Medtronic CARELINK 2090 Reference Manual

0123
2001
0344
2002
MEDTRONIC CARELINK™ 2090
Programmer for Medtronic and Vitatron Devices
Programmer Reference Guide
2090/9986/SW007:
VSC01:VSC01:

Contents

1 Introduction to the Programmer 7

Explanation of packaging and product symbols 8
About this guide 10
Description and intended use 10
Warnings 11
Precautions 12
Declaration of Conformity 15
Regulatory compliance 15
Security features for the Windows XP operating system 16
Software requirements 17
Programmer functions 18
System components 20
Display screen features 27

2 Set up the Programmer 31

Basic setup 32
Connect peripheral devices 37

3 Conduct a patient session 39

Prepare for a patient session 40
Initiate a patient session 51
End a patient session 55
Store components 56

4 Manage reports and data 57

Reports 58
Session data 58
Save to a PDF file 58
Save to diskette 59
Save to USB 59
View reports that are saved to media 61
Vitatron Manual-Guided Reset 62

5 Use printers 63

Use external printers 64
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Contents
Install printer paper 67
Printer buttons 68
Tear off a printout 69
Low paper supply 69

6 Select options 71

About the between sessions tool palette 72
Adjust Programmer time and date 73
Select audible tones 74
Set the interval for report deletion 75
Manage patient data privacy 76
Change the language setting 79
Improve the detection of pacing artifacts 79
Check the software version 80
Start the demonstrations option 81
View and update Programmer location and hardware information 81
Select other software 83
Remove other software applications 83
Obtain technical manuals 84

7 Service the Programmer 85

Programmer Reference Guide
Clean the system components 86
Sterilize the programming head, ECG cable, and lead wires 86
Replace a PC card 87
Programmer specifications 88
Special notice 91
Medtronic limited warranty 92

Index 93

Medtronic CareLink 2090 0
Programmer Reference Guide 0
A guide for setting up and using Medtronic CareLink 2090 Programmer.
The following are trademarks or registered trademarks of Medtronic in the United States and possibly in other countries: CareLink, Jewel, Marker Channel, Medtronic, Medtronic CareLink, Paceart, Reveal and Vitatron
All other trademarks are the property of their respective owners.

Introduction to the Programmer1

Explanation of packaging and product symbols 8
About this guide 10
Description and intended use 10
Warnings 11
Precautions 12
Declaration of Conformity 15
Regulatory compliance 15
Security features for the Windows XP operating system 16
Software requirements 17
Programmer functions 18
System components 20
Display screen features 27
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Chapter 1

Explanation of packaging and product symbols

Explanation of packaging and product symbols
Refer to the package label and product to see which symbols apply to this product.
Conformité Européenne (European Conformity). This symbol means that the device fully complies with European Directive AIMD 90/385/EEC (NB 0123). (Applies to Medtronic hardware and software only.)
Conformité Européenne (European Conformity). This symbol means that the device fully complies with European Directive AIMD 90/385/EEC (NB 0344). (Applies to Vitatron desktop software only.)
Conformité Européenne (European Conformity). This symbol means that the device fully complies with the essential requirements of R&TTE Directive 1999/5/EC (NB 1856). (Applies to R&TTE only.)
Caution
Consult instructions for use
Programmer Reference Guide
The product complies with both Canadian and U.S. requirements for meeting UL safety standards.
Type BF applied part
Type CF applied part
Serial number
Temperature limitation
For U.S. audiences only.
Off
On
Wireless communication enabled
Introduction to the Programmer
EC REP
Explanation of packaging and product symbols
Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product according to local regulations. See http://recycling.medtronic.com for instructions on proper disposal of this product.
RF transmitter
Caution: Strong magnet
This symbol means that the device fully complies with the Australian Communications and Media Authority (ACMA) and the New Zealand Ministry of Economic Development Radio Spectrum Management standards for radio communications products.
Battery
Diskette
Network connection port
USB port
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Printer port
Microphone port
Headphones port
Authorized representative in the European community
Alternating current
Date of manufacture
Manufacturer
Reorder number
Lot number
Programmer Reference Guide
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Chapter 1

About this guide

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

Description and intended use

Humidity limitation
Package contents
Programmer, software installed
Product documentation
Accessories
The Medtronic CareLink 2090 Programmer is a portable, line-powered (AC) microprocessor based system with software to interrogate and program Medtronic and Vitatron implantable devices. Other features include:
Programmer Reference Guide
Automated software updates using a dial-up or local area network (LAN) connection, depending on the hardware configuration. This allows the Programmer to program new devices and to provide new features as they become available.
A large, bright screen that is adjustable for viewing when sitting or standing.
Keyboard to make entering information easier.
Fast printing speed of 50 mm per second on recorder paper.
ECG recording and diagnostic data reporting. Refer to the technical manuals supplied with the software and hardware accessories for specific details.

Warnings

Introduction to the Programmer
Warnings
These warnings apply in general to using the Programmer for programming implantable device parameter settings. Refer to the reference guides for the implantable device and the Programmer software for more information related to specific implantable device models.
Modification of equipment – Do not modify this equipment. Modifications may reduce system effectiveness and impact patient health.
Telecom voltage limitation – When using a modem or combo card, make sure that the telecom voltage does not exceed 125 V. Excessive voltage may damage the programmer.
Importance of reference documentation – Implantable device programming should be done only after careful study of the reference guide for the implantable device and after careful determination of appropriate parameter values based on the patient’s condition and pacing system used. The implantable device reference guide contains a complete description of implantable device operation and important information, such as indications for use, contraindications, warnings, and precautions. The instructions contained in this reference guide and the reference guide supplied with the Programmer software are limited to the mechanics of setting up the Programmer and selecting the correct options for the desired programming function. Improper use of the Programmer could result in erroneous or inadvertent programming and improper operation of telemetry and measurement functions.
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Measurement function – The Programmer is also intended to detect and measure pulse rate, AV interval and pulse width, and implantable device artifacts. The device takes these digital measurements with the assistance of optional skin electrodes. Medtronic and Vitatron make no claims or warranties as to the effectiveness of the Programmer as a diagnostic tool to the physician.
Programmer Reference Guide
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Chapter 1

Precautions

Precautions
Equipment compatibility – The Programmer must be used only
for interrogating and programming compatible Medtronic or Vitatron implantable devices. Direct stimulation through energy coupling may occur if the Programmer is used on other implanted devices. The Programmer is not compatible with programmable devices of other manufacturers.
Internal electrodes – Do not connect the Programmer to wires or electrodes internal to the body. The Programmer is designed to be medically safe only when attached to surface electrodes.
Defective equipment – If technical and safety inspection reveals a defect which could harm the patient, clinicians, or third parties, the device should not be used until it has been properly repaired. The operator must immediately notify Medtronic or Vitatron of these defects.
VGA monitor use – To protect against interference or surge/leak currents, the use of a secondary VGA monitor that meets an applicable safety standard such as UL 60950 or IEC 60950 is strongly recommended.
ECG cable integrity – Upon opening the package, if the ECG cable appears damaged, do not use it. Contact your local Medtronic or Vitatron representative.
Care in handling ECG cable wire – Do not pull on the insulated cable wire to disconnect the cable. Tension on the insulated cable wire may result in damage to the cable.
Electrocautery / external defibrillation – Do not position the programming head over an implanted device during electrocautery or external defibrillation procedures.
Do not immerse – Take care to prevent liquid from entering the Programmer and programming head. Do not immerse the Programmer or any accessories in any liquid or clean them with aromatic or chlorinated hydrocarbons.
Programmer Reference Guide
Introduction to the Programmer
Precautions
Autoclaving – Do not autoclave the programming head or ECG cable and lead wires.
Electromagnetic interference (EMI) – The programming head has been tested for compliance with industrial EMI regulations. Any use outside the patient environment may result in the programming head malfunctioning.
Radio-frequency (RF) interference – Portable and mobile RF communications equipment can interfere with the Programmer’s operation. Although this transmitter has been approved by the Federal Communications Commission, there is no guarantee that it will not receive interference or that any particular transmission from this transmitter will be free from interference.
Damaged equipment – If the case of the Programmer is cracked or if any of the connectors are damaged, contact your Medtronic or Vitatron representative. If there is insulation damage to the power cord or accessory cables or if any of the wall or equipment plugs are damaged, please replace the part and dispose of it according to local regulations or return the part to Medtronic.
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Electrode quality – Use of high-quality silver/silver chloride (Ag/AgCl) electrodes can minimize the occurrence of small DC voltages that can block the ECG signal. Use electrodes that are fresh and from the same box. Prepare the patient’s skin according to the directions provided with the electrodes.
Flammable anaesthetic mixture – The Programmer is not suited for use in the presence of a flammable anaesthetic mixture.
Avoid damage from programming head – Keep the programming head away from any device or material that will be damaged by the magnetic field, including computer diskettes.
Programmer Reference Guide
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Chapter 1
Precautions
Environmental precautions
To ensure safe and effective operation, use the device with care to avoid damage to the Programmer from environmental factors that may impair its function. Care is exercised in design and manufacturing to minimize damage to devices under normal use. However, electronic devices are susceptible to many environmental stresses including, but not limited to, the following examples.
The unit should not be dropped or mishandled in such a manner as to cause physical damage to the unit. This may impair device function. Even if the unit works immediately after being dropped, operational damage may have occurred that may not be observed until some future time.
Fluid should not be spilled on the unit. Even though care is exercised in design and manufacture of the unit to minimize leakage, fluid incursion may occur, which could impair functioning of the unit.
The Programmer may be affected by electrostatic discharge (ESD). In an environment likely to cause ESD, such as a carpeted floor, you should discharge any charge collected on your body before touching the device.
Electrically-operated medical devices, such as the Programmer require special care (in terms of EMC) when being installed. Refer to the accompanying insert: Electromagnetic Compatibility Declaration.
Do not open the device. The Programmer is constructed to minimize risk from environmental factors. Opening the unit may make the unit susceptible to environmental factors.
Rapid temperature changes may affect proper operation. Always allow the temperature to stabilize in the environment in which the device is used before using the device.
Prolonged storage or operation of the device in high humidity may affect proper operation.
If there is any concern that damage has occurred, the unit should be returned to Medtronic or Vitatron for inspection and any needed repair.
Besides these listed examples, various other environmental factors may impair proper performance of the unit in the hospital setting. Always use good health management practices to prevent environmental damage to the unit.
Programmer Reference Guide

Declaration of Conformity

Medtronic declares that this product is in conformity with the essential requirements of Directive 1999/5/EC on Radio and Telecommunications Terminal Equipment and Directive 90/385/EEC on Active Implantable Medical Devices (AIMD).
For additional information, contact Medtronic or Vitatron at the telephone numbers and addresses provided on the back cover of this manual.

Regulatory compliance

Industry Canada
ID:3408D-MICS
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.
Introduction to the Programmer
Declaration of Conformity
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This device may not interfere with stations operating in the
400.150-406.000 MHz band in the meteorological aids, meteorological-satellite, and earth exploration-satellite services and must accept any interference received, including interference that may cause undesired operation.
Australia / New Zealand
The device fully complies with Australian Communications and Media Authority (ACMA) and the New Zealand Ministry of Economic Development Radio Spectrum Management standards. The C-tick symbol indicates that the product complies with the applicable EMC/Radio standard for radio communications products.
US Federal Communications Commission (FCC)
FCC ID:LF5MICS (for Programmer) FCC ID:LF59767 (for Programming head)
Programmer Reference Guide
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Chapter 1

Security features for the Windows XP operating system

The following provision applies to the low frequency communications system in the device:
This device complies with Part 15 of the FCC Rules respectively. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. The user is cautioned that changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment.
The following provision applies to the UHF communications system in the device:
This transmitter is authorized by rule under the Medical Device Radio Communications Service (47 C.F.R. Part 95) and must not cause harmful interference to stations operating in the 400.150 -
406.000 MHz band in the Meteorological Aids (i.e., transmitters and receivers used to communicate weather data), the Meteorological Satellite, or the Earth Exploration Satellite Services and must accept interference that may be caused by such aids, including interference that may cause undesired operation.This transmitter shall be used only in accordance with the FCC Rules governing the Medical Device Radio Communications Service. Analog and digital voice communications are prohibited. Although this transmitter has been approved by the Federal Communications Commission, there is no guarantee that it will not receive interference or that any particular transmission from this transmitter will be free from interference.
Security features for the Windows XP operating system
The operating system software for the Programmer is Microsoft Windows XP.
The popularity of Windows XP has made it a common target for threats including network attacks and viruses. In addition, many of the features on the Programmer rely on connecting to a hospital or clinic network. The great benefit of features that rely on network connections comes with a slight increase in the possible vulnerability of the Programmer to network-originated threats.
Programmer Reference Guide
Introduction to the Programmer

Software requirements

What Medtronic has done to promote security on the Programmer
Medtronic has gone to great lengths to promote the safety and reliability of the Programmer. The Programmer is configured as a special purpose device, with no general purpose access. Because unnecessary software components such as Internet Explorer and Microsoft Office are common targets of malicious attacks, those components are not installed on the Programmer.
The operating system portion of the internal hard disk is write-protected. Each time the Programmer is restarted, it starts in a known good state. Unsupported hardware, including unsupported PCMCIA cards or USB devices, are ignored by the operating system and cannot be accessed from the Programmer. Medtronic continues to work with its partners to analyze emerging threats and evaluate potential impact on the Programmer.
What hospitals and clinics can do to promote the security of Programmers
The most important step hospitals and clinics can take to minimize the chance of the Programmer’s security being compromised is to have a secure network. This includes firewalls and security policies to keep the network, and any devices connected to it, safe and free from security threats originating from outside the network. Some threats, such as denial-of-service attacks, which cause a targeted system to continually respond to bogus network requests, can only originate and affect systems at the local level.
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What to do if you suspect the Programmer has been compromised
If you believe the Programmer has been compromised by a security threat, turn off the Programmer, and disconnect it from the network or remove the network card, then restart the system. Contact your Medtronic or Vitatron representative for further assistance.
Software requirements
The Programmer requires software from Medtronic and Vitatron to operate. Once installed, the software remains on the Programmer hard drive.
Medtronic and Vitatron periodically update the software to add functions to the Programmer.
Programmer Reference Guide
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Chapter 1

Programmer functions

Programmer functions
Programming functions:
Telemetry functions:
The following list summarizes some of the Programmer functions. Specific functions depend on the implantable device model being programmed or monitored and the software installed.
Permanent and temporary adjustment of parameter values.
Selection of nominal parameter values established by Medtronic, Vitatron or by the user.
Emergency buttons for VVI pacing.
Automatic detection of the device model, and automatic application start-up, if the programming head is in proper position when the Programmer is turned on.
Automatic confirmation of a programmed change.
Reporting of currently programmed parameter values in effect and battery status of the implanted device.
Reporting of real-time measurements of implantable device operating parameters such as battery voltage, output energy, etc.
Display and printout of Marker Channel telemetry to simplify EGM analysis.
Display and printout of an atrial and/or ventricular intracardiac electrogram (EGM) taken from the electrodes of the implantable device lead system.
Programmer Reference Guide
ECG and other diagnostic functions:
ECG window on programming and telemetry data screens provides a continuous view of the patient’s ECG.
Full-window ECG display including a freeze option and an amplitude adjustment feature; ECG display includes Marker Channel telemetry, EGM waveforms, or both when available.
Continuous multi-channel recording (ECG and Marker Channel telemetry or ECG and EGM, for example).
Stimulation threshold test functions.
Direct measurement of pulse rate, AV interval, and pulse width.
Temporary implantable device inhibition.
Printout of programmed and measured information for permanent record.
Software update function:
Updates available from Medtronic personnel.
Clinical software applications that have Uninstall Software capability may be removed using the Programmer Desktop.
Introduction to the Programmer
Programmer functions
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Programmer Reference Guide
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Chapter 1

System components

System components
Figure 1-1. Programmer components - front view
1 Display screen
2 Emergency VVI
button
3 Microphone jack
4 Headphone jack
5 Keyboard cover
6 Keyboard
7 Printer controls
8 Telephone cord
(not supplied)
9 Printer paper
Note: Only accessories approved by the manufacturer should be used.
10 Programming
head (ordered separately)
11 Touch pen
12 Electrode leads
13 ECG cable
with plug
14 Reference guide
15 Disk drive, PC
card cover
16 Power cord
17 Ethernet cable
(not supplied)
Display screen – Display can be positioned smoothly from closed to nearly horizontal. Programming options are selected on the screen with the touch pen.
Programmer Reference Guide
Introduction to the Programmer
System components
Emergency VVI button – Used to deliver bradycardia VVI operation.
Microphone jack – Intended for future use.
Headphone jack – Intended for future use.
Keyboard cover – Slides forward to protect the keyboard.
Keyboard – Used to enter information.
Printer controls – Select paper speeds of 12.5, 25, or 50 mm/s.
Push a button once to select printing speed. Push it again to stop printing. The Paper Advance button allows the user to properly align the paper.
Telephone cord – Connects the Programmer modem to a telephone jack. The telephone cord must be 26 wire gauge minimum. (Not supplied by Medtronic.)
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Ethernet cable – Used to connect the Programmer to the clinic’s network. The Ethernet cable must be Category 5 or better. (Not supplied by Medtronic.)
Printer paper – Paper for the internal printer.
Programming head – Provides the communication link between
the Programmer and the patient’s implantable device. The programming head contains a strong permanent magnet, radio-frequency (RF) transmitter and receiver, and light array. It must be held over the implantable device during a program or interrogate operation. (Ordered separately; not supplied with Programmer.)
Touch pen – Used to select options on the display screen. Predetermined options are selected by applying the pen to the screen.
Programmer Reference Guide
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System components
Electrode leads / ECG cable – Connects the Programmer to skin electrodes on the patient for ECG and measurement functions requiring surface detection of cardiac and implantable device signals. Five color-coded lead wires connect the cable to standard, disposable skin electrodes applied to the patient.
Note: If you received a five-lead cable with a plug, the plug can be removed for five-lead ECG applications.
Reference guide – Programmer Reference Guide, provides information about setting up the Programmer and between session features.
Disk drive, PC card cover – Provides access to the disk drive and the PC card. If applicable to your Programmer hardware, also provides access to USB port(s) and either Integrated Ethernet or parallel connector.
Power cord – Connects the Programmer to an AC power outlet.
Figure 1-2. Front connectors (keyboard turned up)
1 Programming head (yellow marker)
2 Analog Input/Output (green marker)
3 ECG cable (black or blue marker)
Programming head – The programming head connector has a yellow marker.
Analog Input/Output – Allows an external monitor or recorder to be connected to the Programmer. This connector has a green marker.
Programmer Reference Guide
Introduction to the Programmer
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System components
ECG cable – Connects the ECG cable to the Programmer. This connector has a black or blue marker.
Figure 1-3. Left view
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1ON/OFF switch
2 Cooling fan
3 Expansion slot
4Printer
ON/OFF switch – Controls power (AC) to the Programmer. Once the Programmer is turned off, wait 2 seconds before turning it on again.
Cooling fan – Internal fan provides continuous airflow to prevent the internal circuitry from overheating.
Expansion slot – Allows for additional features to be added, such as the Analyzer that is available as an option.
Printer – Integral thermal printer with text and graphic output capabilities. According to the selected function, the printer provides data reports or it can print out a continuous ECG with accompanying Marker Channel telemetry, EGM, or both when available.
Programmer Reference Guide
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System components
Figure 1-4. Right view
1 Disk drive, PC card cover
2 Infrared window
Disk drive, PC card cover – Provides access to the disk drive and the PC card. If applicable to your Programmer hardware, also provides access to USB port(s) and either Integrated Ethernet or parallel connector.
Infrared window – Intended for future use.
Programmer Reference Guide
Introduction to the Programmer
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System components
Figure 1-5. Disk drive, PC card cover open (two variations of Programmer hardware are shown)
1PC card slot
2 Parallel connector
3 Disk drive
1PC card slot
2 Disk drive
3 Integrated Ethernet
4 USB port
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PC card slot – There are different types of PC cards that can be plugged into the PC card slot:
The Modem card.
The Combination Ethernet/Modem Network card, referred to as the combo card.
These PC cards can be used to connect to the Software Distribution Network.
Warning: When using a modem or combo card, make sure that the telecom voltage does not exceed 125 V. Excessive voltage may damage the Programmer.
Parallel connector – Allows a printer to be connected to the Programmer.
Disk drive – Accommodates a 90 mm formatted diskette that is IBM-compatible.
Programmer Reference Guide
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System components
Integrated Ethernet – Allows the Programmer to connect to the Software Distribution Network and the Paceart data management system using an Ethernet connection.
Figure 1-6. Back view (power cord door open)
1 USB port(s)
2 VGA output port
3Power cord
USB port(s) – Allows installation of software, software updates, and future device application installations. The USB port can also be used to connect to a USB printer or a USB flash drive.
VGA output port – Allows porting the screen image of the Programmer to an external VGA monitor or for conversion of the output signal to NTSC/PAL format for presentation on a television monitor.
Caution: To protect against interference or surge/leak currents, the use of a secondary VGA monitor that meets an applicable safety standard such as UL 60950 or IEC 60950 is strongly recommended.
Power cord – Connects the Programmer to line (AC) power.
Programmer Reference Guide
Introduction to the Programmer
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Display screen features

The Programmer display screen is an interactive device that displays text and graphics. It is also a control panel that displays buttons and menu options that you can select using the touch pen.
Features and conventions of the display screen
This section provides an overview of the features of the display screen. For more information, refer to the reference guide for the implanted device. Figure 1-7 shows the main elements of the typical screen. Vitatron display screens may be different; see the reference guide for the implanted device. If you see a button, select it to display the Vitatron Select Model screen.
Note: For information on changing the language (for example, from English to German), see “Change the language setting” on page 79.
Figure 1-7. Main elements of a display screen example
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Display screen features
1 Task bar
2 Status bar
3 Live Rhythm Monitor window
4 Waveform adjustment bars
5 Task area
6 Command bar
7 Buttons
8 Tool palette
Programmer Reference Guide
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Chapter 1
Display screen features
Task b a r
The task bar can contain these icons/indicators:
Tab le 1- 1. Task bar icons/indicators
Icon Name Function
Position head light array
Turns green to indicate successful communication between the programming head and the device. The greater the number of green bars on the array, the better the communication. A minimum of two green bars should be lit.
Analyzer indicator/selector
Device indicator/selector
USB indicator Turns green to indicate USB flash drive is
Diskette indicator Turns green to indicate diskette drive is
Used to start an analyzer session or, if your device supports concurrency, to switch to an analyzer session from a device session. When an analyzer session is running, the indicator box turns green. (For more information on the optional Analyzer, see the 2290 Analyzer Reference Guide.)
Used to go to the Select Model screen on the Programmer desktop or, if your device supports concurrency, to switch to a device session from an analyzer session. When a device session is running, the indicator box turns green.
available for saving PDF reports and patient data. When USB indicator is green, diskette is not available. When inserting a USB flash drive, you may experience a slight delay before device is available for use.
available for saving PDF reports and patient data. When diskette indicator is green, USB flash drive is not available.
Programmer Reference Guide
Introduction to the Programmer
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Display screen features
Status bar
Before selecting a model, the status bar has no information. For specific information about the status bar, refer to the reference guide for the implanted device. After model selection, the status bar may include:
The present pacing mode.
Test condition status.
The device model.
1 Status bar
Live Rhythm Monitor window
This window is a partial view of the full-screen display of the ECG, and contains a Status bar and a Waveform adjustment bar that lets you make changes to the waveform display. You can expand this window to its full size by selecting the small square button in the upper-right corner of the window or by selecting
[Adjust...].
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After model selection, Marker Channel and telemetered EGM waveform traces may be available.
Refer to the appropriate reference guide for the implanted device for more information about the Live Rhythm Monitor. Refer to the
2290 Analyzer
Reference Guide for information about the controls
on the Waveform Adjustment bar.
1 Waveform Adjustment bar
Task area
The portion of screen between the Live Rhythm Monitor window at the top and the command bar at the bottom changes according to the task or function you select.
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Display screen features
Command bar
The bar at the bottom of the screen shows the command buttons for automatically launching the proper software application and displaying the Vitatron Select Model screen. For information on what command buttons are available after selecting a model, see the reference guide for the implanted device.
Buttons
Buttons like those shown below let you operate the Programmer using the touch pen. You can “press” a button by touching it with the tip of the touch pen.
1 Inactive button (indicated by a lighter color)
Buttons may directly execute a command, such as they may open a window that prompts another action. Usually such buttons have a label ending with an ellipsis, such as
[Strips...] or [Adjust...].
A procedure may instruct you to “press and hold” a button. Press the tip of the touch pen to the button and maintain pressure until it is time to “release” the button.
When a button is inactive, it appears a lighter color and does not execute a command when you press it with the touch pen.
Tool palette
The collection of buttons and icons along the edge of the screen is referred to as the “tool palette.” These are the controls you will use to choose the task or function screen you want displayed. For more information, see “About the between sessions tool palette” on page 72. For information about the session tool palette, refer to the reference guide for the implanted device.
Programmer Reference Guide
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