KAPPA®700/600/400 SERIES
Software Model 9953 3.1
Software Model 9952 3.1
Vision™Programmer Software
Pacemaker Programming Guide Supplement
1
Medtronic Kappa®700/600/400 Series
Pacemaker Programming Guide Supplement
Caution: Federal law (USA) restricts this device to
sale by or on the order of a physician.
A guide to using the 9790 Series
programmer with Vision 3.1
Software for Medtronic Kappa®
700/600/400 Series pacemakers
4
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
9953 version 3.1 for Medtronic.Kappa 700/600 Series pacemakers and
Medtronic.Vision software model 9952 version 3.1 software for
Medtronic.Kappa 400 Series pacemakers. This guide supplements
information provided in the following technical literature:
■
Medtronic.Kappa 700/600 Series Pacemaker Programming Guide
■
Medtronic.Kappa 700/600 Series Pacemaker Reference Guide
■
Medtronic.Kappa 400 Series Pacemaker Information and
Programming Guide Volume I
■
Medtronic.Kappa 400 Series Pacemaker Information and
Programming Guide Volume II
Note: Medtronic.Vision software model 9952 version 3.1 software also
programs Medtronic DX2 pacemaker models 7970 and 7972. Refer to the
Medtronic Kappa 400 Series Pacemaker Information and Programming
Guide Volume II for information about Medtronic DX2 pacemakers models
7970 and 7972.
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
iii
New Software Capabilities
New Software Capabilities
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
– Checklist Go to task button is always available during a
session
■
Diagnostic Updates
– Programmable EGM monitoring period
– Results of the last ambulatory Capture Management threshold
test (Medtronic Kappa 700/600 Series pacemakers only)
– Display of Sensing Assurance data as P-wave and R-wave
Amplitudes (Medtronic Kappa 700/600 Series pacemakers only)
– Quick access to EGM data
■
Rate Response Updates
– Ability to fine tune rate response by adjusting the Activity
Contribution parameter for Medtronic Kappa 400 Series
pacemakers
– Expanded rate response programming options for Medtronic
Kappa 400 Series pacemakers
■
Option to program Lead Monitor Off for Medtronic Kappa 700/600
Series pacemakers
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Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Table of contents
Table of contents
About This Programming Guide Supplement iii
New Software Capabilities iv
1. Enhanced Reports and
Follow-Up Features
About Reports 1-2
Quick Look Screen Enhancements 1-4
User Preferences 1-5
Streamlining Follow-Ups with Checklist 1-7
Streamlining Printing 1-8
2. Diagnostic Updates
Updated Diagnostic Data Screens 2-2
Accessing data 2-16
Programming Data Collection 2-19
3. Rate Response For
Medtronic Kappa 400 Series Pacemakers
Programming Activity Contribution For
Medtronic Kappa 400 Series Pacemakers 3-2
Thera Look Rate Response For Medtronic Kappa 400 Series
Pacemakers 3-5
Programming Thera Look Rate Response For Medtronic Kappa 400
Series Pacemakers 3-8
A. Medtronic Kappa 700/600 Series Pacemakers
Programmable Modes and Parameters A-2
Shipping Parameters A-5
Clinician-Selectable Diagnostics A-7
VDD Mode Indications A-11
B. Medtronic Kappa 400 Series Pacemakers
Programmable Modes and Parameters B-2
Preset Parameter Values B-3
Clinician-Selectable Diagnostics B-4
C. Index
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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Table of contents
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Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Enhanced Reports and
Follow-Up Features
This chapter describes the enhanced reports and follow-up
features for Medtronic Kappa 700/600 Series pacemakers
and Medtronic Kappa 400 Series pacemakers.
1
1
About Reports 1-2
Quick Look Screen
Enhancements 1-4
User Preferences 1-5
Streamlining Follow-Ups with
Checklist 1-7
Streamlining Printing 1-8
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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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 1-6 for information
about printing options). Each report is labeled with the patient’s name plus
identification and chart numbers. Initial interrogation reports include the
following information (depending on pacemaker model and programmed
settings):
■
Patient /Device Information
■
Pacemaker Status
■
Clinical Status
■
Long Term Heart Rate Histograms
■
High Rate and Mode Switch Episodes Summaries
■
Last ambulatory Capture Management measured threshold
(Medtronic Kappa 700/600 Series pacemakers only)
■
P-wave and R-wave Amplitude measurements (Medtronic Kappa
700/600 Series pacemakers only)
■
All Permanent Parameters
1-2
Final Report
You can print a final report via Available Reports. Each report is labeled
with the patient’s name plus identification and chart numbers. Final
reports include the following information (depending on pacemaker model
and programmed settings):
■
Patient /Device Information
■
Pacemaker Status
■
Lead Status
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Enhanced Reports and Follow-Up Features
About Reports
■
Last ambulatory Capture Management measured threshold
(Medtronic Kappa 700/600 Series pacemakers only)
■
P-wave and R-wave Amplitude measurements (Medtronic Kappa
700/600 Series pacemakers only)
■
In-Office pacing and sensing Threshold Test Results
■
All Permanent Parameters (with any changes indicated)
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.
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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Enhanced Reports and Follow-Up Features
Quick Look Screen Enhancements
Quick Look Screen Enhancements
The Quick Look screen appears automatically when you start a patient
session or when you choose to display it. It provides an overview of
pacemaker operation and programmed settings.
Enhancements to the Quick Look screen include:
■
QuickLinks providing direct access to key diagnostic data
■
Pacing heading and a QuickLink to long term heart rate histogram
appears in place of Total Sequences.
Viewing Data from the Quick Look Screen
The symbol appearing next to a value on the Quick Look screen
indicates that the value can be changed automatically by the pacemaker.
Selecting the QuickLink symbol displays diagnostic data for the
associated parameter.
What appears on the Quick Look
screen depends on the pacemaker
model and the programmed settings.
New QuickLink to histograms
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Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Figure 1-1. Medtronic Kappa 700 Series Pacemaker Quick Look Screen
User Preferences
Select Preferences
option from list
Enhanced Reports and Follow-Up Features
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
■
Tests
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.
Figure 1-2. Preference Options
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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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)
1-6
For information about printing with a single button press, see
“Streamlining Printing” on page 1-8.
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
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Enhanced Reports and Follow-Up Features
Streamlining Follow-Ups with Checklist
Streamlining Follow-Ups with Checklist
With this software, the “go-to” Task button next to the Checklist icon in the
tool bar is available on all session screens.
Go-To Task Button
Figure 1-3. Go-To Task Button
To Use Checklist
♦
1. Select “go-to” Task button.
2. After you complete the task, select the button again to proceed to
the next task.
3. Repeat step 2 to complete the tasks listed in the checklist.
To go to a task out of the list order, select the Checklist icon, select the
task, and then select a “go-to” Task button.
To review the tasks that have been completed, select the Checklist icon.
A checkmark appears by the completed tasks.
The “go-to” Task buttons are not selectable when the last task in the list
has been completed.
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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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]
1-8
Options for
one-step printing
Figure 1-4. Printing Preference Options
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Diagnostic Updates
This chapter describes changes to the way diagnostic data is
programmed and displayed.
2
2
Updated Diagnostic Data
Screens 2-2
Accessing data 2-16
Programming Data Collection 2-19
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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Diagnostic Updates
Updated Diagnostic Data Screens
Updated Diagnostic Data Screens
The following diagnostics have updated screens:
■
Capture Management (Medtronic Kappa 700/600 Series
pacemakers only)
■
Sensing Assurance (Medtronic Kappa 700/600 Series pacemakers
only)
■
Lead Impedance Trends (Medtronic Kappa 700/600 Series
pacemakers only)
■
High Rate Episodes
■
Mode Switch Episodes
■
Heart Rate Histograms
■
AV Conduction Histograms
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Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Link for displaying the
automatic Capture
Management Trend
Diagnostic Updates
Updated Diagnostic Data Screens
Capture Management Diagnostics (Medtronic Kappa 700/600 Series Pacemakers)
Figure 2-1. Capture Management - Last Measured Threshold Screen
With this software release, the results of the most recent ambulatory
Capture Management test are available. These results include:
■
Calculated ventricular threshold Amplitude at the programmed Pulse
Width
■
Strength duration curve showing the results with a 2x amplitude
safety margin
■
Status of Capture Management (Adaptive or Monitor Only)
■
Capture Management parameters
– Ventricular Amplitude
– Ventricular Pulse Width
– Amplitude Margin
– Pulse Width Margin
– Minimum Adapted Amplitude
– Minimum Adapted Pulse Width
– Date when the Acute Phase was completed or time remaining
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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Diagnostic Updates
Updated Diagnostic Data Screens
The results of the most recent ambulatory test are displayed by:
■
■
■
Selecting the link next to Ventricular Amplitude on the Quick Look
screen.
Selecting Review Capture Management from Significant Events on
the Quick Look screen.
Selecting Capture Management Trend on the Graph and Tables
screen.
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Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
Indicates the average to
maximum threshold values
Scrolls data to the
left or right
Diagnostic Updates
Updated Diagnostic Data Screens
Capture Management Trend
Figure 2-2. Capture Management Trend Screen
The automatic Capture Management trend enhancements include:
■
Data for the present 30 day sample is displayed if available
■
A label above the graph that indicates ventricular threshold are
measured at a Pulse Width of 1.0 ms
■
Minimum Adapted Amplitude setting
■
Minimum Adapted Pulse Width setting
■
A check-box to plot programmed values as in previous versions of
software (default is not to plot)
Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide
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