Medtronic A71200 Programming Guide

Vanta

/ Sequentia

LT Clinician

Programmer Application

Programming Guide

Neurostimulation systems for pain therapy

Vanta Sequentia

Application version 2.0

with AdaptiveStimTM Technology Model 977006 and

LT Model 977005 neurostimulators

A71200

Explanation of symbols

Medtronic and Medtronic logo are trademarks of Medtronic. AdaptiveStim™, Sequentia™, SoftStart/Stop™, and Vanta™ are

Importer

trademarks of a Medtronic company.

Android™ is a trademark of Google LLC.

For USA audiences only

The BLUETOOTH

word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Medtronic is under license.

Wi-Fi

and Wi-Fi Alliance® are registered trademarks of Wi-Fi Alliance.

Information available for the system:

The information for prescribers manual provides information about contraindications, warnings, precautions, adverse events, sterilization, patient selection, individualization of treatment, and component disposal. For customers in Japan, the appropriate package insert provides information about safety, contraindications, warnings, precautions, and adverse events.

The indications sheet provides information about indications and related information. For customers in Japan, the appropriate package insert provides information about indications.

The system eligibility and battery longevity manual describes programming considerations and provides battery longevity information to aid in the appropriate neurostimulator selection.

MRI guidelines provide information about any MRI conditions and MRI-specic contraindications, warnings, and precautions for MRI scans with the

neurostimulation system.

Product manuals, such as programming guides, recharging guides, and implant manuals provide device descriptions, package contents, device

specications, product-specic warnings and precautions, and instructions for use.

The clinical summary provides information about the clinical study results for the neurostimulation system.

Refer to the literature provided by the clinician tablet manufacturer for information regarding wireless use.

Refer to the communicator technical manual for warnings, precautions, device description, package contents, device specications, instructions for use, and

maintenance information.

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Description of the Programming System �� 7

Model A71200 Vanta / Sequentia LT clinician

programmer application ....................................................... 7

Intended purpose ................................................................. 7

Other components of the programming system ..................7

Programmable Settings �� 8

Stimulation parameters ........................................................ 8

Groups and programs .......................................................... 8

Optional features .................................................................8

Data Security and Network Connectivity �� 9

Setting up the Programming System �� 11

Preparing the clinician tablet ............................................. 11

Finding and opening the app ............................................. 12

Pairing the communicator to the clinician tablet ................12

Initiating communication with the neurostimulator ............. 12

Overview of the Clinician Programmer App �� 13

Using Demo mode ............................................................. 13

Navigating through workows ............................................ 13

Using the Side Menu .........................................................14

On-screen help .................................................................. 14

Buttons and indicators on the action bar ...........................14

When the app is placed in the background .......................15

Data security ........................................................................ 9

Network connectivity ............................................................ 9

Installing application updates ...........................................10

Installing communicator updates ....................................... 10

Returning the clinician tablet .............................................10

General Warnings and Cautions �� 10

MRI warning for scan eligibility .......................................... 10

Sterile eld warning for programming components ...........10

EMI caution for telemetry signal disruption ........................ 11

Cautions related to clinician programming and

possible interactions with other devices ............................ 11

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Overview of the Communicator �� 15

Using the USB connector cable ......................................... 15

Communicator icons on the tablet status bar ....................16

Neurostimulator Workows �� 16

Start Usage > Implant Device workow ............................. 17

Followup workow .............................................................19

View MRI workow ............................................................20

Working with Device and Patient Information �� 21

Checking battery status of the neurostimulator .................21

Entering implant location ...................................................21

Entering patient information ............................................... 21

Mapping patient pain .........................................................21

Entering lead information ................................................... 21

Testing lead connectivity .................................................... 22

Entering extensions, pocket adaptors, abandoned

leads, or tip location information ........................................ 22

Adding uoro images ......................................................... 23

Working with Groups and Programs �� 23

Programs screen ...............................................................23

Program subscreen ...........................................................23

Turning stimulation on or off ..............................................24

Limits .................................................................................31

Checking System Performance�� 32

Testing impedance ............................................................. 32

Troubleshooting Electrode Impedance Results 33

Intra-operative troubleshooting .......................................... 34

Post-implant troubleshooting ............................................. 35

Preparing System for an MRI Scan �� 36

To check MRI scan eligibility and enter MRI Mode ............ 36

To deactivate MRI Mode .................................................... 37

Adjusting Stimulation Parameters �� 24

Assigning electrode conguration ...................................... 24

Assigning amplitude, pulse width, and program rate ......... 25

Relative Lead Positioning �� 29

Customizing SoftStart/Stop and Cycling �� 30

Changing SoftStart/Stop settings ......................................30

Turning cycling on or off ....................................................30

Estimating Battery Longevity �� 31

Enabling Patient Access �� 31

Adjustment ......................................................................... 31

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AdaptiveStim Technology �� 38

Caution regarding cervical location ...................................38

Caution regarding healing period ......................................38

Conguring AdaptiveStim ..................................................38

Reconguring an AdaptiveStim-enabled group .................39

What you can do on the AdaptiveStim screen ...................39

Reviewing position amplitudes for all AdaptiveStim-

enabled groups .................................................................. 42

Testing AdaptiveStim settings ............................................ 42

Adjusting position amplitudes for individual positions ........42

Checking patient positions ................................................. 43

Reorienting patient positions .............................................43

Disabling AdaptiveStim Technology for a group ................ 43

Enabling or disabling AdaptiveStim Technology for the

patient ................................................................................ 43

Turning the Position Diary on or off ...................................43

Setting stability time ........................................................... 44

Adjusting position angles ................................................... 44

Adjusting transition times ................................................... 44

Adjusting mobility rate .......................................................45

Turning off mobility detection .............................................45

Troubleshooting AdaptiveStim Technology ........................ 45

Viewing System Information �� 51

Viewing information about system components ................51

Viewing information about trademarks and licenses .........51

Changing device date/time or implant date information ....52

Compiling a Medtronic Data Report ..................................52

Viewing Alerts �� 52

Working with alerts ............................................................52

Viewing Diaries �� 48

Stimulation Usage .............................................................48

Group Usage .....................................................................48

Position Trend ....................................................................48

Adjustments ....................................................................... 48

Composite .........................................................................48

Resting Trend ....................................................................48

Working with Reports �� 49

Using the Reports screen .................................................. 49

Patient Data Service app�� 50

Finding and opening the app ............................................. 50

Accessing or deleting a patient session record .................50

Deleting multiple patient session records at once .............50

Setting the PDF auto-delete feature .................................. 51

Troubleshooting �� 53

Data validation error message ........................................... 53

Power on reset (POR) message ........................................ 53

Out of regulation (OOR) message ..................................... 53

Elective Replacement Indicator (ERI) message ................ 53

End of Service (EOS) message ......................................... 53

Using impedance measurements for troubleshooting .......53

Communicator and clinician tablet troubleshooting ........... 53

To reset a neurostimulator ................................................. 53

Patient programmer messages .........................................57

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Description of the Programming System

Model A71200 Vanta / Sequentia LT clinician programmer application

The Medtronic Model A71200 Vanta / Sequentia LT clinician programmer application (app) is intended for use by clinicians in the programming of the Medtronic Model 977006 Vanta and Model 977005 Sequentia LT implantable neurostimulators for pain therapy.

Intended purpose

The clinician programmer application is intended for use by clinicians in the programming of Medtronic neurostimulators for pain therapy.

Other components of the programming system

The clinician programmer app is intended for use with the following components.

Model CT900 Clinician Tablet

The clinician programmer app is installed on the Model CT900 Clinician Tablet with Android-based operating system.

Model A901 Communication Manager application

The Model A901 Communication Manager application is an application on the clinician tablet that manages the telemetry communications for the clinician tablet.

Model A902 Patient Data Service application

The Model A902 Patient Data Service application is an application on the clinician tablet that manages the storage of patient session data on the clinician tablet. The Patient Data Service app can be used to access or delete patient session data for any patients whose Medtronic devices have been programmed using any clinician programmer app on the clinician tablet.

Model 8880T2 Communicator

The Model 8880T2 Communicator is a handheld device used in conjunction with the clinician tablet and clinician programmer app to communicate with Medtronic neurostimulators.

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Description of the Programming System

Programmable Settings

The clinician programmer app is used to enter, review, and modify programmable settings in the neurostimulator. These programmable

settings dene the stimulation therapy delivered to the patient.

Pulse width, amplitude, and electrode conguration are assigned

at the program level: that is, each program within a group can have different values. Rate is assigned at the group level, and the rate of each program within a group can be set as a fraction of the group rate.

Stimulation parameters

Stimulation is delivered in the form of electrical pulses. Stimulation

parameters dene the attributes of these pulses and can be adjusted

to manage patient therapy.

■ Electrode conguration: Programmed negative (–) polarity, positive (+) polarity, or off.

■ Pulse width: Duration of each pulse in microseconds (μs).

■ Rate: Frequency of pulses in hertz (Hz).

■ Amplitude: Strength of a pulse in milliamps (mA).

Groups and programs

A program is a specic combination of pulse width, rate, and amplitude settings acting on a specic electrode conguration. The program denes the stimulation pulses that will be delivered for

therapy. The Model 977005 Sequentia LT neurostimulator supports one program.

For the Model 977006 Vanta neurostimulator, multiple programs can be combined into groups.

When using more than one program, the pulses are delivered

sequentially—rst a pulse from one program, then a pulse from the

next program, and so on. Pulses from different programs are never delivered simultaneously. Each group and its associated programs

can be used to provide therapy for specic areas of coverage or specic patient activities.

Optional features

Optional features are available for adjusting the stimulation to the patient's needs. Some features are not available for the Model 977005 Sequentia LT neurostimulator.

■ Adjustment: Allows the patient to increase or decrease amplitude for all programs in the active group at the same time.

■ AdaptiveStim Technology: Adjusts stimulation automatically when the patient changes position.

■ Cycling: Cycles stimulation on and off at clinician-determined intervals.

■ Electrode Redistribution: Assigns a lower or a higher percentage of the program amplitude to an individual electrode in a program.

■ Equalize: Sets program amplitude to zero and recongures the active electrodes to provide equal distribution of amplitude.

■ IntelliStim: A semi-automated feature for selecting electrodes to deliver therapy. IntelliStim is a scanning process in which common combinations of electrodes are scanned across the lead using the selected amplitude.

■ Move: Sets program amplitude to zero and allows a congured electrode combination to be moved up, down, or across the lead or leads.

■ Patient Limits: Identies the stimulation parameters that the patient can adjust and sets the upper limits for those parameters.

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Programmable Settings

■ SoftStart/Stop: Slowly increases the amplitude when stimulation is turned on and slowly decreases the amplitude when stimulation is turned off.

Data Security and Network Connectivity

Data security

The clinician programming system uses and stores data about the patient's health and implanted medical device. This data is protected by application-level controls and encryption provided by the clinician tablet. The clinician programming system does not provide data protection for data exported to another destination. Exported data should be handled in accordance with your facility’s security policy for data handling and storage.

Medtronic recommends that you always save exported data to the default reports location on the clinician tablet.

Network connectivity

Network connectivity is required for initial app registration and for

installation of Medtronic app updates and communicator rmware

updates. Network connectivity is not required for neurostimulator programming. To protect your clinician programming system, Medtronic recommends you implement the following security measures:

■ Secure your clinician tablet by disabling network connectivity during any programming session.

■ Use a managed, trusted Wi-Fi connection when network connectivity is needed.

■ Connect the clinician tablet to the network periodically to check

for notications on available updates.

Note: Connecting the clinician tablet to a network that includes other equipment could result in unforeseen risks to patients, operators, or third parties. Changes to your network such as adding, disconnecting,

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Data Security and Network Connectivity

and upgrading equipment; upgrading or installing software; or

changing network congurations could also introduce additional risks. Analyze, evaluate, and control any identied risks.

If you suspect a cybersecurity event has occurred, stop using the app (if possible) and contact your IT Security team or Medtronic Technical Services to document and respond to the suspected incident.

If your clinician tablet is lost or stolen, contact Medtronic using the contact information listed on the back cover of this manual.

Installing application updates

For assistance with downloading, registering, or installing the application, contact Medtronic using the information on the back cover of this manual. In the U.S., call 1-800-707-0933 for Medtronic Technical Services.

Medtronic periodically updates the therapy app and will not install updates without notifying you. Network connectivity is required to

update the app. When notied that an app update is available, follow

the instructions provided by Medtronic to install the update.

Installing communicator updates

When notied to install a communicator rmware update, connect the

communicator to the clinician tablet using the USB connector cable. Follow the instructions provided by Medtronic to install the update.

Returning the clinician tablet

If you need to return the clinician tablet for disposal or replacement, contact Medtronic using the contact information listed on the back cover of this manual. Instructions will be provided for preparing the clinician tablet for return.

General Warnings and Cautions

If a serious incident related to the app occurs, immediately report the incident to Medtronic and the applicable competent authority.

MRI warning for scan eligibility

Warning: Always program the following component information accurately:

■ Neurostimulator and lead model numbers

■ Neurostimulator implant location and lead tip location

■ Presence of any abandoned leads, extensions, and pocket adaptors

If this information is not up-to-date or is entered incorrectly, MRI scan eligibility data will be inaccurate, and the patient is at risk for one of the following:

■ The patient is allowed to have an MRI scan inappropriate for the implanted components, which could cause tissue heating, resulting in tissue damage or serious patient injury.

■ The patient is unnecessarily restricted from having an MRI scan.

Refer to the MRI Guidelines for Medtronic Neurostimulation Systems for Chronic Pain instructions for use manual for MRI scan eligibility

information, MRI scan conditions, and MRI-specic warnings and

cautions for conducting an MRI scan.

Sterile eld warning for programming components

Warning: To use the programming components (external

and nonsterile) in a sterile eld, place a sterile barrier between the

patient and the programming components to prevent infection. Do

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General Warnings and Cautions

not sterilize any of the programming components. Sterilization may damage the programming components.

EMI caution for telemetry signal disruption

Caution: Electromagnetic interference (EMI) can disrupt

programming and telemetry communication. If EMI interference

is suspected, such as from radio frequency identication (RFID)

equipment, move away from the likely source of EMI and try again.

Cautions related to clinician programming and possible interactions with other devices

Refer to the Information for Prescribers booklet for cautions related to clinician programming and possible interactions with other devices (such as cardiac devices).

Setting up the Programming System

Clinician tablet with

clinician programmer app

Power button

The connector cable is required for pairing

the communicator to the clinician tablet.

After pairing, the communicator and the clinician tablet can

communicate using BLUETOOTH wireless technology.

For wireless communication, make sure the clinician tablet

Figure 1. Components of the programming system.

remains within range.

Preparing the clinician tablet

Refer to the Model CT900 Clinician Tablet quick start guide for instructions on how to turn on the tablet and to complete initial setup.

Check the battery level of the clinician tablet.

■ The tablet's battery level is shown on the tablet status bar (uppermost row on the tablet screen).

■ Recharge the tablet if the battery level is low.

USB

connector cable Communicator Neurostimulator

Power button

Proximal Telemetry

Hold communicator directly

over neurostimulator.

BLUETOOTH

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Setting up the Programming System

Finding and opening the app

1. Navigate to the Apps on the clinician tablet.

2. Find the Vanta app icon.

Note: Vanta app is used to program both the Vanta and Sequentia LT neurostimulators.

3. Tap the Vanta app icon to open the app.

Pairing the communicator to the clinician tablet

Refer to the Model 8880T2 Communicator technical manual for additional instructions, if needed. Only one communicator can be paired with a clinician tablet at a time.

1. Connect the USB connector cable to the communicator and the clinician tablet.

2. Turn on the communicator (slide the power button down, then release).

3. A message appears on the clinician tablet, which asks permission to open the Communication Manager when the USB device is connected:

a. Select to use the USB device by default. This selection

prevents this message from appearing again.

b. Select OK.

4. On the initial app screen, tap CONNECT. Pairing begins and the communicator displays a green LED light between the tablet icon and the communicator icon.

Once the communicator is paired, you can disconnect the USB connector cable. The communicator and clinician tablet communicate

using BLUETOOTH wireless technology. For wireless communication, make sure the clinician tablet remains within range.

Note: If you have trouble pairing, either with the USB connector cable or BLUETOOTH, restart the tablet and try again.

Initiating communication with the neurostimulator

1. Hold the communicator directly over the neurostimulator.

Notes:

■ The target symbol ( indicates the location of the internal antenna. The target should be facing and centered over the neurostimulator.

■ After making the initial connection, you can make future connections at a greater distance for 12 hours following the initial connection, or until the communicator connects to a different neurostimulator.

2. On the Search for Device screen, tap FIND DEVICE.

Press the communicate button (

3. Select the serial number of the neurostimulator you intend to congure, and tap CONNECT.

4. After connecting to the neurostimulator, the CURRENT DEVICE STATUS screen will display.

From this screen, you can select workow options under

the SELECT FLOW heading. Refer to the "Neurostimulator

Workows" section on page 16 for workow details.

) on the back of the communicator

) on the communicator.

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Setting up the Programming System

Notes:

■ If you have problems establishing communication, refer to "Communicator and clinician tablet troubleshooting" on page

53.

■ Do not leave the clinician tablet unattended during an active programming session.

■ When a congured neurostimulator is interrogated, a lead connectivity test is performed to check for impedance issues. The patient may feel a stimulation change during the test.

Overview of the Clinician Programmer App

Using Demo mode

Use Demo mode to explore the clinician programmer app without interrogating or updating a neurostimulator.

When the app is in Demo mode, it is not communicating with a real neurostimulator and does not require the use of a communicator. Any data displayed in Demo mode is not actual.

Demo mode can be used for training and demonstration purposes and to familiarize yourself with the app interface before starting an actual programming session.

1. On the initial Vanta/Sequentia LT app screen, tap DEMO.

2. Select a device, and tap CONNECT.

3. Navigate through the workow. One workow at a time can be explored in a Demo session.

4. To exit Demo mode, go to the Summary screen and tap EXIT WORKFLOW.

Exiting the workow will return you to the initial app screen

where you can select DEMO again and select another device to explore.

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Navigating through workows

The screens typically used during a programming session are

grouped into workows. The workows vary depending on the device model and device status (new versus congured). The workows may

also vary depending on neurostimulator features.

Overview of the Clinician Programmer App

After you start a workow, a workow navigator appears at the top

of the screen. For example, the Followup workow for the Vanta neurostimulator contains these screens:

Device AdaptiveStim

Lead Select Tip Location Programs Impedance

Diaries Reports Summary

■ To move from screen to screen, swipe left or right.

■ Alternatively, you can tap on the screen name in the workow navigator to go directly to that screen.

– If the workow navigator extends beyond the width of

the screen, swipe the workow navigator left or right to

show the screen names that are partially hidden.

■ The current screen is underlined and highlighted.

■ If input is required in a workow screen, you will not be able to advance to the next screen until you enter the required input.

– The app will prompt you for the required input.

– Orange asterisks indicate required elds.

Using the Side Menu

Screens not in the current workow can be accessed from the Side

Menu. For example, the Patient Info screen is in the new device

workow, but not in the Followup workow. To change patient data in a congured device, you need to access the Patient Info screen from

the Side Menu. To access the Side Menu, tap the Side Menu button (

) in the top-left corner on the action bar.

On-screen help

Help information is available in the clinician programmer app for most

workow screens. View the help information to learn how the app

interface works and how to complete tasks on the screen.

■ To display help information, tap the Help button ( right corner on the action bar.

■ Tap the Help button (or tap anywhere on the screen) to close the help screen.

) in the top-

Buttons and indicators on the action bar

An action bar appears at the top of all screens in all workows. Table

1 describes the buttons and indicators that may appear on the action bar.

Table 1. Buttons and indicators.

Button / Indicator Description

Side Menu button: Tap to access

screens outside of the workow.

Back button: Tap to close a screen you accessed from the Side Menu and return

to the previous workow screen.

Demo mode indicator: Appears in the action bar when in Demo mode.

Stimulation toggle: Tap to turn stimulation on or off. Green (switch to the right) indicates that stimulation is on.

Appears in the action bar when at least one program exists.

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Overview of the Clinician Programmer App

Button / Indicator Description

AdaptiveStim indicator: Applicable

to neurostimulators with AdaptiveStim Technology (977006 Vanta).

Appears in the action bar when AdaptiveStim Technology is enabled.

MRI Status indicator: Appears in the action bar when stimulation is off and MRI Mode has been activated.

The MRI Status indicator does not provide MRI scan eligibility information.

Help button: Tap to display help information for the current screen.

Tap the Help button (or tap anywhere on the screen) to close the help screen.

Go to Summary screen button: Tap to go directly to the Summary screen. You can exit the workow from the Summary screen to properly end the programming session.

When the app is placed in the background

When you navigate away from the Vanta clinician programmer app while in a programming session, the app is placed in the background and is represented as a oating widget (Vanta Session in Progress) to remind you that you are still in a session.

■ Press and drag the oating widget to move it on the tablet screen.

■ Tap on the oating widget to return to the app and resume the session.

Overview of the Communicator

The Model 8880T2 Communicator is a nonsterile component used in conjunction with the clinician tablet and clinician programmer app to communicate with Medtronic neurostimulators.

Warning: To use the communicator in a sterile eld, place

a sterile barrier between the patient and the communicator to prevent infection. Do not sterilize any of the programming components. Sterilization may damage the programming components.

The communicator is handheld and battery-operated. Communication between the communicator and the clinician tablet can occur wirelessly using BLUETOOTH technology or wired using the USB connector cable.

For information on the Model 8880T2 Communicator, including

description, specications, components, instructions for use,

maintenance, and troubleshooting, refer to the Model 8880T2 Communicator technical manual.

Using the USB connector cable

The following situations require the use of the USB connector cable:

■ First-time pairing of any communicator with a clinician tablet.

■ Firmware updates to the communicator.

■ Environments where multiple devices are using BLUETOOTH wireless technology and thereby creating interference.

■ Environments where BLUETOOTH wireless technology is prohibited.

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Overview of the Communicator

Communicator icons on the tablet status bar

Table 2 describes the icons that appear in the tablet status bar (uppermost row on the tablet screen) indicating the status of the connection between the communicator and the clinician tablet.

Table 2. Communicator icons in the tablet status bar.

Communicator Icon Description

The communicator is in the process of connecting to the clinician tablet.

The communicator is communicating with the clinician tablet via the USB connector cable.

The communicator requires the USB connector cable to communicate with the clinician tablet.

The communicator is communicating with the clinician tablet using BLUETOOTH wireless technology.

Neurostimulator Workows

When an implantable neurostimulator (INS) is interrogated, the clinician programmer app determines if the INS is new or if it has

been previously congured. Based on the status of the INS, the

clinician programmer app automatically presents the applicable

workow options.

■ Start Usage > Implant Device workow – go to page 17.

Use when a new INS is being congured (programmed) for the rst time.

■ Followup workow – go to page 19.

Use at followup sessions with the patient.

■ View MRI workow – go to page 20.

Use to determine MRI scan eligibility and prepare a patient's neurostimulation system for an MRI scan.

Notes:

■ To display on-screen help information, tap the Help button (

■ The screens typically used during a programming session are

shown in the workow navigator. Additional screens not in the current workow can be accessed from the Side Menu (

■ Unsaved information may be lost if the application is improperly terminated during a programming session. To end a session, go to the Summary screen and tap the EXIT WORKFLOW button. Ending a session generates a complete session record that is stored in a database on the clinician tablet.

■ Some functions, such as multiple groups and programs, and AdaptiveStim, are not available with the Sequentia LT neurostimulator.

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Neurostimulator Workows

Start Usage > Implant Device workow

You can initiate communication with the INS in the package before

it is moved into the sterile eld. Tasks such as checking the battery

status and entering device and patient information can be performed without removing the INS from the package.

1. On the CURRENT DEVICE STATUS screen, conrm that the device information corresponds with the intended INS.

2. Tap START USAGE.

This action takes the neurostimulator out of shelf state and sets the In Use Date/Implant Date elds to the current date.

■ The In Use Date and Implant Date are the same date.

■ The In Use Date is shown on the CURRENT DEVICE

STATUS screen, and the Implant Date is shown on the About System screen.

■ The About System screen is available after an implant location is selected on the DEVICE screen.

■ You can change the implant date on the About System screen, but this change will not impact the clock inside the neurostimulator that determines ERI and EOS.

3. Under IMPLANT DEVICE, tap START.

4. Use Table 3 to guide you through the screens and tasks in the

workow.

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Neurostimulator Workows

Table 3. Implant Device workow.

Screen Tasks More information

Device Check the battery status of the neurostimulator. Page 21

Select the implant location. Page 21

Patient Info Enter patient information. Page 21

Pain Map Tap the PAINT button, then use your nger to highlight the area on the human gure where the

patient feels pain. To remove highlight from an area on the gure, tap the ERASE button and then tap the highlighted area.

Lead Select Select the implanted leads. Select a lead from the scrollable drop-down list, and then drag and drop

it at the appropriate electrode numbers. Tap UPDATE to save the selected lead.

Ensure leads are properly connected to the neurostimulator, and then check connectivity by tapping the CHECK CONNECTIVITY button.

Tip Location Indicate whether extensions and pocket adaptors are implanted. Indicate whether abandoned leads

remain implanted. Select the tip location for each lead.

Programs (and subscreens)

Create programs in groups. Tap a group to make it active. A highlighted box around a group indicates the group is active. Tap the plus sign to add a program within a group.

Program subscreen: Assign the electrode conguration for the lead(s). Assign pulse width, rate,

and amplitude.

Lead Manipulation subscreen: Use to represent the relative positioning of the implanted leads as viewed from the patient’s back.

Energy subscreen: Set parameters for SoftStart/Stop and cycling. Estimate battery life based on various congurations and hours per day of group use with the Estimated Battery Longevity feature.

Patient Access subscreen: Assign the stimulation parameters that the patient can adjust. Page 31

Impedance Measure electrode impedance.

These measurements verify the integrity of lead, extension, and connector pathways. They may provide information about lead problems (such as lead breakage, short circuit, open circuit).

Summary Conrm therapy settings.

End the session properly by tapping the EXIT WORKFLOW button.

Page 21

Page 22

Page 23

Page 29

Page 30

Page 32

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Neurostimulator Workows

+ 42 hidden pages

Medtronic A71200 Programming Guide

Specifications and Main Features

Frequently Asked Questions

User Manual

Table of Contents

Description of the Programming System

Model A71200 Vanta / Sequentia LT clinician programmer application

Intended purpose

Other components of the programming system

Programmable Settings

Stimulation parameters

Groups and programs

Optional features

Data Security and Network Connectivity

Data security

Network connectivity

Installing application updates

Installing communicator updates

Returning the clinician tablet

General Warnings and Cautions

MRI warning for scan eligibility

EMI caution for telemetry signal disruption

Cautions related to clinician programming and possible interactions with other devices

Setting up the Programming System

Preparing the clinician tablet

Finding and opening the app

Pairing the communicator to the clinician tablet

Initiating communication with the neurostimulator

Overview of the Clinician Programmer App

Using Demo mode

Using the Side Menu

On-screen help

Buttons and indicators on the action bar

When the app is placed in the background

Overview of the Communicator

Using the USB connector cable

Communicator icons on the tablet status bar