral devices

An analog input/output connector under the keyboard allows the use of a peripheral isolated medical grade recorder or monitor. A special adapter accessory (not included with the Programmer) is needed to use the input/output connector. Contact your Medtronic representative for more information. The signals present at the output depend on the software application, but may include the following:

■

ECG

■

Marker Channel telemetry

■

EGM

■

Software specific waveforms

All electronic devices that are connected to the Programmer must meet the electrical safety requirements of IEC-60950-1.

Programmer Reference Guide

Chapter 2

Connect peripheral devices

Locate the peripheral device connector

1 Analog Input/Output connector with green marker (under

the keyboard)

Programmer Reference Guide

Update Programmer software using

the Software Distribution Network

The Software Distribution Network 42

Connect to the SDN using a dial-up connection 42

Connect to the SDN using a wired network connection 49

Connect to the SDN using a wireless network connection 51

Chapter 3

The Software Distribution Network

Programmer software can be updated by Medtronic customers or Medtronic personnel by accessing the Medtronic Software Distribution Network (SDN) and downloading the software. The SDN uses a world-wide network to connect to servers in the United States. These servers are able to download software to many Programmers simultaneously though secure connections.

The SDN is available 24 hours per day, 7 days per week and always contains the most current software. For this reason it is recommended that you download the software from the SDN rather than from the flash drive.

You can connect to the SDN using a network connection (wired or wireless) or a dial-up connection. It is recommended that you use a network connection whenever possible, since software downloads are significantly faster using a network connection than using a dial-up connection.

Notes:

■

It is recommended that the SDN be checked on a regular basis. This will reduce the size of the download and the time it takes to receive the software.

■

If the download was interrupted, the download will resume the next time the Programmer attempts to access the SDN.

■

Normal Programmer functions are unavailable during software installation.

Connect to the SDN using a dial-up connection

You can connect to the SDN using the Programmer combo card or modem card, and a connection to an analog phone line. In most cases the modem connection to the SDN can be made using a local telephone number. There is a toll-free number provided, however, it should only be used if a local number is not available.

Before you begin, make sure that the telephone line is correctly connected to the combo or modem card see “Connect the telephone line” on page 37.

Programmer Reference Guide

Update Programmer software using the Software Distribution Network

Connect to the SDN using a dial-up connection

How to connect to the SDN using dial-up

1. Tap the Programmer icon. Note: The SDN cannot be

accessed from Vitatron screens. Change to the Medtronic Select Model screen.

2. Select Software from the menu.

The Programmer displays the Software on This Programmer screen and lists the software already installed on the Programmer. For each model, the screen displays the software version.

3. Select [Install from Medtronic...].

4. Press [Accept] if you agree to the terms of the installation agreement. The download will begin.

Press [Cancel] if you do not agree to the terms. The download process will be cancelled and the Programmer will redisplay the Software on This Programmer screen.

(Continued)

Programmer Reference Guide

Chapter 3

Connect to the SDN using a dial-up connection

5. If the Programmer has the combo card installed, the Scheduled Software Update window appears showing the LAN connection by default.

Press [Configure] to choose Dial-up Connection.

Then, select the radio button next to Dial-up Connection.

The Scheduled Software Update window redisplays, now showing Dial-up Connection. Press [Start] to continue.

6. If the Programmer has the modem card installed, the Programmer automatically displays the Update Software screen.

7. Review the Update Software screen.

To select a different clinic location, click on the down arrow.

If your clinic location is not listed, refer to “Edit Locations” on page 45 for instructions on how to edit, create, or remove a location.

8. Enter a dialing prefix, if one is needed.

9. Click [Start] to begin the software download.

10. While the Programmer is connecting to Medtronic, the screen will temporarily go blank.

(Continued)

Programmer Reference Guide

Update Programmer software using the Software Distribution Network

Connect to the SDN using a dial-up connection

11. The Programmer reboots, dials the SDN and then displays a list of software that will be downloaded and installed.

Note: Individual software cannot be selected or rejected.

You may press [Stop] at anytime and resume the download at a future time.

When the download is complete, the Programmer disconnects from the SDN. Then it automatically reboots and displays a screen listing the software that was downloaded.

12. To obtain technical manuals for the new software see “Start the demonstrations option” on page 95.

13. Click the Select Model icon. The Programmer is then

available for patient use.

14. The first time the newly downloaded software is accessed, some additional installation steps may be completed but these are automatic and no user intervention is required.

Edit Locations

Part of the dial-up software download process involves confirming the Programmer location on the Update Software screen. If the clinic location does not appear in the clinic location pull-down menu or if information about an existing location needs to be changed, choose the <Edit Locations> selection from the pull-down menu.

Programmer Reference Guide

Chapter 3

Connect to the SDN using a dial-up connection

The following procedures describe how to create a new location, make changes to an existing location, or remove a location from the Programmer.

To create, edit or remove a location, you must be on the Update Software screen. Note that the Update Software screen appears as one of a series of screens that are accessible only during the software update process.

Programmer Reference Guide

Update Programmer software using the Software Distribution Network

How to create a new location

Connect to the SDN using a dial-up connection

1. Using the clinic pull-down menu, select Edit Locations. When the Edit Locations screen appears, click on [New].

2. When the new dialog window opens enter the name of the location.

3. Using the pull-down menus, identify the location by selecting the Country, Region, and Nearest City.

4. Using the pull-down menu for Number to dial, select the number that will be dialed to access the SDN.

5. In the Dialing Prefix field, enter the digits of a dialing prefix, if a prefix is required to access an outside line.

6. To set this location as the default location on the Update Software screen, click on Set as default location.

7. Click on [OK] to save this location information.

8. When the Update Software screen is redisplayed, select the clinic and click on [Start] to begin the download process or click on [Cancel] to exit from the download operation.

Programmer Reference Guide

Chapter 3

Connect to the SDN using a dial-up connection

How to change location information

1. On the Edit Location screen use the pull-down menu to select an existing location. Then, beginning with the Nearest City, use the pull-down menu to select a different city if it needs to be changed.

2. To select a different SDN access number, use the pull-down menu opposite the Number to dial field. The list of SDN access numbers shown is based on the Nearest City selected.

3. In the Dialing Prefix field, enter the digits of a dialing prefix, if a prefix is required to access an outside line.

4. To set the currently displayed location as the default location on the Update Software screen, click on Set as default location.

5. Click on [OK] to save this location information.

6. When the Update Software screen is redisplayed, select the clinic and click on [Start] to begin the download process or click on [Cancel] to exit from the download operation.

Remove a location

Programmer Reference Guide

1. On the Edit Location screen use the pull-down menu to select the name of the clinic you wish to remove from the Programmer.

2. Click on [Remove].

3. Click on [Yes] to confirm the deletion.

4. On the Edit Location screen, select the clinic to be used from the pull-down menu, then click on [OK].

5. When the Update Software screen is redisplayed, click on [Start] to begin the download process or click on [Cancel] to exit from the download operation.

Update Programmer software using the Software Distribution Network

Connect to the SDN using a wired network connection

You can connect to the SDN using the combo card or Integrated Ethernet, and your clinic’s network. By connecting through your network, software download time can be significantly reduced.

Before you begin, make sure the Ethernet cable is correctly connected to the combo card or Integrated Ethernet (see “Connect the Ethernet cable (as applicable to your hardware)” on page 38).

How to connect to the SDN using a network connection

1. Tap the Programmer icon. Note: The SDN cannot be

accessed from Vitatron screens. Change to the Medtronic Select Model screen.

2. Select Software from the menu.

The Programmer displays the Software on This Programmer screen and lists the software already installed on the Programmer. For each model, the screen displays the software version.

3. Select [Install from Medtronic...].

Press [Accept] if you agree to the terms of the installation agreement. The download will begin.

or Press [Cancel] if you do not

agree to the terms. The download process will be cancelled and the Programmer will redisplay the Software on This Programmer screen.

4. The Programmer displays a Scheduled Software Update screen. Select the Configure button.

(Continued)

Programmer Reference Guide

Chapter 3

Connect to the SDN using a wired network connection

5. On the subsequent screen, select the LAN Connection radio button. Select OK.

6. On the subsequent screen, either choose to start the download at a particular time by selecting a time from the Scheduled Update Time pull-down menu, or begin the download as soon as possible by pressing [Start].

7. The Scheduled Software Update window displays a countdown window showing how much time remains until the countdown begins. Press [Start Now] to override the countdown or press [Cancel] to interrupt the countdown and the download request and return to the Software on This Programmer screen.

8. The Programmer displays a list of software that will be downloaded and installed.

Note: Individual software cannot be selected or rejected.

You may press [Stop] at anytime and resume the download at a future time.

9. When the download is complete, the Programmer disconnects from the SDN, automatically reboots, and displays a screen listing the software that was downloaded.

10. To obtain technical manuals for the new software, see “Start the demonstrations option” on page 95.

11. Click on the Select Model icon. The Programmer is then available for patient use.

Note: The first time the newly downloaded software is accessed, some additional installation steps may be completed but these are automatic and no user intervention is required.

Programmer Reference Guide

Update Programmer software using the Software Distribution Network

Connect to the SDN using a wireless network connection

If you use SessionSync, you can connect to the SDN using your clinic’s wireless network.

Before you begin, make sure the wireless connection is correctly configured see “Configure the SessionSync wireless network connection” on page 103.

How to connect to the SDN using a wireless network connection

1. Tap the Programmer icon. Note: The SDN cannot be

accessed from Vitatron screens. Change to the Medtronic Select Model screen.

2. Select Software from the menu.

The Programmer displays the Software on This Programmer screen and lists the software already installed on the Programmer. For each model, the screen displays the software version.

3. Select [Install from Medtronic...].Press [Accept] if you agree to the terms of the installation agreement. The download will begin.

Press [Cancel] if you do not agree to the terms. The download process will be cancelled and the Programmer will redisplay the Software on This Programmer screen.

4. The Programmer displays a Scheduled Software Update screen. Select the Configure button.

(Continued)

Programmer Reference Guide

Chapter 3

Connect to the SDN using a wireless network connection

5. On the SessionSync Network Configuration screen, provide network configuration information. Then select OK.

6. On the Scheduled Software Update screen, either choose to start the download at a particular time by selecting a time from the pull-down menu, or begin the download as soon as possible by pressing [Start].

7. A countdown window shows how much time remains until the update begins. Press [Start Now] to override the countdown or press [Cancel] to interrupt the countdown and the download request and return to the Software on This Programmer screen.

8. The Programmer displays a list of software that will be downloaded and installed.

Note: Individual software cannot be selected or rejected.

You may press [Stop] at any time and resume the download at a future time.

9. When the download is complete, the Programmer disconnects from the SDN, automatically reboots, and displays a screen listing the software that was downloaded.

10. To obtain technical manuals for the new software see “Start the demonstrations option” on page 95.

11. Click on the Select Model icon. The Programmer is then available for patient use.

Note: The first time the newly downloaded software is accessed, some additional installation steps may be completed but these are automatic and no user intervention is required.

Programmer Reference Guide

Conduct a patient session4

Prepare for a patient session 54

Initiate a patient session 64

End a patient session 68

Store components 69

Chapter 4

Prepare for a patient session

Familiarize yourself with the contents of this section before beginning a patient session.

Connect the Programmer to skin electrodes

At the start of each patient session, ECG cable leads must be connected to the patient to detect cardiac and pulse artifact signals.

Note: The quality of disposable skin electrodes used with the Programmer is important to the performance of the Programmer signal sensing functions. Chemical reactions occur at the electrode/paste interface and produce small DC voltages that can block the ECG signal. Using high quality silver/silver chloride (Ag/AgCl) electrodes can minimize this problem. Electrodes should be fresh and from the same box. The patient’s skin should be prepared according to the directions provided with the electrodes.

Protocols covering attachment of leads to disposable skin electrodes may vary. Leads may be attached to the electrodes either before or after the electrodes are applied to the patient. The order of the procedure given below is arbitrary.

Warning: Do not connect the Programmer to wires or electrodes internal to the body. The Programmer is designed to be medically safe only when attached to surface electrodes.

Programmer Reference Guide

Attach electrodes

Connect the ECG cable

Conduct a patient session

Prepare for a patient session

1. Attach five standard, disposable electrodes to the patient in the positions shown.

1. As shown, attach a color-coded lead wire to each of the five electrodes. Match a color to each electrode as in Table 4-1.

Note: Connecting the chest lead is optional. If the chest lead is not used, insert the chest ECG plug into the middle cable port of the ECG cable.

2. Connect each lead wire to the ECG cable as in Table 4-2. Match each lead connector to the proper cable port.

Programmer Reference Guide

Chapter 4

Prepare for a patient session

Tab le 4- 1. Electrode lead wire color coding

AHA Coding

Black Yellow to left arm

Red Green to left leg

Brown White to left chest area

Green Black to right leg

White Red to right arm

American Hospital Association

International Electrotechnical Commission

Connecting the chest lead is optional. If the chest lead is not used, insert the

chest ECG plug into the middle cable port of the ECG cable.

Tab le 4- 2. ECG cable color coding

AHA Coding IEC Coding

Black to LA Yellow to L

Red to LL Green to F

Brown to V

IEC Coding

Body Area

White to C

Green to RL Black to N

White to RA Red to R

Note: Occasionally, mutual interference occurs between the Programmer skin electrode signals and signals from an external ECG recorder or monitor attached directly to the patient. This interference may cause erratic operation of the Programmer functions that depend on surface signal detection. If interference occurs, the leads from the attached ECG recorder or monitor should be temporarily disconnected. This interference does not affect the programming functions of the Programmer.

Programmer Reference Guide

Labeled C on some cables

Use the touch pen

Conduct a patient session

Prepare for a patient session

The touch pen is used to select programming functions provided by the software. Proper use of the pen is described below in Figure 4-1 and in “Select an option on the screen” on page 58.

Figure 4-1. Using the touch pen

Programmer Reference Guide

Chapter 4

Prepare for a patient session

Select an option on the screen

1. Move the tip of the pen to a position directly over the desired option

While positioning the pen, do not press it against the screen. Hold the pen perpendicular to the screen. The pen tip should be close to the screen.

If the desired option is a displayed key or button, position the pen tip within the rectangular outline.

If the desired option is a name or number, such as a parameter or parameter value, position the pen directly over the letters or numbers forming the option.

2. Touch the pen to the screen to select

an option.

Programmer Reference Guide

Use the keyboard

Conduct a patient session

Prepare for a patient session

Certain fields on the screen allow you to enter data, such as the patient’s name or chart number. The Programmer has a compact computer keyboard for entering data.

Figure 4-2. Programmer keyboard

Position the programming head

At some point during most applications of the Programmer, the programming head must be positioned over the implantable device. Positioning the programming head is required for any interaction between the Programmer and the implantable device.

When to position the programming head

Caution: Do not position the programming head over an

implanted device during electrocautery or external defibrillation procedures.

During a patient session, properly position the programming head over the implanted device before any of the following actions:

■

Selection of any command that initiates a programming transmission. The programming head must be held in position until completion of the transmission, which is usually indicated by a confirmation message.

Programmer Reference Guide

Green

Amber/Green

Light Array

Chapter 4

Prepare for a patient session

Determine the correct position

■

Selection of any command that initiates data transmission from the implantable device. The programming head should be held steady until data reception is complete, which is usually indicated by a confirmation message.

■

Selection of a measurement function that requires the implantable device to be operating asynchronously as a result of the programming head magnet.

For any temporarily programmed state or function or for reception of continuous data such as Marker Channel telemetry or EGM waveforms, the programming head must be held in place over the implantable device for the duration of the function or until termination is desired. Lifting the programming head cancels a temporary program and terminates continuous telemetry. The implantable device reverts to permanently programmed values.

For an implantable device, the programming head should be held directly against the patient’s skin. The face of the programming head must be parallel to and typically within 2 inches (5 cm) of the implantable device. Optimum position of the programming head may not be directly centered over the implantable device.

Figure 4-3. Positioning the programming head

Correct placement of the programming head is indicated in two places: the position head array in the top left corner of the screen and the array of seven lights on the programming head (see Figure 4-3).

Programmer Reference Guide

Programming and Interrogation are not recommended when fewer than two green lights are on.

Program and interrogate the implanted device

1. Select the appropriate software parameters according to the reference guide.

2. Position the programming head near the implantable device.

Programming and Interrogation can begin when the LED lights on the position head array indicate satisfactory positioning and telemetry strength.

Notes:

■

For Medtronic devices, the programming head array shows the signal strength of the communication link. Medtronic recommends moving the programming head to maximize the number of green lights. All lights may not illuminate for all models (see the reference guide for the implanted device).

■

Misalignment of the programming head could result in failure of a programming transmission and/or failure to receive data from the implantable device. Medtronic recommends that you interrogate the device after programming to confirm that any setting changes were successful.

■

Reveal Plus and some older Vitatron devices respond with only one light in the position head array. In programming mode, the light turns green, to indicate that the programming head is in the correct position and that it is communicating with the device; the light turns solid amber if the programming head is misaligned.

Conduct a patient session

Prepare for a patient session

Use the P and I buttons

The P button and I button on the programming head (Figure 4-4) correspond to commands that appear on the display screen of the Programmer. Refer to the appropriate reference manual to determine which commands the buttons correspond to. For convenience, you may press the P button or the I button on the programming head in place of selecting the corresponding option from the display.

Programmer Reference Guide

Chapter 4

Prepare for a patient session

Figure 4-4. P and I buttons

The programming head magnet

A strong magnet in the programming head actuates a sensor in the implantable device, which makes the implantable device receptive to programming (refer to the reference guide for the implanted device for more information about the effects of a magnet).

Be aware that the programming head may attract metal instruments or be attracted to metal surfaces. The magnet is susceptible to partial demagnetization when it is subjected to opposing magnetic fields, such as those present when forcing the programming head against another magnet. The programming head should be stored as shown in Figure 4-6 on page 69 when not in use.

Emergency VVI button

Programmer Reference Guide

Caution: Keep the programming head away from any device or material that will be damaged by the magnetic field, including computer diskettes.

The red Emergency VVI button on the display panel provides immediate access for emergency VVI pacing (Figure 4-5). (Specific parameter values are determined by each application.)

■

For all Medtronic pacemaker applications, the red Emergency VVI button is active when the [Emergency] button is displayed on screen.

■

For some ICD applications, the red Emergency VVI button is active at all times. When pressed, this button delivers VVI pacing and displays the emergency screen options.

Conduct a patient session

VVI

Emergency VVI

Button (Red)

Prepare for a patient session

Note: The red Emergency VVI button is also implemented in the software and appears on the display. It functions similarly to the button on the panel.

Warning: The red Emergency VVI button is disabled for the following devices: PCD, Jewel PCD, Micro Jewel II, MicroJewel, Jewel CD, Jewel Plus, Model 7202 Jewel CD, Models 7218 and 7211, Model 7201 CD, and Jewel AF. Use the touch pen to select the on-screen [Emergency] button.

Deliver emergency bradycardia pacing

To initiate emergency pacing, correctly position the programming head over the implanted device and press the red Emergency VVI button. A message confirms programming, and emergency VVI operation begins.

Deliver emergency tachyarrhythmia therapy

To deliver therapy, press the red Emergency VVI button to display the emergency screen on the Programmer and select the on-screen [Deliver] button with the touch pen.

For specific applications, refer to the appropriate device Reference Guide, System Reference Guide, or Clinician Manual for complete instructions regarding the use of the Delivery button.

Figure 4-5. Emergency button

Programmer Reference Guide

Chapter 4

Initiate a patient session

Programmer checklist

A patient session involves the application of the various Programmer functions to such procedures as programming implantable device parameters, analyzing or assessing implantable device operation, troubleshooting, and routine follow-up. The instructions for using each Programmer function are covered in the reference guide for the implanted device.

Note: Before proceeding, ensure that all preparations covered in Chapter 2, “Set up the Programmer” on page 33 and “Prepare for a patient session” on page 54 have been completed.

1. Is the Programmer set up according to the procedures in Chapter 2?

2. Are the ECG cable, touch pen, and programming head connected to the Programmer?

3. Does the power cord connect the Programmer to an AC power outlet?

4. Has the appropriate software been installed? Refer to Chapter 6 for a description of how to verify the software version and refer to Chapter 3 to update software, if necessary.

5. Are the Programmer ECG cable leads connected to electrodes on the patient as described in “Connect the Programmer to skin electrodes” on page 54?

Specific information related to each implantable device model or family of models is included in the reference guide for the device.

Refer to the reference guide for the implanted device before beginning a patient session.

Model identification

Because the Programmer collects and stores data on a session-by-session basis, it is important to correctly start and end each session.

Programmer Reference Guide

Conduct a patient session

Initiate a patient session

The Programmer supports both a Medtronic and Vitatron desktop. Whichever desktop is in use when the Programmer is powered down, that same desktop will appear when the Programmer is powered on. To switch from the Vitatron desktop to the Medtronic desktop and vice versa, select the Vitatron/Medtronic switch button that appears on the bottom of the screen.

There are two ways to begin a patient session:

■

Prior to turning on the Programmer, position the programming head over the patient’s device. When you turn on the Programmer, the Programmer will attempt to interrogate the device. Depending on the device, either the software application will be launched automatically or a message will appear with further instructions.

■

After turning on the Programmer, position the programming head over the patient’s device. During the first 5 minutes, the Medtronic desktop will display the Find Patient screen. Afterward, it displays the Select Model screen. The Vitatron desktop displays the Select Model screen immediately. A patient session can begin at either the Find Patient screen or the Select Model screen. Follow the instructions on the screen that displays.

Find Patient screen

When the Programmer is first turned on, the Medtronic desktop displays the Find Patient screen. If it does not detect a device within about 5 minutes, the Programmer removes the Find Patient screen to reveal the Select Model screen.

When the Find Patient screen is displayed, you may begin a patient session.

Programmer Reference Guide

Chapter 4

Initiate a patient session

Place the programming head over the patient’s device and hold it steady. For most devices, the Programmer will identify the device model and automatically start up the proper software application. If a device cannot be automatically identified, the Programmer displays a message at the top of the Find Patient screen. Perform one of the following steps, depending on the message instructions:

■

Select [Cancel] and manually select the software application from the Select Model screen.

Select [Cancel] and then select the Vitatron/Medtronic switch button to go to the Vitatron desktop.

If the message indicates that the needed software application has not been installed, you must install the software before proceeding. Refer to Chapter 3 for software installation instructions.

Select Model screen

A patient session may also begin from the Select Model screen. The Select Model screen appears after one of the following actions:

Programmer Reference Guide

■

Shortly after the Programmer has been turned on

■

After you end a patient session

Conduct a patient session

Initiate a patient session

If the Select Model screen is not displayed, use the touch pen to select the Select Model icon. If the Select Model icon is not displayed, a patient session is in progress. You must end that session before starting a new one.

If you are between patient sessions, you can access other screens by using the icons and buttons described in Chapter 6.

If the device is a Vitatron device and it is not listed on the Select Model screen, refer to the Vitatron documentation.

If the Select Model screen does not look like this example and you see a button, select the Vitatron/Medtronic switch button to display this screen.

Position the programming head over the patient’s device and hold it steady. Select [Find Patient] shown on the Medtronic desktop or manually select the device from the displayed list of devices and select [Start].

When a device is manually selected from the list of devices, the Programmer starts up the application that corresponds to your selection, not the device that is under the programming head. The Find Patient screen quickly displays as the Programmer starts up the proper software application.

Programmer Reference Guide

Chapter 4

End a patient session

If the software application has not been installed, the Programmer displays a message indicating that the software must be installed before proceeding. Refer to Chapter 3 for software installation instructions.

The Programmer may automatically interrogate the patient’s implanted device to retrieve most of the data that might be needed during the session. To take advantage of this automatic interrogation, you must position the programming head over the implanted device and continue to hold it in place until the interrogation is complete.

Refer to the reference guide for the implanted device for more information about determining the model.

Note: If you are using the optional Analyzer and your device does not support concurrency, you must exit the Analyzer before you can start a device session. That is, if you use the task bar to switch from the Analyzer to the Select Model screen and then select [Find Patient], the Programmer will display the following message:

This application is not able to run concurrently with the Analyzer. Please exit the Analyzer and try again.

End a patient session

When you want to end a patient session there are three options. You may save data to a disk or USB flash drive, save to SessionSync, or end the session without saving.

Please refer to the reference guide for the implanted device for specific information on saving device data.

Programmer Reference Guide

Store components

The following diagrams show the proper way to store components (Figure 4-6).

Figure 4-6. Storing components

Conduct a patient session

Store components

Programmer Reference Guide

Manage reports and data5

Reports 72

Session data 72

Save to a PDF file 72

Save to diskette 73

Save to USB 73

View reports that are saved to media 75

Vitatron Manual-Guided Reset 76

Chapter 5

Reports

Session data

Depending on the implanted device model, various types of reports can be created. Refer to the reference guide for the implanted device for specific information on report types and contents. During an active session, reports may be printed, or saved as PDF files on a diskette or USB flash drive. Reports held for later printing may be printed while at the Desktop or when returning to a session. Note that reports might not be available for later printing from the Desktop, depending on the device application and on the current print queue deletion schedule (see “Set the interval for report deletion” on page 88).

Patient session data may be saved to a diskette or a USB flash drive, or transmitted to the Paceart database by using SessionSync.

Save to a PDF file

Printable reports, frozen strips, and other data may be saved to a PDF file. A PDF file is an electronic version of a printed document; therefore, the feature is accessible under the printing commands.

Note: The Save to PDF File feature will work for all applications that can print to a full-size printer.

To save to a PDF file, perform the following steps:

1. Open or create the report or file.

2. Select [Print...] or [Print Options...] to display the Print –

3. From the Print – Options dialog box, select the Printer: Full

Programmer Reference Guide

Options dialog box.

Note: If the Print – Options dialog box does not display, open Preferences, and select the Printing: Pop up these options when any Print button is selected check box.

Size radio button. A list of supported printers is displayed.

Save to diskette

Refer to the reference guide for the implanted device for specific information on saving and reading device data using a diskette. The diskette drive is functional only when a USB flash drive is not in use. Before using the diskette drive, ensure that a USB flash drive is not connected to the Programmer.

When no USB flash drives are connected, the diskette indicator is green to indicate that the diskette drive is available for use. Inserting a diskette allows all session data and PDF file saving operations to take place on the diskette.

Manage reports and data

Save to diskette

4. From the list of printers, select the Save to PDF File option. The report is saved to an attached USB flash drive, or to a diskette, if one is present in the diskette drive and a USB flash drive is not connected. Refer to “Saving to USB” for further information.

Save to USB

Many device applications support the use of diskettes for saving and loading session data. The Programmer is also able to perform these operations using a USB flash drive. When a USB flash drive is connected to the Programmer, the diskette drive becomes unavailable.

Note: Device applications and reference manuals may still use the terms “disk” or “diskette” in the context of saving and retrieving device data. When a USB flash drive is connected to the Programmer and available for use as described below, the terms disk or diskette should be interpreted as applying to the USB flash drive, rather than the diskette.

Programmer Reference Guide

Chapter 5

Save to USB

Supported USB storage devices

Storage of device session data and PDF reports from the Programmer is supported only with USB flash drives. In order to ensure the integrity and security of patient health information, it is recommended that you use USB flash drives that are dedicated to storing Programmer data only.

Operation

A USB flash drive should be connected or disconnected while at the Desktop or in a session. Connect a writable USB flash drive to the Programmer using any available USB port. A slight delay may occur while the USB flash drive is authorized. The USB indicator on the task bar turns green to indicate that the USB flash drive is available for use, and the diskette icon turns gray to indicate that the diskette drive is not available.

USB flash drives should not be connected or disconnected while the following actions are in progress:

■

Programming a device

■

Performing a Save to Disk

■

Performing a Read from Disk

■

Saving a report as a PDF file

Notes:

Programmer Reference Guide

■

While a Save to Disk action is in progress, the progress indicator and the message “Saving...” display. The progress indicator displays the completion percentage. Before removing the USB flash drive, wait a few seconds after the progress indicator shows 100%.

■

After a report is saved as a PDF file, the message “PDF report(s) saved to media” displays for about 5 seconds. Wait a few seconds after the message goes away before removing the USB flash drive.

■

If an active session is ended while reports are currently printing or pending, the reports will be cancelled and may not be available from the Desktop print queue.

View reports that are saved to media

Any operation that normally uses a diskette to read or write data (such as Save to Disk, Read from Disk, save reports to a PDF file) will use the USB flash drive after it is connected. Refer to the reference guide for the implanted device for specific information on saving device data. See “Saving to a PDF file” for more information on saving reports to PDF files.

Connect only one writable USB flash drive at a time. Connecting two or more USB flash drives will result in an error during data-saving operations. This condition is indicated by the USB disabled icon.

View reports that are saved to media

Reports that have been saved to media may only be viewed on a computer; they cannot be viewed on the Programmer itself. After saving, remove the storage media (diskette or USB flash drive) containing the reports and insert it into a computer equipped to display files that are in PDF format.

Manage reports and data

All reports from one patient's session are contained in one PDF file. File names are automatically assigned according to a naming convention that ensures uniqueness on the storage media:

■

Patient's name (if previously provided in Patient Information)

■

Device serial number

■

“Session Report”

■

Clinic visit date in MM_DD_YY format

■

Version number (the first PDF saved to this storage media gets “1”)

For example: John Q Patient_aaannnnnna_Session Report_06_25_10_1.PDF

Recommendations for viewing and printing PDF files

Due to computer and software variations, some PDF files may not display properly when viewed on a computer monitor.

Programmer Reference Guide

Chapter 5

Vitatron Manual-Guided Reset

The use of Adobe Reader 9 or later is recommended. Adjusting the following settings may reduce or eliminate display imperfections:

■

Replace document colors with white page background and black text (in Adobe Reader 9, select: Edit | Preferences… | Accessibility | Custom Color)

■

Deselect the option to enhance thin lines (in Adobe Reader 9, select: Edit | Preferences… | Page Display)

Imperfections that may be seen on screen:

■

On graphs that contain rectangles drawn with thin lines, e.g., bar graphs, the thin lines may not display at various zoom levels.

■

On Pacing and Tachy Trigger Episode reports, unfilled circles may display as filled circles.

PDF reports will print properly at a resolution of 300 dpi or greater.

Vitatron Manual-Guided Reset

Manual-guided reset is a diskette-based tool that allows recovery of Vitatron DDD3, DIVA, and (Co)DEMA devices that have lost data such as losing trim values on a device reset. Before attempting to use the MGR diskette, ensure that no USB flash drives are connected.

Programmer Reference Guide

Use external printers 78

Install printer paper 82

Printer buttons 83

Tear off a printout 84

Low paper supply 84

Use printers6

Chapter 6

Use external printers

Connecting a compatible printer to the Programmer allows you to print full, page-size reports of session data when available (see the reference guide for the implanted device). This section describes how to connect a printer to your Programmer.

All printers listed by this software are cer tified to IEC 60950, UL 60950 or equivalent. Only printers listed by this software may be connected to the Programmer.

Printer compatibility

The Programmer is compatible with many printers. A list of compatible printers can be accessed from the Print Queue screen.

Note: When programming a Vitatron device, refer to the applicable Vitatron reference guide for information about the print queue.

View a list of supported printers

Some devices only support the internal Programmer printer. In these cases the Print Queue window will not display during a session; it will display from the desktop when not in a session. Refer to the applicable device reference guide.

For those devices that support an external printer, refer to the following procedure.

Programmer Reference Guide

1. If you are conducting a patient session, select

Reports then Print Queue.

If you are not conducting a patient session, select the Print Queue icon.

2. On the Print Queue screen, select the Printer field to open the list of supported printers.

Materials you will need

To connect a printer to the Programmer, you will need a USB printer cable or a Parallel Interface printer cable. For a USB printer cable, one end must be a USB Type A connector. The other end of the cable must fit the USB port on your printer. For a Parallel Interface printer, one end of the cable must fit the parallel interface port on your printer. The other end of the cable must be a standard 25-pin male D connector.

Connect the printer

Prior to connecting a printer to your Programmer, you should exit the patient session and turn the Programmer off.

Use printers

Use external printers

Programmer Reference Guide

Chapter 6

Use external printers

Connect the printer to your Programmer (method you use depends on your Programmer hardware)

The following steps apply to Programmers that support both parallel and USB printing.

1. To connect a printer, locate the correct port.

■

For USB cable printers, use a USB port located in the power cord compartment of the Programmer.

■

For Parallel Interface printers, the Parallel Interface port is located under the disk drive/PC card cover on the right side of the Programmer. Open the cover by pushing down on the small latch at the top center of the panel.

2. Connect the printer cable to the USB port or parallel connector on the Programmer.

3. Connect the other end of the cable to the printer. Connect the printer power cord to an outlet and turn the printer on. Make sure that the printer has paper.

Note: Refer to the technical information provided with your printer for information about connecting and operating the printer.

4. Turn the Programmer on and select the Print Queue icon. Note: Be sure to select the correct printer driver from the options

listed when you select the Printer field on the Print Queue window. You are now ready to use your Programmer with the connected printer.

Programmer Reference Guide

Use printers

Use external printers

The following steps apply to Programmers with hardware that supports only USB printing.

1. To connect a printer, locate the correct port. There is one USB port located under the disk drive/PC card cover and two ports located under the power cord door on the back of the Programmer.

2. Connect the printer cable to a USB port on the side or back of the Programmer.

3. Connect the other end of the cable to the printer. Connect the printer power cord to an outlet and turn the printer on. Make sure that the printer has paper.

Note: Refer to the technical information provided with your printer for information about connecting and operating the printer.

4. Turn the Programmer on and select the Print Queue icon. Note: Be sure to select the correct printer driver from the options

listed when you select the Printer field on the Print Queue window. You are now ready to use your Programmer with the connected printer.

Programmer Reference Guide

Chapter 6

Install printer paper

How to load printer paper

The internal printer requires a special thermal paper supplied in flat packs. You may obtain this paper directly from Medtronic. One package of printer paper contains six individual packs of paper. Each pack contains approximately 200 perforated sheets.

1. Press the latch on the top of the tray on the left side of the Programmer. Slide the tray out. Flip the paper holder over the end of the tray and remove any remaining paper.

Note: The tray may be taken out of the Programmer to make removing any remaining paper easier. Press down on the lever on the side of the tray toward the front of the Programmer.

2. Remove the wrapping from a new flat pack of printer paper, dispose of the cardboard and unfold the top sheet.

Note: The shiny side of each sheet of paper with two black squares should be facing up as the paper is loaded into the tray. The black squares must be positioned toward the front of the Programmer.

3. Slide the paper pack toward the back of the tray. Flip the paper holder over the paper pack.

4. Fold the top sheet of paper over the paper holder. Slide the tray back into position.

Programmer Reference Guide

Printer buttons

Use printers

Printer buttons

The four buttons shown below control certain printer functions.

Figure 6-1. Printer buttons

1 50 mm/s

2 25 mm/s

3 12.5 mm/s

4 Paper Advance

50, 25, or 12.5 mm/s. – Three buttons allow for selection of a desired paper speed for ECG, Marker Channel telemetry, and EGM recording. Pressing a button selects the printer speed and turns on the indicator light. Pressing a lit button stops the printout. The selected paper speed is printed once along the top edge of the chart recording. Paper speed for text printing is not affected by these buttons.

Paper Advance – Pressing Paper Advance advances the printer paper to its next perforation for tearing off.

Programmer Reference Guide

Chapter 6

Tear off a printout

When you wish to tear off a printout, separate the paper strip at a perforation. To tear the printout off at the printer, press Paper Advance. This action advances the paper to the next perforation. Grasp the printout near the printer, and pull.

Figure 6-2. Tearing off printouts

Low paper supply

As the paper supply nears its end, a red stripe will appear along the edge of the paper. At this point, a new paper pack should be installed as previously described in this chapter. When the paper supply runs out, the printer stops operating.

Note: The thermal paper used in this Programmer is intended for immediate use. As the quality of thermal paper diminishes over time, the image fades. Medtronic recommends that you make photocopies for your files.

Programmer Reference Guide

Select options7

About the between sessions tool palette 86

Adjust Programmer time and date 87

Select audible tones 88

Set the interval for report deletion 88

Manage patient data privacy 90

Improve the detection of pacing artifacts 93

Check the software version 94

Start the demonstrations option 95

View and update Programmer location and hardware information 95

Select other software 97

Remove other software applications 98

Chapter 7

About the between sessions tool palette

The between sessions tool palette is on the Select Model screen.The Select Model screen appears before you select a model, when you turn the Programmer on, and when you end a patient session.

The tools that are available between sessions are described in Ta bl e 7 - 1.

Note: When programming a Vitatron device, refer to the applicable reference guide for information about the tool palette.

Tab le 7- 1. Between Patient Sessions tool palette

Tool palette Tool Selecting the tool (button or icon)…

Freezes a segment of the live rhythm display. Note: A frozen strip can be viewed, printed, or saved to PDF

between patient sessions. Markers and EGM traces are not present between patient sessions.

Accesses the rhythm strips saved during a patient session. Note: No saved strips are available between patient sessions.

Opens a window of options for adjusting the live rhythm display.

Note: Additional adjustment options are present during a patient session.

Programmer Reference Guide

Displays the screen for selecting a model and starting a patient session.

Displays a queue of print requests from previous sessions as well as frozen waveform reports requested between sessions. Refer to the reference guide for the implanted device to determine if these features are available.

Displays the Programmer set-up options.

Preferences Time and Date Artifact Detection Software Demonstrations Programmer Profile Other Software

Selects the Analyzer for analyzing the electrical performance of a cardiac lead system (requires optional hardware - see the 2290 Analyzer Reference Guide.)

Note: When some functions are active on the display, selecting a tool button or icon will have no effect. Closing the active window restores operation of the tool palette.

Adjust Programmer time and date

If the time or date displayed and printed by the Programmer is incorrect, use the following procedure to enter the correct settings. For Vitatron devices, see the applicable reference guide.

Setting the time and date

1. Select Programmer then Time and Date.

2. From the Programmer Time and Date screen, select the or button to increase or decrease the value for the unit of time

you want to change. Press and release the button for single unit changes or press and hold the button to effect greater changes.

3. When all fields show the correct time and date, press [Apply].

Select another tool palette icon to close the Programmer Time and Date window.

Select options

Adjust Programmer time and date

Figure 7-1. Programmer Time and Date screen

Note: Time must be entered on the basis of a 24-hour clock,

with 00:00 being midnight and 12:00 being noon.

Programmer Reference Guide

Chapter 7

Select audible tones

Turn tones on or off

Certain events in the operation of the Programmer result in an audible signal. The following tones alert the user to the success or failure of an action.

■

A two-tone beep (low-to-high) indicates confirmation of an Interrogate or a Program command.

■

A double low-tone beep indicates that an Interrogate, Program, or Emergency command was not confirmed. It can also indicate that the selected command cannot be executed.

Note: For some devices, the tones may not be turned off. See the reference guide for the implanted device. For Vitatron devices, see the applicable reference guide.

1. Select Programmer then Preferences.

2. From the Preferences screen, select [Audio ON] or [Audio OFF] as desired.

Figure 7-2. Audio Preferences screen

Set the interval for report deletion

For patient data security, the Programmer permanently deletes reports automatically from the Medtronic desktop print queue when the Programmer is powered on. You can control how long reports are retained in the print queue before automatic deletion.

Programmer Reference Guide

Select a report deletion interval

1. Select Programmer then Preferences.

2. From the Preferences screen, select Delete Reports.

The Programmer displays the screen shown in Figure 7-3.

Figure 7-3. Delete Reports screen

3. Click a radio button to specify which reports the Programmer deletes:

■

All Reports

■

Reports older than 1 Day

■

Reports older than 2 Days

■

Reports older than 7 Days (Default)

■

Reports older than 14 Days

Select options

Set the interval for report deletion

The age of a report is determined by the date and time it was created. When the Programmer is powered on, reports that meet the deletion criteria are permanently deleted.

Delete a report immediately

To delete a report immediately, directly access it from the print queue and click Delete.

Programmer Reference Guide

Chapter 7

Manage patient data privacy

You can immediately remove from the Programmer all Protected Health Information (PHI). This feature deletes all of the following files:

■

Contents of the Print Queue (unless files are currently being printed or copied)

■

SessionSync files that have not yet been transferred

■

Temporary files residing on the Programmer

■

Memory dumps (applies to Vitatron devices only)

You cannot delete any PHI data if a session is in progress or while files are being printed or copied to media. If deletion is interrupted manually, some PHI will remain on the Programmer.

Note: The Programmer user is responsible for the use of this feature, as well as for management of patient data that has already been removed from the Programmer (for example on paper, diskette, or a USB flash drive).

Delete Protected Health Information

Figure 7-4. Tools screen with Patient Data Privacy index item selected

Programmer Reference Guide

1. Select Programmer then Tools. The Programmer displays the screen shown in Figure 7-4.

2. Click Delete Protected Health Information.

The Programmer displays the screen shown in Figure 7-5.

Select options

Manage patient data privacy

Figure 7-5. Delete Protected Health Information confirmation dialog box

3. Click Delete to continue.

One of the following events may occur:

The Programmer displays an “In progress...” popup screen as shown in Figure 7-6. Deletion may last several minutes, depending on the amount of data to delete.

Figure 7-6. “In progress...” popup screen

Note: On the “In progress...” popup screen, click Stop if you wish to halt further deletion. For example, you may want to end a deletion process that is taking too long.

Be aware that if you click Stop, some PHI will remain on the Programmer.

Or,

If there are reports currently printing, the Programmer displays a message as shown in Figure 7-7, directing you to wait until printing is complete. Click Close.

Programmer Reference Guide

Chapter 7

Manage patient data privacy

Figure 7-7. Printing in progress dialog box

Or,

If there are SessionSync files waiting to be transferred, the Programmer displays a message as shown in Figure 7-8. You have the option to click Delete to continue anyway. Or you can click Cancel to allow for the SessionSync data to transfer, then wait until the files are transferred and repeat these steps as needed.

Figure 7-8. SessionSync transfer dialog box

Figure 7-9. Deletion successful dialog box

Or,

Programmer Reference Guide

4. If clicking Delete in Step 3 resulted in PHI deletion, the Programmer displays a message stating that deletion was successful (Figure 7-9). Click Close.

Improve the detection of pacing artifacts

If the Programmer is unable to complete deletion of files, it displays a message stating that there was an error and that some data may remain on the Programmer (Figure 7-10). Click Close. Contact Medtronic Technical Support if the message recurs.

Figure 7-10. Error deleting files dialog box

Improve the detection of pacing artifacts

The Artifact Detection function allows one to improve the detection of pacing artifacts when interference causes either false artifacts or no artifacts to appear on the patient’s ECG. Pacing artifacts are displayed on the patient’s ECG when the artifact detection option (Show Artifacts) has been enabled.

Select options

See the reference guide for the implanted device to determine if this feature is applicable.

Enable artifact detection

1. Select Programmer then Artifact Detection.

2. Make sure current settings include ARTIFACT DISPLAY IS ON.

3. Make sure current settings include MV FILTER IS ON.

Programmer Reference Guide

Chapter 7

Check the software version

This section describes how to determine the version of software that is loaded on the Programmer.

If you need to know what version of software is currently loaded on the Programmer for any of the device models, use the following procedure.

For Vitatron devices, see the applicable reference guide.

Check the software version number

1. Select Programmer then Software.

2. For each device model with software loaded on the Programmer, the screen displays the software version number next to the model number.

Note: If the model that you require is not displayed, the software to support that model is not currently loaded on the Programmer. Refer to “The Software Distribution Network” on page 42 for instructions.

Programmer Reference Guide

Start the demonstrations option

The demonstrations option allows you to run a demonstration program on the Programmer.

For Vitatron devices, see the applicable reference guide.

Note: Device applications and reference manuals may still refer to using the “demonstration disk” or “demonstration diskette” to run a demonstration program. The need for a demonstration diskette to access demonstration mode is no longer required. All references to a demonstration diskette can be ignored. If a demonstration diskette is inserted inadvertently, operation of the demonstration mode is not affected. All demonstration mode features are accessible with or without a demonstration diskette.

Access demonstrations

1. Select Programmer then Demonstrations.

2. From the Demonstration Model Selection screen, select the desired View option to list the available demonstration programs.

3. Select the desired demonstration program and press [Start] followed by [Continue].

Select options

Start the demonstrations option

View and update Programmer location and hardware information

Information about the location of the Programmer and its hardware is on the Programmer Profile screens.

The Programmer Profile location screen has the following information:

■

Clinic’s name, address, phone number, contact person, and customer account number

■

Service representative’s name, phone number, fax number, and e-mail address

Programmer Reference Guide

Chapter 7

View and update Programmer location and hardware information

The Programmer Profile hardware screen has the model number for the Analyzer, and model and serial numbers for the Programmer and the programming head.

Information on the screen may be updated by selecting the appropriate field and then using the keyboard.

Access Programmer Profile screens

1. Select Programmer then Programmer Profile. Location information appears by default.

2. To view hardware information, select Hardware

Information.

Verify Programmer Profile information

Each Programmer has a profile screen that contains identifying information about the installed hardware, the Programmer location and contact information for the Medtronic service representative.

Typically, the profile is completed when the Programmer is first installed and then updated only when necessary. Although it is not required to check the profile prior to each software download, it is a good practice to periodically verify that the information on the Programmer Profile screen is complete and accurate before connecting to the SDN.

1. Tap the Programmer icon and then select Programmer Profile.

Programmer Reference Guide

Select options

Select other software

2. Complete the location information or verify that the information shown is correct.

Select other software

In addition to the standard application software, there are some Programmers that have special applications installed. These special applications are considered research software and are used in conjunction with clinical studies. If you have this research software installed, you may access the software, using the following procedure.

1. Select Programmer then Other Software.

2. When the Programmer displays the list of available software, select the application and press Start.

Programmer Reference Guide

Chapter 7

Remove other software applications

Programmers with special applications installed, such as those used in clinical studies for research, may allow the applications to be removed from the Programmer desktop. If you have software installed that permits removal, you may remove it using the following procedure.

1. Select Programmer then Software.

2. Press Uninstall Software...

3. When the Programmer displays the list of removable software, select the application to be removed, and then press Uninstall.

4. Select the check box next to the acknowledgement statement, and then press Continue.

5. The software is removed, and the Programmer reboots.

6. Verify that the software has been removed.

Obtain technical manuals

Medtronic technical manuals, including the one you are reading, are available in a number of different formats from the Medtronic eManuals web site at the web address provided on the back cover of this manual. The web site offers real-time access to the latest version of manuals 24 hours per day, seven days per week. Manuals can be viewed online, downloaded and then viewed or printed on a local printer, or ordered from the web site.

All manuals are available online in English. Most manuals are also available in additional languages in online, CD-ROM, or a paper format. New manuals are added to this site regularly. If you do not find the manual you want, please contact your Medtronic representative.

Medtronic will ship your order for CD-ROMs or printed versions of manuals from our facility within 24 hours. Your order should reach you within three business days. If you need a copy before the shipment arrives, download the manual and print it, or contact your Medtronic representative.

Programmer Reference Guide

Access the eManuals web site

1. Point your browser to the web address provided on the back cover of this manual.

2. Those accessing the web site from the United States will just need to click [OK]. Anyone outside of the US will need to indicate they are outside of the US and select a language preference.

3. To see lists of CRDM manuals, click on the desired category on the left of the screen. You can also search for manuals using a product name or model number.

Select options

Obtain technical manuals

Programmer Reference Guide

Medtronic 2090 Reference Guide

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

1 Introduction to the Programmer 9

2 Set up the Programmer 33

4 Conduct a patient session 53

5 Manage reports and data 71

6 Use printers 77

7 Select options 85

8 SessionSync (Optional) 101

9 Service the Programmer 113

Index 121

Introduction to the Programmer1

Explanation of packaging and product symbols

About this guide

Description and intended use

Warnings

Precautions

Regulatory compliance

Security features for the Windows XP operating system

Software requirements

Programmer functions

System components

Display screen features

Set up the Programmer2

Basic setup

Connect peripheral devices

The Software Distribution Network

Connect to the SDN using a dial-up connection

Connect to the SDN using a wired network connection

Connect to the SDN using a wireless network connection

Conduct a patient session4

Prepare for a patient session

Initiate a patient session

End a patient session

Store components

Manage reports and data5

Reports

Session data

Save to a PDF file

Save to diskette

Save to USB

View reports that are saved to media

Vitatron Manual-Guided Reset

Use printers6

Use external printers

Install printer paper

Printer buttons

Tear off a printout

Low paper supply

Select options7

About the between sessions tool palette

Adjust Programmer time and date

Select audible tones

Set the interval for report deletion

Manage patient data privacy

Improve the detection of pacing artifacts

Check the software version

Start the demonstrations option

View and update Programmer location and hardware information

Select other software

Remove other software applications

Obtain technical manuals