Medtronic 3537 User Manual

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CONTROLLER 3537
for InterStim® Therapy
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Clinician Programming Guide
! USA
Rx only
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Explanation of symbols on product or package labeling
Refer to the appropriate product for symbols that apply.
Consult instructions for use
Manufacturer
XX °C
Temperature limitation
XXX °F
-XX °C
-XX °F
Serial number
Conformité Européenne (European Conformity). This symbol means that the device fully complies with MDD 93/42//EEC (NB 0123) and R&TTE Directive 1999/5/EC.
Authorized representa ti ve in the Eu rop ean com mu nity
REP
EC
! USA
For USA audiences only
IEC 60601-1/EN60601-1, Type BF equipment
Non-ionizing elec tro ma gne ti c ra diation
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System meets the applicable Canadian (CAN/CSAC22.2 No. 60601-1) electrical safety standard requirements.
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 di spo sal of this pr odu ct.
Chinese Standard (SJ/T11364-2006) Logo: Electronic Information Products Pollution Control Symbol. (The date in this logo means the environmental protection use period of the product.)
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Medtronic®, and InterStim® are trademarks of Medtronic, Inc., registered in the U.S. and other countries.
FCC Information
! USA
The following is communications regulation information on the Model 3537 Personal Therapy Manager.
FCC ID: LF53537
This device complies with Part 15 Rules. 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, i nclud i ng i nt erf ere nce th at m ay cau s e und esired operation.
IMPORTANT: Changes or modifications to this product not authorized by Medt ronic, Inc., could void th e FCC Cert ific atio n and negat e your au thori ty to operate th is pro duct .
This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device.
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Table of contents
Description 7 Package contents 7 About this manual 7 Instructions for us e 8
Setting up the controller 8 Pairing the controller to the extern al neu rostimulator 11
Pairing a new controller to an external neurostimulator 11 Pairing a previously used controller to an external neurostimulator 14
Unlocking and locking the controller 19
Unlocking the controller 19 Locking the controller 21
Turning stimulat i on on or off 22
Turning stimulation on 22 Turning stimulation off 23
Adjusting stimulation parameters using the Model 3575 Test Stimulation Cable 25
Increasing and decreasing amplitude on the Home screen 25 Adjusting advanced param eters 27
Adjusting stimulation parameters for the Model 3057 Test Stimulation Lead(s) 30
Increasing and decreasing amplitude on the Home screen 30 Changing the active lead (if two leads were placed) 32 Adjusting advanced param eters 33
Refer to the indications sheet for indications and related information.
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Refer to the appropriate information for prescribers booklet for contraindications, warnings, precautions, adverse events summary, individualization of treatment, patient selection, use in specific populat ions, resteriliz ation, and component disposal.
Refer to System Eligibility, Battery Longevity, Specifications reference manual for neurostimulator selection, battery longevity calculations, and specific neurostimulator specifications.
Refer to the clinical summary booklet for information on the clinical study results
! USA
of the neurostimulation system and individualization of treatment.
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Adjusting stimulation parameters for the Model 3093 or Model 3889 Tined Lead 37
Adjusting advanced param eters 37
Increasing and decreasing amplitude on the Home screen 41 Usage Log 42 Reset Therapy 44 Changing preferences 46
Changing the vibration settings 46
Changing the brightness of the controller display 48
Changing the time 49
Changing the date 50
Changing the number format 51
Changing the language 52
Viewing information about the controller and the external neurostimulator 54 Checking and replacing batt erie s 55
Checking the external neuro s tim ul at or an d controller batteries 55
Replacing the controller batteries 58 Labeling the controlle r 59 Troubleshooting 59
Troubleshooting reference guide 60
Device specifications 65 Device care and storage 65
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Description
The Medtronic Model 3537 Controller is a hand-held device intended for use with the Medtronic Model 3531 External Neurostimulator. The clinician uses the controller to program settings for the patient. The patient uses the controller to perform the following tasks as directed by the clinician:
Adjust amplitude
Switch between active sides (if two leads were placed)
Switch programs (if applicable)
Package contents
Model 3537 Control l er
Carrying case
Batteries (AA)
Product literature
Warranty card
! USA
About this manual
This manual contains the information the physician needs to set up, use, and troubleshoot the controller (Figure 1).
Stimulation On/Off key
Figure 1. F eat ures of the Model 3537 Contro l ler.
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Touchscreen
Increase key
Decrease key
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All information and instructions that are available to the patient are included in the Model 3537
Controller Patient Test Stimulation Programming Guide and the InterStim Patient Therapy Guide.
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Instructions for use
# Caution: The device is not certified f or use in the pr esen ce of a fl a mm ab le ane s the tic
mixture with air or with oxygen or nitrous oxide. The consequences of using the device near flammable atmospheres are unknown.
# Caution: Do not modify this equipment. Modification of this equipment can res ult in
damage to the device, causing the device to m alf u nctio n or be com e unu sabl e .
# Caution: Do not use the device in the proximity of equipment that generates
electromagnetic interference (EMI). EMI may cause a disruption in device function. Examples of common medical sources of EMI are magnetic resonance imaging (MRI) and lithotripsy. Powerful computer monitors, cell phones, x-ray equipment, and other monitoring equipment may also generate EMI.
Setting up the co n tro ller
After inserting batteries into the controller, a splash screen will appear, followed by a series of steps to set up the controller.
Note: After completing these setup instructions, you can change the settings at any time using the Menu.
1. Using the touchscreen, select the desired language from the options available, then press the OK button to continue (Figure 2).
Slider bar
Note: Use the slider bar or the Increase and Decrease keys to scroll up or down to see more languages.
2. Using the touchscreen, press the Trial button (Figure 3).
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Figure 2. Setting the language.
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3. To change the date, the month, or the year, press the touchscreen button with the incorrect
Figure 3. Pressing the Trial button.
value, then use the Increase and Decrease keys to change the value. Once the date, month, and year are set correctly, press the OK button to contin ue (Figure 4).
Month
Date
Year
Figure 4. Setting the date.
4. To change the hour, the minute, or the time format, press the touchscreen button with the incorrec t va l u e, t h en u s e th e Increase and Decrease keys to change the value. Once the hour, minute, and time format are set correctly, press the OK button to continue (Figure 5).
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AM/PM format 24-hour format
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5. Using the touchscreen, press the radio button next to the desired number format for the
Figure 5. Setting the time.
controller, then press the OK button to continue (Figure 6).
Figure 6. Selecting the number format.
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Pairing the controller to the external neurostimulator
To ensure correct pairing between the controller and the external neurostimulator, consider the following recommen dations:
Ensure that the controller that you provide to the patient is paired with the patient's external
neurostimulator. Ask the patient to bring his or her controller to all follow-up appointments. Use this same
controller during any clinician programming. This will help to avoid pairing the external neurostimulator with multiple controllers.
If the external neurostimulator is paired with a new controller, the connection to the previous
controller will need to be re-established before the previous controller can be used with the external neurostimul ato r ag ai n.
Pairing a new controller to an external neurostimulator
Note: Ensure you have the external neurostimulator serial number available. You will need to
confirm this information during the pairing procedure. The serial number is located on the back of the external neurostim ulat or.
1. Press and hold the ENS button for one second to place the external neurostimulator into discovery mode (Figure 7). The light on the external neurostimulator will repeatedly blink for 90 seconds, or until the external neurostimulator has paired with a controller.
Light-emitting diode (LED)
Output jack
Figure 7. Turn on the external neurostimulator.
2. Press the Continue button on the controller touchscreen (Figure 8). The controller will look for the external neurostimulator (Figure 9).
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ENS button
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Figure 8. Pressing the Continue button.
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3. Using the touchscreen, select the radio button next to the correct external neurostimulator,
Figure 9. Controller looking for the extern al neu rostimulator.
then press the OK button to continue (Figure 10). Note: The number displ aye d on th e controller screen should match the serial number
printed on the back of the ex ternal neurostimulator.
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Notes:
4. When the pairing is successful, a confirmation screen will appear (Figure 12). Press the OK button to continue.
Figure 10. Selecting the device to pair with the controller.
If the controller fails to pair with the external neurostimulator, repeat step 1, then press the Try Again button to try this step again (Figure 11).
Pressing the Exit button ( ) will abort the pairing process.
Figure 11. Pressing the Try Again button.
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Note: If there is a connection problem, a screen will appear (Figure 13). Check all
Figure 12. Confirming that the devices are paired.
connections between the lead an d the external neurostimulator, and press the Recheck button.
Figure 13. Screen prompt to check connections.
Pairing a previously used controller to an external neurostimulator
When turned on, the previously used controller will automatically attempt to connect to the external neurostimu lato r wi th whi ch it was pr eviou s ly pai r ed.
1. When the controller fails to pair with the previously used external neurostimulator, a screen appears (Figure 14). Press the Menu button in the top right corner of the touchscr een.
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Menu button
2. Press the Enter Code button (Figure 15).
3. Enter the four-digit code by pressing the number buttons on the touchscreen keypad, then press the Confirm button to confirm and continue to the Menu (Figure 16).
Notes:
The code is 1155.
If you make an error while entering the code, press the Undo button to delete the entire
code, then re-enter the corr ect cod e.
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Figure 14. Pressing the Menu button.
Figure 15. Pressing the Enter Code button.
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To cancel code entry, press the Exit button ( ) to exit and return to the previous screen.
Undo button Exit button
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Confirm button
Keypad
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4. From the Menu, select the Pair Device button (Figure 17).
Figure 16. Entering the Menu code.
Figure 17. S e lecting the Pair Device button.
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Exit button
Slider bar
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5. Press and hold the ENS button on the external neurostimulator for one second to place the external neurostimulator into discovery mode. The light on the external neurostimulator
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will repeatedly blink for 90 seconds, or until it has paired with a controller.
6. Press the Continue button on the controller touchscreen (Figure 18). The controller will look for the external neurostimulator (Figure 19).
Figure 18. Pressing the Continue button on the touchscr een .
7. Using the touchscreen, select the radio button next to the correct external neurostimulator,
Figure 19. Controller looking for the external neurost i mu lato r.
then press the OK button to continue (Figure 10). Note: The number displayed on the controller screen should match the serial number
printed on the back of the external ne uro s tim ulator.
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Notes:
If the controller fails to pair with the external neurostimulator, repeat step 5 and press
the Try Again button to continue (Figure 21). Pressing the Exit button ( ) will abort the pairing process.
Note: If there is a connection problem, a screen will appear (Figure 13). Check all connections between the lead an d the external neurostimulator, and press the Recheck button.
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Figure 20. Selecting the correct device from the list.
Figure 21. No Device Found screen.
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Figure 22. Screen prompt to check connections.
Unlocking and locking the controller
Unlocking the controller
To unlock the controller, press the Increase/Decrease key.
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Figure 23. The Unlock screen.
Note: W hen the co ntroller is locked , pressing the Stimulat ion On/Off key will provide the option to bypass the Unlock screen and to turn stimulat ion on or off.
1. Press and hold the Lock button on the Unlock screen.
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As the Lock button is held, bars appear on the screen and move toward the Lock button (Figure 24).
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Figure 24. Bars appearing on the Unlock screen.
2. Stop pressing the screen when the screen changes to a circle of dots (Figure 25). The controller is looking for the external neurostimul ato r.
Figure 25. The controller looking for the external neurostimulator.
The next screen that appears is the Home screen (Figure 26).
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Stimulation
value button
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Battery status button Lock button
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Menu button
If the Home screen does not appear, see "Troubleshooting " on page 59.
Figure 26. The Home screen.
Locking the controller
The controller can be locked so that when buttons or keys are accidentally pressed there will not be an unexpected change in stimulation.
Note: The controller screen will dim after 15 seconds of inactivity, and will automatically lock itself after 2 minutes of inactivity. Pressing the Lock button will lock the controller immediately.
From the Home screen, press the Lock button to lock the controller (Figure 27).
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Lock button
Figure 27. Pressing the Lock button.
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Turning stimulation on or off
Note: You can turn stimulation on or off at any time.
Turning stimulation on
1. To turn stimulation on, press the Stimulation On/Off key on the top of the controller. Note: Pressing the Stimulation value button on the Home screen also allows you to turn
stimulation on.
2. A screen appears with the option to turn stimulation on. Press the Stimulation On button to turn stimulation on (Figure 28).
Notes:
To make no change to stimulation and access the Home screen, press the Go To
Unlock button and unlock the controller. To keep stimulation off and continue to the Home screen, press the Stimulation Off
button. Press the Exit button to lock the controller again.
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3. A confirmation screen will appear (Figure 29). Press the OK button to continue to the Home
Figure 28. Turning stimulation on.
screen.
Figure 29. Stimulation turned on.
Turning s timulati on off
1. To turn stimulation off, press the Stimulation On/Off key on the top of the controller.
2. A screen appears with the option to turn stimulation off. Press the Stimulation Off button
to turn stimulation off (Figure 30).
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Notes:
To make no change to stimulation and lock the controller, press the Lock Controller
button. To keep stimulation on and go to the Home screen, press the Stimulation On button.
To make no change to stimulation, press the Exit button.
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Note: If the patient is experiencing discomfort and stimulation must be turned off immediately, press and hold the ENS button on the external neurostimulator for 3 seconds.
3. A confirmation screen will appear (Figure 31). Press the OK button to continue to the Home
screen.
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Figure 30. Turning stimulation off.
Figure 31. Stimulation turned off.
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Adjusting stimulation parameters using the Model 3575 Test Stimulation Cable
Notes:
Before programming, en sure al l conne cti on s are secu re betw e en the exte rna l
neurostimulator and t he lea d(s) or nee dl e. For instructions on intraoperative test stimulation, refer to the appropriate lead manual.
Increasing and decreasing amp litu de on th e H om e screen
When using the test stimulation cable, the external neurostimulator uses the following default settings:
The test stimulation cable is the cat hod e (-) .
The ground pad is the anode (+) .
Amplitude is set to 0 milliamps.
Pulse width is set to 210 microseconds.
Rate is set to 14 Hertz.
Note: The cathode and anode configuration does not change. To change amplitude, pulse width, and rate, refer to "Adj ust i ng adv ance d parameters" on page 27.
1. Press the Stimulation value button on the Home screen (Figure 32). If stimulation is off, a new screen will appear.
Note: If stimulation is already on, the Stimulation value button will be outlined in green. If this happens, proceed to step 3.
Stimulation value butto n
Figure 32. Pressing the Stimulation value button.
2. Press the Turn On button to turn stimulation on and continue (Figure 33).
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Note: To cancel and go back to the Home screen, press the OK button.
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3. Use the Increase and Decrease keys to adjust ampli tu de (F i gu re 34 ).
Figure 33. Pressing the Turn On button.
Figure 34. Adjusting amplitude.
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Note: Press and releas e the Increase or Decrease key once to change the parameter value by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp
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increments.
4. To adjust pulse width and rate, refer to "Adjusting advanc ed p ar am ete rs" .
Adjusting advanced parameters
1. From the Home screen, press the Menu button in the top right corner of the touchscreen
(Figure 35) .
Menu button
Figure 35. Pressing the Menu button.
2. Press the Enter Code button (Figure 36).
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3. Enter the four-digit code by pressing the number buttons on the touchscreen keypad, then press the Confirm button to enter the code and continue (Figure 37).
Notes:
The code is 1155.
If you make an error while entering the code, press the Undo button to delete the entire
code, then re-enter the correct code. To cancel code entry, press the Exit button ( ) to exit and return to the previous screen.
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Figure 36. Pressing the Enter Code button.
Confirm button
Undo button Exit button
Keypad
Figure 37. Entering the Menu code.
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4. Select the Therapy button from the Menu (Figure 38).
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Exit button
Slider bar
5. Adjust the amplitude, pulse width, and rate (Figure 39).
Figure 38. Selecting the Therapy button.
Figure 39. Adjusting amplitude, pulse width, and rate.
a. To change the amplitude, press the Amplitude button, then use the Increase and
Decrease keys to adjust the amplitude parameter.
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Exit button
Amplitude button
Pulse width button
Rate button
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Note: Press and release the Increase or Decrease key to change the parameter value by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp increments.
b. To change the pulse width, press the Pulse width button, then use the Increase and
Decrease keys to adjust the pulse width parameter. Note: Press and release the Increase or Decrease key to change the parameter value
by 10 microseconds. Press and hold to quickly adj u st the para me ter .
c. To change the rate, press the Rate button, then use the Increase and Decrease keys
to adjust the rate parameter. Note: Press the Increase or Decrease key to change the parameter value by 1 Hertz
(from 3 to 30 Hertz) or by 5 Hertz (from 30 to 130 Hertz). Press and hold to quickly adjust the parameter.
6. Press the Exit button ( If using one or more Model 3057 test stimulation lead(s), refer to "Adjusting stimulation
parameters for the Model 3057 Test Stimulation Lead(s)" on page 30. If using the Model 3093 or Model 3889 Tined Lead, refer to "Adjusting stimulation parameters for the Model 3093 or Model 3889 Tined Lead" on page 37.
) at the top right corner of the screen to exit.
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Adjusting stimulation parameters for the Model 3057 Test Stimulation Lead(s)
Notes:
Before programming, ensure all connections are secure between the external
neurostimulator and the l e ad( s). For instructions on intraoperative test stimulation, refer to the appropriate lead manual.
Increasing and decreasing amp litu de on the H om e screen
When using the test stimulation lead, the external neurostimulator uses the following default settings:
The test stimulation lead is the cat hod e (-) .
If the Model 3676 Cable is used, the ground pad is the anode (+). If the Model 3579 Cable
is used, the second test stimulation lead is the anode. Amplitude is set to 0 milliamps.
Pulse width is set to 210 microsecond s.
Rate is set to 14 Hertz.
Note: The cathode and anode configuration does not change. To change amplitude, pulse width, and rate, refer to "Adjusting advanced parameters" on pa ge 33.
1. Press the Stimulation value button on the Home screen (Figure 40). If stimulation is off, a new screen will appear.
Notes:
If two leads were placed, select a side to stimulate by pressing the Stimulation value
button on that side.
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The image below shows the Home screen when two test stimulation leads are placed.
If only one test stimulation lead was placed, only one Stimulation val ue button will be available.
If stimulation is already on, the Stimulation value button will be outlined in green. If
this happens, proceed to step 4.
Stimulation value butto ns
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2. Press the Turn On button to turn stimulation on and continue (Figure 41).
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Figure 40. Pressing the Stimulation value button on the Home screen.
Note: To cancel and go back to the Home screen, press the OK but ton .
Figure 41. Pressing the Turn On button.
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3. A confirmation screen will appear (Figure 42). Press the OK button to continue to the Home screen.
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Figure 42. Stimulation turned on.
4. Use the Increase and Decrease keys to adjust ampli tu de. Note: Press and releas e the Increase or Decrease key once to change the parameter
value by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp increments.
5. To adjust pulse width and rate, refer to "Adjusting advanc ed p ar am ete rs" .
Changing the active lead (if two leads were placed)
1. Press the Stimulation value button on the side of the Home screen that correspond s to
the inactive lead.
2. Press the Yes button to continue (Figure 43).
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3. Press the Yes button to confirm changing sides.
Figure 43. Confirming change of therapy side.
Note: Pressing the No button cancels the change and continues stimulation on the same side.
4. The active lead will change, and stimulation will be set to zero. Use the Increase/Decrease key to adjust stimulation (see "Increasing and decreasing amplitude on the Home screen" on page 30).
Adjusting advanced parameters
1. From the Home screen, press the Menu button in the top right corner of the touchscreen
(Figure 44) .
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2. Press the Enter Code button (Figure 36).
3. Enter the four-digit code by pressing the number buttons on the touchscreen keypad, then press the Confirm button to enter the code and continue (Figure 46).
Notes:
The code is 1155.
If you make an error while entering the code, press the Undo button to delete the entire
code, then re-enter the correct code.
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Figure 44. Pressing Menu button.
Figure 45. Pressing the Enter Code button.
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To cancel code entry, press the Exit button ( ) to exit and return to the previous screen.
Undo button Exit button
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Confirm button
Keypad
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4. Select the Therapy button from the Menu (Figure 47).
Figure 46. Entering the Menu code.
Figure 47. Selecting the Therapy button.
5. Adjust the amplitude, pulse width, and rate (Figure 48).
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Slider bar
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Lead II button
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Lead I button
Exit button
Amplitude button
Pulse width button
Rate button
Figure 48. Adjusting amplitude, pulse width, and rate.
a. To change the amplitude, press the Amplitude button, then use the Increase and
Decrease keys to adjust the amplitude parameter. Note: Press and release the Increase or Decrease key to change the parameter value
by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp increments.
b. To change the pulse width, press the Pulse width button, then use the Increase and
Decrease keys to adjust the pulse width parameter. Note: Press and release the Increase or Decrease key to change the parameter value
by 10 microseconds. Press and hold to quickly adj u st the para me ter .
c. To change the rate, press the Rate button, then use the Increase and Decrease keys
to adjust the rate parameter. Note: Press the Increase or Decrease key to change the parameter value by 1 Hertz
(3 to 30 Hertz) or by 5 Hertz (30 to 130 Hertz). Press and hold to quickly adjust the parameter.
6. If using two leads, ensure stimulation parameters are reviewed and adjusted for both leads.
a. Press the Lead I or Lead II button at the top of the screen to alt ernate between lead I
(left side) and lead II (right side).
b. Repeat step 5 to review and adjust stimulation parameters as desired.
7. Press the Exit button (
) at the top right corner of the touchscreen to exit.
8. When programming is finished, press the Lock button to lock the controller befor e gi ving the controller to the patien t ("L ocking the controller" on page 21 ).
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Adjusting stimulation parameters for the Model 3093 or Model 3889 Tined Lead
Notes:
Before programming, en sure al l conne cti on s are secu re betw e en the exte rna l
neurostimulator and t he lea d. For instructions on intraoperative test stimulation, refer to the appropriate lead manual.
Adjusting advanced parameters
When using a Model 3093 or Model 3889 Tined Lead for test stimulation, advanced settings must be programmed before adjusting amplitude with the Home screen.
1. From the Home screen, press the Menu button in the top right corner of the touchscreen (Figure 49) .
Menu button
2. Press the Clinician Mo de button (Figure 50).
Figure 49. Pressing the Menu button.
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3. Press the Enter Code button (Figure 51).
4. Enter the four-digit code by pressing the number buttons on the touchscreen keypad, then press the Confirm button to enter the code and continue (Figure 52).
Notes:
The code is 1155.
If you make an error while entering the code, press the Undo button to delete the entire
code, then re-enter the correct code. To cancel code entry, press the Exit button ( ) to exit and return to the previous screen.
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Figure 50. Pressing the Clinician Mode button.
Figure 51. Pressing the Enter Code button.
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Keypad
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5. Select the Therapy button from the Menu (Figure 53).
Figure 52. Entering the Menu code.
Figure 53. Selecting the Therapy button.
6. Set up electrode configur ati o ns as desi r ed (Figure 54). a. Press each indiv idua l electr ode on the touchscreen to alterna te be tw ee n blan k (no
polarity), plus (positive), or minus (negative).
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Slider bar
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b. To apply stimulat i on, there must be at least one positive electrode an d one nega tive
electrode. One can exit the screen if all electrodes are blank, but stimulation will not be
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turned on.
c. Adjusting the electro de configuration automatically se ts the amplitude to zero. Ad just
the amplitude parameter again to the desired value.
7. Adjust the amplitude, pulse width, and rate (Figure 54).
Program II button Program III button
Program I button
Amplitude button
Electrode buttons
Pulse width button
Rate button
Figure 54. Adjusting electrode configuration, amplitude, pulse width, and rate.
a. To change the amplitude, press the Amplitude button, then use the Increase and
Decrease keys to adjust the amplitude parameter. Note: Press and release the Increase or Decrease key to change the parameter value
by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp increments.
b. To change the pulse width, press the Pulse width button, then use the Increase and
Decrease keys to adjust the pulse width parameter. Note: Press and release the Increase or Decrease key to change the parameter value
by 10 microseconds. Press and hold to quickly adj u st the para me ter .
c. To change the rate, press the Rate button, then use the Increase and Decrease keys
to adjust the rate parameter. Note: Press the Increase or Decrease key to change the parameter value by 1 Hertz
(3 to 30 Hertz) or by 5 Hertz (30 to 130 Hertz). Press and hold to quickly adjust the parameter.
8. If using multiple programs, ensure that stimulation parameters and electrode configurations are reviewed and adjusted for all programs.
a. Press the Program I, Program II, or Program III button at the top of the screen to
alternate between programs.
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b. Repeat step 6 through step 7 to review and adjust electrode configurations as desired.
9. When programming is finished, press the Exit button (
) at the top right corner of the
screen to exit to the Menu.
Increasing and decreasing amp litu de on th e H om e screen
When using a Model 3093 or Model 3889 Tined Lead for test stimulation, advanced settings must be programmed before adjusting amplitude with the Home screen.
1. Press the Stimulation value button on the Home screen (Figure 55). If stimulation is off, a new screen will appear.
Note: If stimulation is already on, the Stimulation value button will be outlined in green. If this happens, proceed to step 3.
Stimulation value button
Figure 55. Pressing the Stimulation value button on the Home screen.
2. Press the Turn On button to turn stimulation on and continue (Figure 56). Note: To cancel and go back to the Home screen, press the OK but ton .
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3. Use the Increase and Decrease keys to adjust ampli tu de. Note: Press and releas e the Increase or Decrease key once to change the parameter
value by 0.1 milliamps. Press and hold to change the parameter value in 0.5-milliamp increments.
4. To adjust pulse width, rate, and ele ctro de con f igu ra t ion , refe r to " A djusting advanced parameters".
5. When programming is finished, press the Lock button to lock the controller befor e gi ving the controller to the patien t ("L ocking the controller" on page 21 ).
Figure 56. Pressing the Turn On button.
Usage Log
The Usage Log contains data on the patient test stimulation period, shown as a bar graph. The graph displays an approximate timeline of stimulation turned on or off. The graph is shaded in sections representing time when sti m ulation was on, and blank in sections re pre sent i ng tim e when stimulation was off. The Usage Log also displays information related to the following:
When the active side was changed.
When the active program was changed (if applicable).
When stimulation was on or off.
1. From the Menu, press the Usage button (Figure 57).
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Slider bar
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2. The Usage bar shows when stimulation was on or off. When stimulation was on, the Usage
Figure 57. Pressing the Usage button.
bar is lighter. When stimulation was off, the Usage bar is darker.
Exit button
Notification butt on
Day buttons
Usage bar
Figure 58. T he Usa ge Lo g scre en.
Note: Scroll down usin g the touch scree n sli der bar to see mo re da ys.
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3. A blue Notification icon ( ) will appear next to days during which an event occurred.
Press the Day button that contains the Notification icon for details on events related to the patient changing lead sides, changing programs, and tur ni ng sti mul ation on or off (Figure 59).
Exit button
Slider bar
Figure 59. Example of a Usage log notification.
Note: It is possible for the amplitude is set to zero while stimulation is on.
Reset Therapy
The Reset Therapy function allows you to set all stimulation settings to their default values for any and all programs.
1. From the Menu, press the Reset Therapy button (Figure 60).
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Slider bar
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2. Press the Continue button to confirm resetting all stimulation settings (Figure 61).
Figure 60. Pressing the Reset Therapy button.
Note: To cancel the therap y reset , press the Cancel button.
Figure 61. Confirming therapy reset.
The controller will check the lead and cable connections prior to resetting stimulation settings.
3. If the reset was successful, a confirmation screen will appear (Figure 62). Press the OK button to continue to the Home screen.
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Note: If the reset was not successful, a warning screen appears (Figure 63). If this screen
Figure 62. Therapy Reset success ful scre en .
appears, check all lead and cab l e conn ect i ons, press th e OK button, and repeat steps 1 through 3 to try again.
Figure 63. Therapy Reset Failed warning screen.
Changing preferences
Note: In the Menu, use the touchscreen slider bar to view all options (Figure 64).
Changing the vibration settings
1. Select the Vibration button from the Menu (Figure 64).
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Slider bar
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2. To change vibration settings using the touchscreen, press either the No vibration button
Figure 64. Selecting the Vibration button.
or the Vibration button (Fig ure 65).
No vibration button vibration button
Figure 65. Changing the vibration settings on the controller.
3. Press the OK button to exit.
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Changing the brightness of the controller display
1. Select the Brightness button from the Menu (Figure 66).
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Exit button
Slider bar
2. Using the touchscreen, press th e rad io button below the desired brightn ess level
Figure 66. Selecting the Brightness button.
(Figure 67).
Dimmest
Brightest
Figure 67. Changing the brig htness of the controller screen.
3. Press the OK button to exit.
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Changing the time
1. Select the Time button from the Menu (Figure 68).
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Slider bar
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2. To change the hour, the minute, or the time format, press the touchscreen button with the
Figure 68. Selecting the Time button.
incorrec t va l u e, t h en u s e th e Increase and Decrease keys to change the value. Once the hour, minute, and time format are set correctly, press the OK button to exit (Figure 69).
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AM/PM format 24-hour format
Figure 69. Changing the time on the controller.
Changing the date
1. Select the Date button from the Menu (Figure 70).
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Slider bar
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2. To change the date, the month, or the year, press the touchscreen button with the incorrect
Figure 70. Selecting the Date button.
value, then use the Increase and Decrease keys to change the value. Once the date, month, and year are set correctly, press the OK button to exit (Figur e 71) .
Month
Date
Year
Figure 71. Changing the date on the controller.
Changing the number format
1. Select the Numbers button from the Menu (Figure 72).
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Exit button
Slider bar
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2. Using the touchscreen, press the radio button next to the desired number format for the
Figure 72. Selecting the Numbers button.
controller, then press the OK button to exit (Fi gur e 73) .
Figure 73. Changing the number format of the controller .
Changing the language
1. Select the Language button from the Menu (Figure 74).
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Exit button
Slider bar
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2. Using the touchscreen, select the desired language from the options available, then press
Figure 74. Selecting the Language button.
the OK button to exit (Figure 75).
Slider bar
Figure 75. Changing the l an gua ge on the controller.
Note: Use the slider bar to scroll up or down to see more languages.
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Viewing information about the controller and the external neurostimulator
1. To view information about the controller or the external neur osti m ula tor , use the
touchscreen to select the About button from the Menu (Figure 76).
Exit button
Slider bar
Figure 76. Selecting the Abou t button.
2. When finished reading the i nfo rm ati o n abo ut th e controller, press the OK button to exit (Figure 77).
Note: To view information about the controller, press the Toggle button (Figure 77).
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Toggle button
Figure 77. The About screen.
Checking and replacing batteries
Always keep 2 new AA alkaline batteries available for replacement.
Checking the external neurostimulator and controller batteries
Note: You can see the battery levels of the controller and the external neurostimulator at the
top of the Home screen (Figure 78). For more detailed information on battery levels, follow the steps below.
Table 1 lists several examples of external neurostimulator battery levels and whether action is required.
Table 1. Battery level definitions for the external neurostimulator
External neurostimulator battery icon is green. Battery level is full. No action is needed.
External neurostimulator battery i con is gree n. C on­sider replacing the external neurostimulator batteries.
External neurostimulator battery i con is oran ge. Bat­tery level is low. Do not send a patient home with low batteries. Replace the external neurostimulator bat­teries.
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Table 1. Battery level definitions for the external neurostimulator
External neurostimulator ba ttery icon is red. S ti mul a­tion may no longer be availa bl e. Do no t send a pa­tient home with low batteries. Replace the external neurostimulator batteries.
Table 2 lists several examples of controller battery levels and whether action is required.
Table 2. Battery level definitions for the controller
Controller battery icon is green. Battery level is full. No action is needed.
Controller battery icon is green. Battery level is half full. No action is needed.
Controller battery icon is orange. T he co ntrol ler bat­teries are low. Consider changing controller batteries soon.
Controller battery icon is red. The co ntro ller batte ri es are nearly depleted and progra mm ing will not be po s­sible soon. Replace the cont roll er b atterie s .
You can check the controller batteries at any time. Complete the following steps to check the controller batteries.
1. From the Therapy Home screen, press the Battery status button (Figur e 78) .
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Battery status button
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Note: Two battery ic ons ar e displ a yed ( Fig ure 79). The upper battery icon show s the
Figure 78. Viewing the battery status on the Home screen.
battery status of the controller. The lower battery icon shows the battery status of the external neurostimulator.
Figure 79. Viewing the detailed battery status.
2. Press the Exit button (
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External neurostimulator battery status
) at the top right corner of the touchscreen to exit.
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Replacing the controller batter ies
Notes:
For information on replacing the external neurostimulator batteries, refer to the Model 3531
External Neurostimu l ato r Te chnical Manual.
If not using the controller for an ext end ed per i od of tim e, rem ove the bat teries from the
controller to prevent bat ter y depl e ti on .
1. Open the battery compartment cover (Figure 80).
2. Remove the de pleted batteries.
3. Insert the new batteries as shown on the bat tery compartment label (F igur e 81).
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Figure 80. Opening the battery cover.
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4. Close the battery compartment cover.
5. Dispose of old batteries according to loc al requirem ents.
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Figure 81. Inserting new batteries.
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Labeling the controller
Write your clinic contact inform ation on an id entification label and place the labe l on the back of the controller so the controll er can be re tur ned if lost (Fi g ur e 82) .
Figure 82. Place the adhesive label on the back of the controller.
Troubleshooting
This section lists basic troubleshooting for the controller.
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The controller displa ys thr ee different types of screens: warning screens, alert screens, and notification screens. These screens provide you with information about your system, alert you to a problem with your system, or guide you during controller use.
Warning screens display a red triangle at the top with an exclamation point ( ).
Alert screens display an orange triangle at the top with an e xclamation point ( ).
Notification screens display a blue circle at the top with the letter 'i' ( ).
If you experience an issue not described in this section, contact your Medtronic representative.
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Troubleshooting reference guide
Table 3. Warning messages
Message
System Problem
Cannot continue. Please call
your clinician.
Explanation and Solution
Explanation: The system is not working cor rectly. S timula-
tion may have stopped.
1. Remove and reinsert the controller batteries, then retry the action that cau se d th e e rro r screen to ap­pear. For instructi ons on removing a nd inserting the controller batteries, refer to "Checking and replac­ing batteries" on page 55.
2. If the issue persists, remove and reinsert the exter­nal neurostimulator batteries, then retry the action that caused the error screen to appear. For instruc­tions on removing and inserting external neurosti­mulator batteries, refer to the manual packaged with the external neurostimulator.
3. If the issue persists and if using the Model 3093/3889 Lead, remove all electrode configurations by setting all electrodes to blank for all programs, then repro­gram electrode configurations and retry the action that caused the error screen to appear. For instruc­tions on programming electrodes, refer to "A djust­ing stimulation parameters for the Model 3093 or Model 3889 Tine d Le ad" on page 37.
4. If the steps above do not resolve the issue, the e x­ternal neurostimulator and/or controller need to be replaced.
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Message
Software Problem
Cannot continue. Please call
your clinician.
Button Jammed
Cannot provide stimulation. Release the external device button.
Batteries Empty (exte rnal device)
External device batteries need to be changed. Call your clinician.
Battery Empty (controller )
Cannot continue. Replace the controller batteries.
Change External Device
Cannot provide stimulation. Call your clinician.
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Table 3. Warning messages
Explanation and Solution
Explanation: The software is not w orking co rrectl y. Sti mu­lation may have stopped.
1. Remove and reinsert the controller batteries, then retry the action tha t cau se d th e err o r sc re en to ap-
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pear. For instructi ons on removing a nd inserting th e controller batteries, refer to "Checking and replac­ing batteries".
2. If the issue persists, replace the controller and refer to "Pairing a new controller to an external neurosti­mulator" for instruc tions on pairi ng the new contro l­ler to the external neur os tim u la to r.
Explanation: The ENS button on the external neurostimu­lator is stuck in the pressed position.
Solution: Press and release the ENS button, then press the OK button. If the problem per sist s, th e ext ernal neurostimulator may need to be replaced.
Explanation: The external ne urostim ulator batteries are depleted and stimulation is not ava ila ble.
Solution: Replace the exte rn al ne ur os tim ulat or bat ter­ies. For more information on replacin g the e xter na l neurostimulator batter ies , ref er to the Model 3531 Ex­ternal Neurostimulator Technic al Manua l.
Explanation: The controller b atteri es a re de pl eted . Pro­gramming is not available.
Solution: Replace the co ntr ol ler b a tte rie s. Fo r instruc­tions on replacing the controller batteries, see "Check­ing and replacing bat t er ies" on p ag e 55.
Explanation: The external neurostimulator has reached the end of service. This is related to device function, no t to battery level. This external n eur ostimul ato r can no l on ger provide stimulation.
Solution: Replace the exte rn al ne ur os tim ulat or .
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Message
No Device Found
Try the following: Move the controller closer to the exter­nal device.
Change External Device
Call your clinician. Stimulation hour(s) remaining: X X
Batteries Low (external de­vice)
External device batteries need to be changed. Call your clinician.
Battery Low (contro l ler )
Replace the controller batter­ies soon.
Incomplete Settings
Valid electrodes configura­tion, pulse width, and rate set­tings required.
Incompatible Device
Change external device.
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Table 4. Alert messages
Explanation
Explanation: The controller cannot find the paired external
neurostimulator. The external ne uro stim ulator may be out
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of range or the external neur osti mulato r batteries may be depleted.
Solution: Move the con tr oller clo ser to t he external neurostimulator and make sure your hand is not cov­ering the top of the controller, then press the Try Again button.
If the issue persists, the external n eu rostim ulator b at­teries may need to be replaced. For instructions on re­placing the external neurostimulator batteries, see the appropriate technical manual packaged with the exter­nal neurostimulator.
Explanation: The external ne uro stimul ator is near ing the end of service. Stimulation wi ll n ot be avail able soon.
Solution: Replace the exte rn al ne ur os tim ulat or .
Explanation: The external neurostimulator batteries are low and stimulation will not be available soon.
Solution: Replace the external neurostimulator bat ter­ies. For more informat ion on rep l aci ng the external neurostimulator batter ies , re fer to the Model 3531 Ex­ternal Neurostimulato r T ech nic al Manual.
Explanation: The controller batteries are low and program­ming will not be available soon.
Solution: Replace the contr oller batteries. For instr uc­tions on replacing the controller batteries, see "Check­ing and replacing batteries" on page 55.
Explanation: One or more stimulati on para meters, i nclud­ing electrode configuration, w as left unprogrammed.
Solution: Check stimulat ion par am ete rs. En sur e t hat at least one electrode is negative and at least one elec­trode is positive, or that a ll elec tro de s ar e bla nk.
Explanation: You are attempting to con nect to an i nco m­patible external neurostimulato r.
Solution: Replace the exte rn al ne ur os tim ulat or with a compatible model.
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Message
Incompatible System Com-
ponent
Ensure batteries and other system components are com­patible.
Connection Changed
Cable or lead changed. Ther­apy settings were reset.
Check Connection
Ensure all cable and lead con­nections are secure.
Message
Stimulation is off
Settings cannot be changed with stimulation off.
Upper limit
Settings cannot be increased any higher.
Lower limit
Settings cannot be decreased any lower.
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Table 4. Alert messages
Explanation
Explanation: You are attempting to con nect to an i nco m­patible system component.
Solution: Verify that all com p on ent s ar e co m pat ible. Remove any incompatible sy stem co m po nents.
If the issue persists, the contr oll er b att eries may need to be replaced. For instructions on replac ing the con-
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troller batteries, see "C h eck ing an d r epla cing ba tter­ies".
Explanation: The external neurosti m ulator has de tected that a different cable type has been connected.
Solution: Press the OK button. Stimulation parameters for the new connection need to be programmed to de­sired settings.
Explanation: The external neurosti m ulator has de tected that either a cable or a lead is n ot conn ected .
Solution: Ensure all cable and lead connections are secure. Press the OK bu tto n.
Table 5. Notific ation messages
Explanation and solution
Explanation: You tried to adjust stimulation /ther apy w h en stimulation/therapy was off.
Solution: Turn stimulation/therapy on, the n try adjust­ing stimulation/therapy again.
Explanation: You tried increasi ng a stim ul ation parameter above the highest value allowed. You can not increase the stimulation any higher.
Solution: Press the OK butt on and consider adjusting other stimulation parameters.
Explanation: You tried decreasing a stimulation parameter below the lowest value allowed. You can not decrease the amplitude below zero.
Solution: Press the OK butt on and consider adjusting other stimulation parameters.
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Message
Settings Not Available
Cannot provide your desired
settings. Call your clinician.
Retry ENS
Unable to find device
Memory Problem
Data has been lost. Repeat
set-up process.
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Table 5. Notific ation messages
Explanation and solution
Explanation: Your combined settings can n ot curr entl y be
delivered by the external neu rosti mula tor.
Solution: Press the OK b ut ton and tr y th e fo llow ing :
1) Consider adjusting other stimulation par amete rs,
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including electrode co nf igur at ion .
2) Ensure that lead an d c able con ne ctio ns a re s ecu re.
Explanation: The controller cannot find the paired external neurostimulator. The external ne uro stim ulator may be out of range or the external neur osti mulato r batteries may be depleted.
Solution: Move the con tr oller clo ser to t he external neurostimulator and make sure your hand is not cov­ering the top of the controller, then press the Try Again button.
If this does not work, the external neurostimulator bat­teries may need to be replaced. For instructions on re­placing the external neurostimulator batteries, see the appropriate technical manual packaged with the exter­nal neurostimulator.
Note: If you wish to pair the contro ller to a ne w ext er­nal neurostimulator, see "Pairing the contr oller to th e external neur ost i mu lator" on page 11
Explanation: Controller settings are not availabl e, but tele­metry is still available. The controller batteries may have been removed or depleted fo r an extend ed period of time.
Solution: Follow the on-screen prompts to reconfigure controller settings, including pairin g t o the ex ter nal neurostimulator.
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Scenario
The controller is unrespon-
sive.
The controller screen goes
blank, then returns to the Un-
lock screen.
Device specifications
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Table 6. Additional scenarios
Explanation
Explanation: the controller has encountered a problem and must be reset.
1. Solution: Remove and reinsert the batteries. For in­struction on battery removal and placement, see "Replacing the controller batteries" on page 58.
2. If batteries are inserted correctly, the batteries are depleted. Replace the controller batteries. For in­structions on replacing controller batteries, see "Replacing the controller batteries" on page 58.
3. If the issue persists, replace the controller.
Explanation: The controll er e ncountered a problem and has automatically reset.
Solution: Unlock the contro ller . If n ece ssar y, n avig ate back to the screen that was in use when the controller was reset and continu e th e intended task.
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Template version: 08-08-2011
Table 7. Model 3537 Controller specifications
Parameter Specification
Power source Two alkaline AA batteries (no nrech arg eabl e ) Operating temperature 9 °C to 43 °C (49 °F to 110 °F) Temperature limitation -30 °C to 57 °C (-22 °F to +135 °F) Controller size 12.0 x 6.0 x 2.4 cm (4.7 x 2.4 x 0.9 in) Controller weight, including batter i es 150 g (5.3 oz) Battery life 4–6 weeks average for al kalin e ba tteries Operating time Short
a
All measurements are approximate.
a
Device care and storage
Keep new alkaline batteries available.
Use the controller to check the battery level daily.
Replace low or depleted ba tte ri es.
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Handle the device with care. Do not drop, strike or step on the device.
Do not dismantle or tamper with the device.
Clean the outside of the device with a damp cloth when necessary. Mild household cleaners
will not damage the device or labels. The battery contacts may be cleaned periodically with a cotton swab dampened with
alcohol. Do not use a pencil erase r or sandpaper. Store the device at room temperature. Avoid extreme hot or cold temperatures and direct
sunlight. The device is not waterproof. Do not allow moisture to get inside the device.
Dispose of depleted batteries and worn out devices according to local requirements.
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Contacts:
Asia:
Medtronic International Ltd. Tel. 02919-1362 Fax 02907-3998
Medtronic Asia Ltd. Tel. (02)-548-1148
Fax (02)-518-4786
Australia:
Medtronic Australasia Pty. Ltd. 97 Waterloo Road North Ryde, NSW 2113 Australia Tel. +61-2-9857-9000 Fax +61-2-9878-5100 Toll free 1-800-668-6700
Austria:
Medtronic Österreich GmbH Tel. 01-240440 Fax 01-24044-100
Belgium:
Medtronic Belgium S.A. Tel. 02-456-0900 Fax 02-460-2667
Canada:
Medtronic of Canada Ltd. Tel. (1-905)-460-3800 Fax (1905)-826-6620
Czech Republic:
Medtronic Czechia s.r.o. Tel. 2-965-795-80 Fax 2-965-795-89
Denmark:
Medtronic Danmark A/S Tel. 45-32-48-18-00 Fax 45-32-48-18-01
Finland:
Medtronic Finland Oy/LTD Tel. (09)-755-2500 Fax (09)-755-25018
France:
Medtronic France S.A.S. Tel. 01-5538-1700 Fax 01-5538-1800
Germany:
Medtronic GmbH Tel. (02159)-81490 Fax (02159)-8149100
Greece:
Medtronic Hellas S.A. Tel. 210-67-79-099 Fax 210-67-79-399
Hungary:
Medtronic Hungária Kft. Tel. 1-889-06-00 Fax 1-889-06-99
Ireland:
Medtronic Ireland Ltd. Tel. (01)-890-6522 Fax (01)-890-7220
Italy:
Medtronic Italia SpA Tel. 02-241371 Fax 02-241381
Tel. 06-328141 Fax 06-3215812
Japan:
Medtronic Japan Tel. 03-6430-2016 Fax 03-6430-7110
Latin America:
Medtronic, Inc. Tel. (1305)-500-9328 Fax (1786)-709-4244
Norway:
Medtronic Norge AS Tel. 067-10-32-00 Fax 067-10-32-10
Poland:
Medtronic Poland Sp. z.o.o. Tel. (022)-465-69-00 Fax (022)-465-69-17
Portugal:
Medtronic Portugal, Lda. Tel. 21-724-5100 Fax 21-724-5199
Russia:
Medtronic Russia Tel. (8495) 580-7377 Fax (8495) 580-7378
Slovakia
Medtronic Slovakia, o.z. Tel. 0268 206 911 Fax 0268 206 999
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Spain:
Medtronic Ibérica, S.A. Tel. 91-625-0400 Fax 91-650-7410
Sweden:
Medtronic AB Tel. 08-568-585-00 Fax 08-568-585-01
Switzerland:
Medtronic (Schweiz) AG Tel. 031-868-0100 Fax 031-868-0199
The Netherlands:
Medtronic B.V. Tel. (045)-566-8000 Fax (045)-566-8668
U.K.:
Medtronic U.K. Ltd. Tel. 01923-212213 Fax 01923-241004
USA:
Medtronic, Inc. Tel. (1763)-505-5000 Fax (1763)-505-1000 Toll-free: (1-800)-328-0810
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Manufacturer
Medtronic, Inc. 710 Medtronic Parkway Minneapolis, MN 55 43 2-5604 USA www.medtronic.com Tel. +1-763-505-5000 Fax +1-763-505-10 00
Medtronic E.C. Authorized Representati ve/Distribute d b y
Medtronic B.V. Earl Bakkenstraat 10 6422 PJ Heerlen The Netherlands Tel. +31-45-566-8000 Fax +31-45-566-86 68
Europe/Africa/Middle East Headquarters
Medtronic International Trading Sàrl Route du Molliau 31 Case Postale 84 CH-1131 Tolochen az Switzerland www.medtronic.eu Tel. +41-21-802-7000 Fax +41-21-802-79 00
Asia-Pacific
Medtronic International Ltd. Suite 1106-11 16/F, Tower 1, The Gateway 25 Canton Road, Tsimshatsui Kowloon Hong Kong Tel. +852-2919-1362 Fax +852-2907-399 8
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REP
EC
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Contacts for specific countries are listed inside this cover.
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