Medtronic KDR603 Addendum

KAPPA®400/600/650/700 SERIES
/C/TEMP/198567001D_view.pdf
SIGMA SERIES
Software Model 9952 4.0.1 Software Model 9953 4.0.1 Software Model 9963 4.0.1 Vision
TM
Pacemaker Programming Guide Supplement
Medtronic® Vision 4.0 Software Pacemaker Programming Guide Supplement
A guide to using the 9790 Series programmer with Vision 4.0 Software for Medtronic Sigma® Series.
This guide also includes features and enhancements for Kappa 400 Series, Kappa 600 Series, Kappa 650 Series, and Kappa 700 Series pacemakers.
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
The following terms are trademarks of Medtronic®, Inc.
Capture Management, Checklist, FAST, Fast Path, Implant Detection, Kappa, Key Parameter History, Marker Channel, Medtronic, Medtronic Kappa, Medtronic Vision, Rate Profile Optimization, Remote Assistant, Auto-PVARP, QuickLink, Quick Look, Search AV, Sensing Assurance, Significant Events, Sinus Preference, Thera,
and Vision.

About This Programming Guide Supplement

About This Programming Guide Supplement
This programming guide supplement covers new features and programming capabilities available with Medtronic Vision software Model 9963 for Medtronic Sigma Series pacemakers, Model 9952 for Kappa 400 Series, and Model 9953 for Kappa 600 Series, Kappa 650 Series, and Kappa 700 Series pacemakers. This guide supplements information provided in the following technical literature:
Medtronic Sigma 300/200/100 Series Pacemaker Programming Guide
Medtronic Sigma 300/200/100 Series Pacemaker Reference Guide
Medtronic Kappa 700/600 Series Pacemaker Programming Guide
Medtronic Kappa 700/600 Series Pacemaker Reference Guide
Medtronic Kappa 400 Series Pacemaker Programming Guide
Medtronic Kappa 400 Series Pacemaker Reference Guide
Pacemaker Programming Guide Supplement iii

New Software Capabilities for Sigma

New Software Capabilities for Sigma
This software has features to assist in accessing and interpreting pacing system information. These features include:
Enhanced Reports and Follow-Up Features
Initial Interrogation report: provides comprehensive data from
the initial interrogation of the pacemaker and may be printed automatically at the start of the session
Final report: summary of programming session including in-office
threshold and sensing tests
QuickLink buttons to provide direct access to key diagnostic data
Session icon allows you to set preferences for printing reports
and the waveform that appears on tests screens during a session
Diagnostic Updates
Quick access to EGM data for Atrial and Ventricular High
Rate Detail
Waveform Enhancements
iv Pacemaker Programming Guide Supplement
Table of contents
Table of contents
About This Programming Guide Supplement iii New Software Capabilities for Sigma iv
1. Enhanced Reports and Follow-Up Features
About Reports 1-2 Quick Look Screen Enhancements 1-3 User Preferences 1-4 Streamlining Printing 1-6
2. Diagnostic Updates
Accessing data 2-2
3. Medtronic Kappa 650 Series Pacemakers
Programmable Modes and Parameters 3-2 Capture Management Parameters 3-3
4. Waveform Trace Enhancements
Adjusting and Configuring Waveforms 4-2
5. Saving Data Enhancements
Saving Data to a Diskette 5-2 Ending a Patient Session 5-2
A. Index
Pacemaker Programming Guide Supplement v

Enhanced Reports and Follow-Up Features

This chapter describes the enhanced reports and follow-up features for Medtronic Vision 4.0 Software. The enhancements apply to the Sigma Series pacemakers.
1
About Reports 1-2
Quick Look Screen Enhancements 1-3
User Preferences 1-4
Streamlining Printing 1-6
Pacemaker Programming Guide Supplement 1-1
Enhanced Reports and Follow-Up Features

About Reports

About Reports
This section describes two enhanced reports and a change to the function of the Device Memory Report. The enhanced reports are:

Initial Interrogation Report

Final Report

Initial Interrogation Report
An initial interrogation report is printed automatically at the beginning of the session by default (see Initial Report on page 1-5 for information about printing options). Each report is labeled with the patients name and identification numbers. Initial interrogation reports include the following information (depending on pacemaker model and programmed settings):
Patient /Device Information
Pacemaker Status
Clinical Status
Heart Rate Histograms
High Rate and Mode Switch Episodes Summaries
Pace/Sense and PVC/PAC Event Counters
All Permanent Parameters
Final Report
You can print a final report via Available Reports. Each report is labeled with the patients name and identification numbers. Final reports include the following information (depending on pacemaker model and programmed settings):
Patient /Device Information
Pacemaker Status
Lead Status
In-Office Pacing and Sensing Threshold Test Results
All Permanent Parameters (with any changes indicated)
1-2 Pacemaker Programming Guide Supplement
Enhanced Reports and Follow-Up Features

Device Memory Report

When reading the Device Memory Report into the Demo mode, the date and time of the follow-up are maintained. For more information about the Demo mode, refer to the instructions that accompany the Demonstrations program diskette.

Quick Look Screen Enhancements

The Quick Look screen appears automatically when you start a patient session or when you choose to display it. From the screen, you will find an overview of pacemaker operation and programmed settings.
Enhancements to the Quick Look screen include:
QuickLinks providing direct access to key Lead Impedance diagnostic data
Pacing heading and a QuickLink to Heart Rate Histogram appears in place of Total Events.
Quick Look Screen Enhancements
What appears on the Quick Look
screen depends on the pacemaker
model and the programmed settings.
New QuickLink to histograms
QuickLink to Atrial Lead
Impedance
QuickLink to Ventricular Lead
Impedance
Viewing Data from the Quick Look Screen
Selecting the QuickLink symbol displays diagnostic data for the associated parameter.
Figure 1-1. Medtronic Sigma Series Pacemaker Quick Look Screen
Pacemaker Programming Guide Supplement 1-3
Enhanced Reports and Follow-Up Features

User Preferences

User Preferences
A new icon on the bottom of the session tool bar allows you to access options for printing reports and the appearance of the waveform on test screens.
Selections are retained between sessions.
Selecting the Session icon displays the following options:
Printing
Initial Report
Te s ts
Note: The Demo icon replaces the Session icon when the Demo mode is in effect. For more information about the Demo mode, refer to the instructions that accompany the Demonstrations program diskette.
Select Preferences
option from list
1-4 Pacemaker Programming Guide Supplement
Figure 1-2. Preference Options
Enhanced Reports and Follow-Up Features
User Preferences

Printing Preferences

Printing Preferences let you control the number of the copies, target printer and paper type, and whether to print now or later. Printing Preferences are retained between sessions.The options are:
Pop up these options when any Print button is selected (default, display print options when any Print button is selected)
Number of copies (default is 1)
Printer
Full Size
Programmer Strip (default)
Print report
Now (default)
Later from Print Queue
Print continuously (Trace Mode, allows data to be printed as it becomes available. This option previously appeared on the Available Reports screen)
For information about printing with a single button press, see Streamlining Printing on page 1-6.

Initial Report

The Initial Interrogation Report Preferences option allows you to automatically print the report at the start of a session. The default is to print the report automatically. Initial report preference is retained between sessions.

Tests

The Tests Preferences options apply when you enter a test screen. Test Preference are retained between sessions. You may choose either of the following options:
Switch EGM to match selected test chamber (default)
Do not change waveform arrangement
Pacemaker Programming Guide Supplement 1-5
Enhanced Reports and Follow-Up Features

Streamlining Printing

Streamlining Printing
If you want to be able to print data by pressing [Print] once, use the procedure below. Your selections are retained between sessions.
Procedure for one-step printing
1. Select the Session icon.
2. Verify that Printing is selected on the list under Index.
3. Verify that Pop up these options when any Print Button is selected
is not selected.
4. Select the Printer.
5. Select Now under Print Report.
6. Select [Ok].
Options for
one-step printing
Figure 1-3. Printing Preference Options
1-6 Pacemaker Programming Guide Supplement

Diagnostic Updates

This chapter describes changes to the way diagnostic data is displayed for Sigma Series pacemakers.
2
Accessing data 2-2
Pacemaker Programming Guide Supplement 2-1
Diagnostic Updates

Accessing data

Accessing data
.
Zoom region that indicates the
data is displayed by selecting
the strip icon or the Zoom In
button
This section describes enhancements to how you access data.

Displaying Detail Data

Selecting the Strip icon on a detail diagnostic data screen displays Marker and/or EGM data, beginning with data in the Zoom region (the area within the yellow box).
Strip icon for displaying Marker
data, EGM data or both
Figure 2-1. Accessing Detail Data
The Zoom region is located as follows:
At the most recent data (Custom Rate Trend)
At the point of detection of an episode (Atrial High Rate Detail, Ventricular High Rate Detail)
2-2 Pacemaker Programming Guide Supplement

Medtronic Kappa 650 Series Pacemakers

The section provides descriptions of the preset parameters for Medtronic Kappa 650 Series pacemakers.
1
3
Programmable Modes and Parameters 3-2
Capture Management Parameters 3-3
1
Medtronic Kappa 650 Series Pacemakers are sold in the US only.
Pacemaker Programming Guide Supplement 3-1
Medtronic Kappa 650 Series Pacemakers

Programmable Modes and Parameters

Programmable Modes and Parameters
The Medtronic Kappa 650 Series pacemakers are identical to the Kappa Model 600 Series pacemakers with the ability to program Capture Management to Adaptive. For complete information, refer to the
Medtronic.Kappa 700/600 Series Pacemaker Programming Guide, the Medtronic.Kappa 700/600 Series Pacemaker Reference Guide, and the Medtronic Kappa 650 Series Pacemaker Product Information Manual.
The Medtronic Kappa 650 Series includes Model K

Capture Management

Capture Management provides automatic monitoring of ventricular pacing thresholds. While monitoring, the pacemaker performs a pacing threshold search for the ventricular Amplitude and Pulse Width settings that define the boundary between settings that capture the myocardium and those that do not. With the Medtronic Kappa 650 Series pacemakers, clinicians can opt to program the device so that it responds to monitoring by adapting ventricular Amplitude and Pulse Width settings automatically to maintain the programmed safety margin and minimum settings.
DR651, 653, and 656.
Capture Management is enabled at the completion of Implant Detection.

Automatic Threshold Adaptation

Capture Management can be programmed (Adaptive setting) to provide automatic adaptation of ventricular Amplitude and Pulse Width based on pacing threshold search results. Following each search, the pacemaker creates a target output by applying a programmable safety margin to the chronaxie approximation determined during the search. The pacemaker calculates the target and then adapts outputs toward this target.
3-2 Pacemaker Programming Guide Supplement
Medtronic Kappa 650 Series Pacemakers

Capture Management Parameters

Shipping and Nominal Parameters

Because the Model KDR651, 653, and 656 are identical to the Kappa 600 series, this section only lists the parameters associated with the Capture Management feature.
Tab le 3-1 . Shipping and Nominal Settings
Parameter Shipping Medtronic Nominal
Capture Management Adaptive
a
Capture Management is enabled and Ventricular Amplitude and Pulse Width become Adaptive at the completion of the Implant Detection period.
Capture Management Parameters
a
Adaptive
Pacemaker Programming Guide Supplement 3-3

Waveform Trace Enhancements

Chapter 4 describes the enhanced Waveform for the Vision
4.0 software. The waveform enhancements apply to the Medtronic Sigma Series, Medtronic DX2 7970 and 7972, Medtronic Kappa 400 Series, Kappa 600 Series, Kappa 650 Series, and Kappa 700 Series pacemakers.
4
Adjusting and Configuring Waveforms 4-2
Pacemaker Programming Guide Supplement 4-1
Waveform Trace Enhancements

Adjusting and Configuring Waveforms

Adjusting and Configuring Waveforms
The programmer Adjust window has been modified, and a waveform adjustment button bar has been added to each waveform for greater flexibility in adjusting waveform options.

The Adjust Window

Options available for adjusting the waveform traces using the Adjust window are as follows:
Clipping Select this checkbox to truncate the tops and bottoms of
ECG Filter Select this checkbox to turn the ECG filter on or off. A
Show Artifacts Select this checkbox to enable or disable the pacing
Sweep speed Select the Sweep Speed field to display the sweep speed
Teleme try Mod e Select the Telemetry Mode field to display the options for
Normalize Select this button to equalize the trace spacing and adjust
OK Select this button to close the Adjust window.
waveform traces at a 22 mm boundary. A checkmark () indicates that the filter is turned on. Default setting is ().
checkmark () indicates that the filter is turned on. The filter may improve clarity of the ECG in the presence of interference.
artifact enhancement function. A checkmark () indicates that the function is enabled.
options (12.5, 25, 50, and 100 mm/sec). To change the sweep speed, select the desired option.
programming the type of waveform telemetry transmitted by the pacemaker.
the size of each trace to the default setting.
4-2 Pacemaker Programming Guide Supplement
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
To Open the Adjust Window
1. Select the [Adjust...] button near the top of the tool palette. This expands the live rhythm display window (if it is not already expanded) and displays the Adjust window.
Pacemaker Programming Guide Supplement 4-3
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
To Adjust Clipping
1. Select the Clipping checkbox in the Adjust window.
[Clipping] button
Selecting the Clipping checkbox causes each waveform to be truncated at the 22 mm boundary, with a flat line drawn at the boundary wherever a waveform is clipped.
Note: The 22 mm boundary applies to the screen. A 25 mm boundary applies to the printer.
To Select the ECG Filter
1. Select the ECG Filter checkbox to turn the ECG filter on or off. A checkmark () indicates that the filter is turned on.
ECG Filter checkbox
Show Artifact checkbox
The ECG filter may improve clarity of both the displayed and printed ECG in the presence of interference. The filter affects the ECG detection bandwidth as follows:
Filter Off (no checkmark) – Bandwidth is 0.05 to 100 Hz
Filter On (checkmark) – Bandwidth is 0.5 to 40 Hz
4-4 Pacemaker Programming Guide Supplement
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
Enabling Artifact Enhancement
Select the Show Artifact checkbox to enable or disable the pacing artifact enhancement function. A checkmark () indicates that the function is enabled.
The two trace illustrations below show how the ECG trace appears with and without this feature enabled.
Artifact Enhancement Enabled (Checkmark)
Artifact Enhancement Disabled (No Checkmark)
Selecting a Different Sweep Speed
From the Adjust window, you can set the trace sweep speed to one of four settings: 12.5, 25, 50, and 100 mm/sec.
To Change the Trace Display Sweep Speed
Select the Sweep Speed field in the Adjust window and select the
desired speed.
Sweep Speed Field
Menu of Choices
To Normalize the Rhythm Monitor
Select the [Normalize] button in the Adjust window. This refreshes
the Rhythm Monitor screen and restores each trace to its original default size, with equal vertical spacing between the traces.
Pacemaker Programming Guide Supplement 4-5
Waveform Trace Enhancements
Adjusting and Configuring Waveforms

The Waveform Adjustment Button Bar

A waveform adjustment button bar has been added to each waveform for greater flexibility in adjusting waveform options. To select a button, touch it with the stylus.
Waveform Adjustment Buttons
Normalize button
Increase size – press and release to increase the size of the
waveform.
Normalize – refreshes the waveform trace and restores it to its
original default size.
Decrease size – press and release to decrease the size of the
waveform.
Waveform source – use to select waveform source.
Waveform print selection – Select to enable waveform for printing.
Up to two waveforms can be enabled.
4-6 Pacemaker Programming Guide Supplement
[Size] buttons
[Normalize] button
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
To Adjust the Size or Amplitude of a Waveform
1. Select or in the waveform adjustment button bar for the trace
you wish to adjust.
2. Press the appropriate button to increase or decrease waveform size.
Each button may be pressed up to four times for EGM waveforms, and up to 4 times for ECG waveforms.
To Normalize a Waveform
To return the waveform to its default size, press the [Normalize]
button.
Selecting a Trace Source
You can change the order in which traces appear in the monitor window. One method is by changing the “source” of one or more of the traces as described below. Also, you can use the stylus to “drag” a trace to the desired location as described on page 4-9.
[Source] button
To Change the Source of a Trace
1. Select the [Source] button from the waveform adjustment button bar.
Traces may be superimposed on one another. In the example above, both the ECG Lead II and Marker Annotations make up the first trace. Note that the name of only one source appears at the left edge of the screen.
To display the name of the other source, “tap” the trace name at the left edge of the screen. It will change to show the source of the other trace.
2. Select the source field for the trace you want to change.
Pacemaker Programming Guide Supplement 4-7
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
Source field
3. From the drop-down menu of Source options, select the desired source.
Selecting a source option causes the source of the trace presently displayed to change positions with the trace source you selected.
Color Coding the Traces
To Change the Color of a Trace
Note: This procedure is for color programmers only.
1. Open the Adjust... window. Select the color field in the waveform
trace area.
2. Select the color field for the trace you want to change.
Color Field
3. Select the desired color from the drop-down menu of color options.
4-8 Pacemaker Programming Guide Supplement
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
Selecting waveforms for Chart Recorder Printing
At any time during a patient session, you can initiate a continuous, live recording of the patients ECG, EGM, and Marker Channel traces on the programmers chart recorder.
By default, the topmost ECG and the topmost EGM waveforms on the programmer display are enabled for printing.
To Select Waveforms for Chart Recorder Printing
1. Select the print button next to a print-enabled waveform that you do
not want to print.
Printing enabled for
this waveform
Printing disabled for
this waveform
This disables printing for that waveform. Only EGM and ECG waveforms are available for selection.
2. Select the blank button next to the waveform you want to print.
The blank button will then change to a print button, indicating that the waveform is enabled for printing.

Arranging the Traces

In addition to ordering the traces by selecting the source as described on page 4-7, you can use the stylus to “drag” a trace to the desired position. The procedure below shows how to move the Marker Annotation trace from its current position to a position over the ECG Lead II trace.
Pacemaker Programming Guide Supplement 4-9
Waveform Trace Enhancements
Adjusting and Configuring Waveforms
To Move a Trace Using the Stylus
1. Press and hold the stylus against the name of the trace you want to move.
2. Without lifting the stylus, drag the box now appearing around the trace name and waveform adjustment button bar to the desired location.
Note: To change the position of a superimposed trace by dragging it, the source that you want to move must show at the left edge of the screen.
3. When you have the box positioned where you want the trace to appear, lift the stylus. If you are positioning the trace over another, the trace will “snap” into position.
To equalize the spacing between the traces in the new arrangement, select the
[Normalize] button in the Adjust window.
4-10 Pacemaker Programming Guide Supplement

Saving Data Enhancements

Chapter 5 describes the enhanced method for saving data to a diskette. This enhancement applies to the Medtronic DX2 7970 and 7972, Medtronic Kappa 400 Series, Kappa 600 Series, Kappa 650 Series, and Kappa 700 Series pacemakers.
5
Saving Data to a Diskette 5-2
Ending a Patient Session 5-2
Pacemaker Programming Guide Supplement 5-1
Saving Data Enhancements

Saving Data to a Diskette

Saving Data to a Diskette
You can save data to a diskette at any time during a patient session. The Save to Disk feature has been added to the Session Icon along with Preferences. Using this save to disk operation does not force an [End Session ...]. For diskette requirements and a complete list of data that can be saved to a disk, refer to the appropriate Medtronic reference guides:
Medtronic Kappa 700/600 Series Pacemaker Programming Guide
Medtronic Kappa 700/600 Series Pacemaker Reference Guide
Medtronic Kappa 400 Series Pacemaker Programming Guide
Medtronic Kappa 400 Series Pacemaker Reference Guide
To Save Data to a Diskette During a Patient Session
1. Select the Session icon.
2. Select the Save to Disk... option.
3. Insert a diskette into the floppy disk drive of the programmer.
4. Select [Start].
Note: You also have the option to Save to Disk when you select [End Session...].

Ending a Patient Session

To End a Patient Session
1. Select the [End Session...] button in the command bar at the bottom of the screen.
2. Select the [Save to Disk...] button.
3. Insert a diskette into the floppy disk drive of the programmer.
4. Select [Start].
5-2 Pacemaker Programming Guide Supplement

Index

A
A
Adjust WIndow 4-2 Adjust Window
opening 4-3 Adjustment Buttons 4-6 Artifact viewing enhancement 4-5 Artifacts
enabling 4-5
pacing 4-5 Automatic Threshold Adaptation 3-2 AV Conduction Histograms
screen 2-2
C
Capture Management 3-2 Capture Management Parameters 3-3 Clipping
adjusting 4-4 [Clipping] button (Live Rhythm Monitor) 4-2 Color coding waveform traces 4-8
D
data
viewing 1-3 detail data
accessing 2-2
displaying 2-2 Device Memory report 1-3
diagnostics
viewing 1-3
E
ECG
adjusting sweep speed 4-5
filter 4-4 [ECG Filter] button (Live Rhythm Monitor) 4-2 Ending a Patient Session 5-2
F
Filter, ECG 4-4 Final Report 1-2
I
Initial Interrogation Report 1-2
L
link, quick 1-3
N
new software capabilities iv Normalize
waveform 4-7 [Normalize] button (Live Rhythm Monitor) 4-2, 4-5, 4-6
Pacemaker Programming Guide Supplement A-1
Index
O
one-step printing 1-6
P
parameters
programmable 3-2
preferences
options 1-4 printing 1-5 tests 1-5
user 1-4 printing preferences 1-5 printing, streamlining 1-6 Priting
waveforms 4-9 Programmable Modes and Parameters 3-2 programmable modes and parameters
Kappa 700/600 3-2 programming guide supplement overview iii
Q
Quick Look
enhancements 1-3
screen 1-3 QuickLink 1-3
R
reports
device memory 1-3
final 1-2
initial interrogation 1-2
overview 1-2
S
Saving 5-2 Saving Data to a Diskette 5-2 Selecting
ECG filter 4-4
waveform trace color 4-8 [Show Artifacts] button (Live Rhythm Monitor) 4-2 Significant Events 2-2
Size
waveform
adjusting 4-7 [Size] button (Live Rhythm Monitor) 4-6 software, new capabilities iv Sweep speed
adjusting 4-5
[Sweep Speed] button (Live Rhythm Monitor) 4-2
T
tests preferences 1-5 Trace
arranging on the display 4-9 color coding 4-8 selecting the source 4-7
U
user preferences 1-4
V
Viewing pacing artifacts 4-5
W
Waveform
arranging traces 4-9
normalize 4-7 waveform 4-6 Waveform Adjustment Button Bar
Adjustment Button Bar 4-6 Waveform Adjustment Buttons 4-6 [Waveform print selection] button (Live Rhythm
Monitor) 4-6
Waveform size
adjusting 4-7 [Waveform source] button (Live Rhythm Monitor) 4-6 Waveform Trace Enhancements 4-1, 5-1 Waveforms 4-2
selecting for Chart Recorder printing 4-9
A-2 Pacemaker Programming Guide Supplement
Europe
Europe/Africa/Middle East Headquarters
Medtronic Europe S.A. Route du Molliau 1131 Tolochenaz Switzerland Internet: www.medtronic.co.uk Tel. 41-21-802-7000 Fax 41-21-802-7900
Medtronic E.C. Authorized Representative
Medtronic B.V. Wenckebachstraat 10 6466 NC Kerkrade The Netherlands Tel. 31-45-566-8000 Fax 31-45-566-8668
Asia-Pacific
Japan
Medtronic Japan Solid Square West Tower 6F 580 Horikawa-cho, Saiwai-ku Kawasaki, Kanagawa 210-0913 Japan Tel. 81-44-540-6112 Fax 81-44-540-6200
Australia
Medtronic Australasia Pty. Ltd. Unit 4/446 Victoria Road Gladesville NSW 2111 Australia Tel. 61-2-9879-5999 Fax 61-2-9879-5100
Asia
Medtronic International Ltd. Suite 1602 16/F, Manulife Plaza The Lee Gardens, 33 Hysan Avenue Causeway Bay Hong Kong Tel. 852-2891-4068 Fax 852-2591-0313
Americas
Latin America Headquarters
Medtronic, Inc. 710 Medtronic Parkway NE Minneapolis, MN 55432-5604 USA Tel. 763-514-4000 Fax 763-514-4879
Canada
Medtronic of Canada Ltd. 6733 Kitimat Road Mississauga, Ontario L5N 1W3 Canada Tel. 905-826-6020 Fax 905-826-6620 Toll-free in Canada: 1-800-268-5346
United States
World Headquarters Medtronic, Inc. 710 Medtronic Parkway NE Minneapolis, MN 55432-5604 USA Internet: www.medtronic.com Tel. 763-514-4000 Fax 763-514-4879
Medtronic USA, Inc.
Toll-free in the USA: 1-800-505-4636 (24-hour consultation for physicians and medical professionals)
*198567001*
© Medtronic, Inc. 2001 All Rights Reserved
UCX198567001 198567001 May 2001
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