Medtronic KDR603 Addendum

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

iv

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

v

Table of contents

vi

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

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 1-6 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

1-3

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

1-4

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

1-5

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

1-7

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

2-1

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

2-2

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

2-3

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.

2-4

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

2-5

Diagnostic Updates

Updated Diagnostic Data Screens

Sensing Assurance Trend (Medtronic Kappa 700/600 Series Pacemakers Only)

With this software, Sensing Assurance data can be shown as
P-waves and R-waves. A drop down list allows you to display P-waves,
R-waves, Atrial Sensitivity, and Ventricular Sensitivity.

P-Wave Amplitude Sensitivity Trends

Displays Trend options

Indicates the maximum

P-wave amplitude

Indicates the minimum

P-wave amplitude

2-6

Figure 2-3. Sensing Assurance P-Wave Trend

P-wave amplitude sensitivity trends include:

■

Initial interrogation data

– Mode

– Atrial Sensitivity

– Atrial Sense Polarity

– Atrial Lead Monitor

■

Notable data (such as sample rate, lead warning or polarity switch)

■

Current sample data

– Minimum P-wave Amplitude

– Maximum P-wave Amplitude

– Minimum Safety Margin

■

P-wave Amplitude Graph

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Diagnostic Updates

Updated Diagnostic Data Screens

– Minimum to Maximum Amplitude

– Indicates if the safety margin is not maintained

P-wave amplitude sensitivity trends can be displayed by:

■

Selecting the QuickLink next to Atrial Sensitivity on the Quick Look
screen

■

Selecting Sensitivity Trend on the Graphs and Tables screen

■

Selecting P-Wave Amplitude as the Trend on the Collected Data ­Sensitivity Trends screen.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-7

Diagnostic Updates

Updated Diagnostic Data Screens

R-Wave Amplitude Sensitivity Trends

Displays Trend options

Indicates the maximum

R-wave amplitude

Indicates the minimum

R-wave amplitude

R-wave amplitude trends include:

■

■

■

■

Figure 2-4. Sensing Assurance R-Wave Trend

Initial interrogation data

– Mode

– Ventricular Sensitivity

– Ventricular Sense Polarity

– Ventricular Lead Monitor

Notable data (such as sampling rate, lead warning, or polarity switch)

Current sample data

– Minimum R-wave Amplitude

– Maximum R-wave Amplitude

– Minimum Safety Margin

R-wave Amplitude Graph

– Minimum to Maximum Amplitude

– Indicates if the safety margin is not maintained

2-8

R-wave amplitude sensitivity trends data can be displayed by:

■

Selecting the QuickLink next to Ventricular Sensitivity on the Quick
Look screen

■

Selecting Sensitivity Trend on the Graphs and Tables screen

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Diagnostic Updates

Updated Diagnostic Data Screens

■

Selecting R-Wave Amplitude as the Trend on the Collected Data ­Sensitivity Trends screen.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-9

Diagnostic Updates

Updated Diagnostic Data Screens

Lead Impedance Trend (Medtronic Kappa 700/600 Series Pacemakers Only)

Lists the options for

displaying data

Indicates the lifetime

maximum lead impedance

Indicates lead impedance at

the most recent interrogation

Indicates the initial

lead impedance

Indicates the lifetime minimum

lead impedance

Figure 2-5. Collected Data - Chronic Lead Impedance Trend Screen

The enhancements to Lead Impedance trends include:

■

Number of High Impedance Paces appears under notable data

■

Number of Low Impedance Paces appears under notable data

Lead impedance trends can be displayed by:

■

Selecting QuickLink next to the Atrial or Ventricular Measured
Impedance on the Quick Look screen

■

Selecting the Significant Event on the Quick Look screen if a Lead
Warning or Polarity Switch occurred

■

Selecting Lead Impedance on the Graphs and Tables screen

2-10

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Lists the options for

displaying data

Diagnostic Updates

Updated Diagnostic Data Screens

High Rate Episodes (Atrial and Ventricular)

Figure 2-6. Collected Data - Atrial High Rate Episodes Screen

The enhancements to high rate episodes screens include:

■

Labels appear for the following episodes:

– First

– Fastest

– Longest

– Last

Note: If … appears after the label, it means that more than one label
applies to that episode. For example, the first episode is also the
fastest.

■

Episode detection criteria appears above the episode list.

Note: Episode detection criteria also appears on the Atrial High Rate
Detail screens and Ventricular High Rate Detail screens.

■

Additional Data column and [Open Episode] appear only if detail
data is available

■

Maximum Atrial (Vent or as appropriate) Rate (bpm)

■

Duration will be in hours (hh), minutes (mm), and seconds (ss); for
example: 5:46:03 (5 hours, 46 minutes and 3 seconds); if longer than
96 hours, >96:00:00 appears

■

Number of premature beats appear below the episode list as follows:

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-11

Diagnostic Updates

Updated Diagnostic Data Screens

– Number of PAC runs for Atrial data

– Number of PVC Singles and PVC runs for Ventricular data

2-12

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Lists the options for

displaying data

Diagnostic Updates

Updated Diagnostic Data Screens

Mode Switch Episodes

Figure 2-7. Collected Data - Mode Switch Episodes Screen

The enhancements to Mode Switch episode screens include:

■

Labels appear for the following episodes:

– First

– Fastest

– Longest

– Last

Note: If … appears after the label, it means that more than one label
applies to that episode. For example, the first episode is also the
fastest.

■

Episode detection criteria appears above the episode list

Note: Episode detection criteria also appears on Mode Switch Detail
screens.

■

Additional Data column and [Open Episode] appear only if detail
data is available

■

Maximum Atrial Rate (bpm)

■

Duration will be in hours (hh), minutes (mm), and seconds (ss); for
example: 1:07:33 (1 hour, 7 minutes and 33 seconds); if longer than
96 hours, >96:00:00 appears

■

Number of PAC runs

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-13

Diagnostic Updates

Updated Diagnostic Data Screens

Heart Rate Histograms

Lists the options for

displaying data

Indicates the percentage of

sensed and paced events in

every rate range

The enhancements to heart rate histogram screens include:

■

■

■

Figure 2-8. Heart Rate Histogram Screen

Atrial long term histograms are displayed first

Sleep rate is displayed

Total beats is no longer displayed

2-14

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

.

Lists the options for

displaying data

Indicates the percentage of

each sequence in every

rate range

Diagnostic Updates

Updated Diagnostic Data Screens

AV Conduction Histograms

Figure 2-9. Collected Data - AV Conduction Histogram Screen

The enhancements to AV Conduction histogram screens include:

■

Long Term AV Conduction histogram is displayed first

■

Number of PMT interventions is displayed

■

Total Sequences count is no longer displayed

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-15

Diagnostic Updates

Accessing data

Accessing data

This section describes enhancements to how you access data.

Significant Events

The enhancements to the Significant Events on the Quick Look screen
include:

■

Selecting “Review Capture Management” displays the results of the
last ambulatory Capture Management test (“Review Capture
Management” replaces the pacing threshold warning)

■

PMT Intervention is no longer classified as a Significant Event and
appears instead on AV Conduction Histograms

■

Custom Rate Trend Monitor data no longer appears for Medtronic
Kappa 400 Series pacemakers

Displaying Detail Data

.

Zoom region that indicates the

data is displayed by selecting

the strip icon or the Zoom In

Strip icon for displaying Marker

data, EGM data or both.

2-16

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

button

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).

Figure 2-10. Accessing Detail Data

Diagnostic Updates

Accessing data

The Zoom region is located as follows:

■

At the most recent data (Custom Rate Trend, Remote Assistant ­Exercise, Sensing Assurance Detail, Capture Management Detail)

Note: The Strip icon is not available for Remote Assistant - Exercise
and Sensing Assurance Detail screens. The Strip icon displays beat­to-beat data for Custom Rate Trend screens

■

At the point of detection of an episode (Atrial High Rate Detail,
Ventricular High Rate Detail, Mode Switch Detail, Rate Drop
Response Detail)

■

At the point of Activation of symptom recording (Remote Assistant ­Symptoms)

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-17

Diagnostic Updates

Accessing data

Interrogating Diagnostic Data for Medtronic Kappa 400 Series Pacemakers

Clinician-selected diagnostic data is no longer part of the initially
interrogated data. It is interrogated automatically when you choose to
display clinician-selected data. Prior to displaying clinician selected
diagnostic data, it is available as an option on the Interrogate How Much?
screen.

Note: If an Exercise test is performed before clinician-selected data is
interrogated, the clinician-selected data will be lost.

2-18

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Programming Data Collection

The Data Collection Setup screen has been enhanced for
Medtronic.Kappa 700/600 Series pacemakers. Programmable
parameters for clinician-selected diagnostic criteria are now displayed on
the Data Collection Setup screen.

Diagnostic Updates

Programming Data Collection

Figure 2-11. Programming Data Collection Criteria for Medtronic Kappa

700/600 Series Pacemakers

Programming EGM Monitoring Period for Medtronic Kappa 700/600 Series Pacemakers

EGM Timeout determines how long EGM is stored after the programming
session for the following Clinician-Selected diagnostics:

■

Atrial High Rate Detail

■

Ventricular High Rate Detail

■

Mode Switch Detail

■

Remote Assistant - Symptoms (doe not apply to Medronic Kappa 600
Series pacemakers)

The programmable values are from 1 to 24 weeks.

Note: Trend data collection continues when EGM storage is no longer
available.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-19

Diagnostic Updates

Selectb

Programming Data Collection

ox todisplay values

for EGM Timeout

♦

Figure 2-12. Programming EGM Timeout for Medtronic Kappa 700/600

Series Pacemakers

Procedure for programming EGM Timeout

1. Select applicable Clinician Selected diagnostic from the Data

Collection - Setup screen.

2-20

2. Select EGM Timeout from the Data Collection - Setup screen.

3. Select the value from the EGM Timeout screen.

4. Position the programming head and select [PROGRAM] or press

the program button on the programming head.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Selectb

ox todisplay values

for Pre-detection EGM

Timeout

Diagnostic Updates

Programming Data Collection

Programming Pre-detection EGM Monitoring Period for Medtronic Kappa 400 Series Pacemakers

Pre-detection EGM Timeout determines how long EGM is stored after the
programming session for the following Clinician-Selected diagnostics:

■

Atrial High Rate Detail

■

Ventricular High Rate Detail

■

Remote Assistant - Symptoms

The programmable values are from 1 to 12 weeks.

Note: Post-detection EGM continues to be available when pre-detection
is no longer available.

Figure 2-13. Programming Pre-detection EGM Timeout for Medtronic

Kappa 400 Series Pacemakers

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

2-21

Diagnostic Updates

Programming Data Collection

♦

Procedure for programming Pre-detection EGM
Timeout

1. Select Detail - Clinician Selected… from the Data Collection Setup

screen.

a. Select applicable diagnostic from the Clinician Selected screen.

2. Select Pre-detection EGM Timeout from the Data Collection Setup ­Clinician Selected screen.

3. Select the value from the Pre-detection EGM Timeout screen.

4. Make any additional changes necessary to the Data Collection
Setup- Clinician Selected and select [Ok].

5. Position the programming head and select [PROGRAM] or press

the program button on the programming head.

2-22

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Rate Response For
Medtronic Kappa 400
Series Pacemakers

This chapter describes the Activity Contribution parameter
and the operation and programming of the Thera Look rate
response parameters for Medtronic Kappa 400 Series
Pacemakers.

3

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

3

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

3-1

Rate Response For Medtronic Kappa 400 Series Pacemakers

Setti

Programming Activity Contribution For Medtronic Kappa 400 Series Pacemakers

Programming Activity Contribution For
Medtronic Kappa 400 Series Pacemakers

Activity Contribution can be used in conjunction with Activity Threshold to
provide Kappa rate response “fine tuning” for patients with Medtronic
Kappa 400 series pacemakers. The following programming sequence is
recommended.

Optimal rate response can be achieved in the majority of patients through
the establishment of an appropriate Activity Threshold. This is achieved
by determining the most sensitive Activity Threshold setting at which
physical activity results in appropriate pacemaker rate response (i.e., no
rate response while at rest). The setting of Activity Threshold to a sub­optimal value may result in sub-optimal rate response.

ngs

7

6

5

8

10

9

High

Med/High

Medium

Med/Low
Low

Low

Med/Low

Medium

Med/High

High

Activity

Sensor

Output

3

2

1

4

Time

Figure 3-1. Activity Sensor Signal With Activity Threshold Set To Medium

In Figure 3-1, the Activity Threshold has been set to medium, resulting in
10 detects. If more aggressive rate response is desired, a setting of
“medium-low” could be programmed to detect more of the signal.
Conversely, if less aggressive rate response is desired, a higher threshold
can be programmed, resulting in fewer detects.

If further fine tuning of sub-maximal rate response between the lower rate
and the ADL region is desired, the Activity Contribution can be varied
between three settings for any given Activity Threshold setting. The
available options are:

■

maximum (provides 100% weighting of the detected counts)

3-2

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Rate Response For Medtronic Kappa 400 Series Pacemakers

Programming Activity Contribution For Medtronic Kappa 400 Series Pacemakers

■

moderate (provides 60% weighting of the detected counts)

■

minimum (provides 40% weighting of the detected counts)

If sub-maximal rate response is too aggressive, program a lesser level of
Activity Contribution while remaining at the current Activity Threshold
setting. If Activity Contribution is already at minimum, consider a less
sensitive Activity Threshold setting, with a maximum Activity Contribution.
If still too aggressive, the sub-maximal rate response can be moderated
by programming a lesser level of Activity Contribution while remaining at
this second, less sensitive Activity Threshold setting.

There may be overlap between sub-maximal rate response achievable
through use of the Activity Contribution factor at various Activity Threshold
settings. Overlap increases with increasing similarity in activity counts
detected at adjacent Activity Thresholds; this varies from patient to patient
(broadly, overlap is more likely in cases where a large amplitude activity
signal is noted at sub-maximal activity). If the clinician desires a degree of
rate response which is intermediate between the available settings for a
given Activity Threshold, this may be achieved by modifying Activity
Threshold and re-evaluating the sub-maximal rate response which exists
at various settings of Activity Contribution.

In Figure 3-2 below, three sub-maximal rate response settings (A
and A
three available Activity Contribution settings. Activity Threshold B is a less

) are achievable using Activity Threshold A in conjunction with the

min

aggressive threshold setting and can be used to achieve a similar set of
three curves. Note that for the patient in this example, the rate response
achieved at the A
achieved at B
contribution (A
maximum contribution (B
Activity Contribution modulation of Activity Threshold at only two Activity

setting is marginally less aggressive than that

min

, even through Activity Threshold A at maximum

max

)is a more sensitive setting than Activity Threshold B at

max

).While this graph is a representation of

max

Threshold settings, it should be noted that the Kappa 400 family of
pacemakers offers five Activity Threshold settings (i.e., if all five Activity
Threshold settings provide an adequate signal, the use of Activity
Contribution will present the clinician with fifteen possible programming
options).

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

max

, A

mod

3-3

Rate Response For Medtronic Kappa 400 Series Pacemakers

Programming Activity Contribution For Medtronic Kappa 400 Series Pacemakers

A

max

A

mod

B

max

A

min

B

Activity

Counts

Time

mod

B

min

Figure 3-2. Rate Response Varied by Modulating Activity Contribution at

Activity Thresholds A and B

Procedure for programming Activity Contribution

♦

1. Select Rate Response… from the Parameters - Therapy screen.

a. Verify that Sensor is Integrated or Activity

b. Select Additional Parameters…

c. Select value for Activity Contribution

3-4

2. Make any changes necessary to the parameters on the Additional
Parameters screen and select [Ok].

3. Make any changes necessary on the Rate Response screen and
select [Ok].

4. Make any changes necessary on the Parameters - Therapy screen.

5. Position the programming head and select [PROGRAM] or press

the program button on the programming head.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Rate Response For Medtronic Kappa 400 Series Pacemakers

Thera Look Rate Response For Medtronic Kappa 400 Series Pacemakers

Thera Look Rate Response For Medtronic Kappa 400
Series Pacemakers

Additional programming options are available for rate response.Thera
Look Rate Response is available when Rate Response Optimization is
programmed Off. This section describes how the Thera Look Rate
Response works.

How Thera Look Rate Response Influences
Rate

The Thera Look Rate Response Curve parameter, in conjunction with the
Lower Rate and Upper Sensor Rate, establishes the steady-state pacing
rate for a given level of detected activity (indicated by activity signals that
exceed Activity Threshold).

■

Ten rate response curves are available, with the most responsive
setting (10) providing the greatest beat-to-beat rate change for a
given change in detected activity.

■

In general, more conditioned patients have greater cardiac reserves,
and they may require a lower programmed Thera Look Rate
Response Curve setting.

Basic Operation

The higher Thera Look Rate Response Curve settings result in a higher
sensor-indicated rate for a given level of detected activity, as follows:

■

All rate response curves are linear and extend from the Lower Rate
to the Upper Sensor Rate.

■

The Upper Sensor Rate can be attained with any rate response
curve.

■

When the activity level stabilizes, the sensor-indicated rate will
stabilize.

Determining the Steady-State Pacing Rate

For any rate response curve, the steady-state rate corresponding to a
given level of activity depends on the Lower Rate (LR) and Upper Sensor
Rate (USR).

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

3-5

Rate Response For Medtronic Kappa 400 Series Pacemakers

Thera Look Rate Response For Medtronic Kappa 400 Series Pacemakers

Figure 3-3 shows the rate response curve for an elderly patient.
Figure 3-4 shows the rate response curve for a pediatric patient. For a
given rate response curve (for example, curve 7), both patients achieve
their Upper Sensor Rates for the same level of sustained sensor-detected
activity, but the rates are quite different. Use the programmed rate limits
and the Thera Look Rate Response to match the rate prescription to the
patient’s needs.

180

170

160

150

140

Pacing Rate (ppm)

USR

130

120

110

100

90

80

70

LR

60

10 9 8 7 6 5 4 3 2 1

Increasing Activity

3-6

Figure 3-3. Thera Look Rate Response Setting for An Elderly Patient

180

USR

170

160

150

140

130

120

110

Pacing Rate (ppm)

100

90

80

LR

70

60

10 9 8 7 6 5 4 3 2 1

Increasing Activity

Figure 3-4. Thera Look Rate Response Setting for a Pediatric Patient

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Rate Response For Medtronic Kappa 400 Series Pacemakers

Thera Look Rate Response For Medtronic Kappa 400 Series Pacemakers

Typical Rate Response Settings

The following nominal rate response parameters are adequate for many
patients: Activity Threshold = Medium Low, Acceleration = 0.5 minutes,
Deceleration = Exercise, Rate Response Curve = 7.

■

For most patients, the pacemaker may be programmed to operate at
or near the programmed Lower Rate when the patient is lying, sitting,
or standing. If the patient has an elevated pacing rate at rest, the
Activity Threshold may need to be programmed to a higher setting.

■

When the patient is walking at a moderate pace, the pacing rate will
typically reach 90 ppm to 105 ppm. During more vigorous exercise,
the pacing rate will typically reach the Upper Sensor Rate. If the
patient has minimal rate response during exercise, the Activity
Threshold may need to be programmed to a lower setting.

■

A simple programmer-directed exercise test may be used to tailor
rate response settings to a patient’s needs.

■

The Rate Histogram or Rate versus Time diagnostic may be used to
validate programmed rate response settings.

3-7

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Rate Response For Medtronic Kappa 400 Series Pacemakers

Programming Thera Look Rate Response For Medtronic Kappa 400 Series Pacemakers

Programming Thera Look Rate Response For
Medtronic Kappa 400 Series Pacemakers

This section describes programming Thera Look Rate Response for
Medtronic Kappa 400 Series pacemakers.

Rate Profile Optimization must be Off to use Thera Look Rate Response.

Note: To use Thera Look Rate Response, the sensor must be set to
Activity.

Procedure for programming Thera Look Rate Response

♦

1. Select Rate Response… from the Parameters - Therapy screen and
verify that Rate Profile Optimization is Off.

a. Select Additional Parameters…

b. Select Rate Response Type and choose Thera Look.

2. Make any changes necessary to the parameters on the Rate
Response Additional Parameters screen and select [Ok].

3. Make any changes necessary on the Rate Response screen and
select [Ok].

3-8

4. Make any changes necessary on the Parameters - Therapy screen.

5. Position the programming head and select [PROGRAM] or press

the program button on the programming head.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 700/600
Series Pacemakers

Section A provides new programmable and preset
parameters for Medtronic Kappa 700/600 Series
pacemakers.

In addition, there are indications for the VDD mode.

A

A

Programmable Modes and
Parameters A-2

Shipping Parameters A-5

Clinician-Selectable
Diagnostics A-7

VDD Mode Indications A-11

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-1

Medtronic Kappa 700/600 Series Pacemakers

Programmable Modes and Parameters

Programmable Modes and Parameters

Parameter settings shown in the following tables are listed by a Kappa model series. Each model series
represents the following model numbers:

Note: New parameters and values available with 9953 version 3.1 software appear in bold. Only tables
that have new parameters or values appear in this supplement.

KDR700 Series → Models KDR701/703/706, KDR721, KDR731/733

KDR600 Series → Models KDR601/603/606

KD700 Series → Models KD701/703/706

KVDD700 Series → Models KVDD701

KSR700 Series → Models KSR701/703/706

Table A-1. Atrial Lead

Parameter Series Settings Notes

Amplitudeb KDR700,

Pulse Width KDR700,

Sensitivity All 0.18c, 0.25, 0.35, 0.5, 0.7, 1.0, 1.4,

Sensing Assurance On, Off

Pacing Polarity KDR700,

Sensing Polarity K

KDR600,
KD700,
KSR700

KDR600,
KD700,
KSR700

KDR600,
KD700,
KSR700

DR700,

KDR600,
KD700,
KSR700

KVDD700 Bipolar

0.5, 0.75, 1.0 … 4.0 V

4.5, 5.0, 5.5, 6.0, 7.5 V

0.12, 0.15, 0.21, 0.27, 0.34, 0.40,

0.46, 0.52, 0.64, 0.76, 1.00, 1.25,

1.50 ms

2.0, 2.8, 4.0 mV

Bipolar, Unipolar, Configure Configure is displayed but

Bipolar, Unipolar, Configure

a

0.18, 0.25, 0.35 mV
apply to bipolar atrial
sensing only

is not selectable.

A-2

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 700/600 Series Pacemakers

Programmable Modes and Parameters

Table A-1. Atrial Lead

a

(Continued)

Parameter Series Settings Notes

Lead Monitor

d

KDR700,
KDR600,

Configure, Monitor Only, Adaptive,

Off

KD700,
KSR700

Notify if < (less than) 200 ohms nonprogrammable

Notify if > (greater than) 1000, 2000, 3000, 4000 ohms

Monitor Sensitivity 2, 3, 4, … 16

a

Applies to KSR700 Series pacemaker when set to atrial mode.

b

Tolerance for amplitudes from 0.5 V through 6.0 V is ± 10%, and for 7.5 V is -20/+0%. Tolerances are based on 37°C and a 500-ohm
load.

c

Does not apply to KSR700 Series pacemakers.

d

For single chamber models (KSR700 Series), lead monitor is available only for the paced chamber.

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-3

Medtronic Kappa 700/600 Series Pacemakers

Programmable Modes and Parameters

Table A-2. Ventricular Lead

a

Parameter Series Settings Notes

Amplitudeb All 0.5, 0.75, 1.0 … 4.0 V

4.5, 5.0, 5.5, 6.0, 7.5 V

0.625, 0.875, 1.125,

1.375, 1.625, and 1.875 V
can be set by Capture
Management. Values are
displayed but are not
selectable.

Pulse Width All 0.12, 0.15, 0.21, 0.27, 0.34, 0.40,

0.46, 0.52, 0.64, 0.76, 1.00, 1.25,

1.50 ms

Sensitivity All 1.0, 1.4, 2.0, 2.8, 4.0, 5.6, 8.0,

11.2 mV

Sensing Assurance On, Off

Pacing Polarity All Bipolar, Unipolar, Configure Configure is displayed but

is not selectable.

Sensing Polarity All Bipolar, Unipolar, Configure

Lead Monitor

c

All Configure, Monitor Only, Adaptive,

Off

Notify if < (less than) 200 ohms nonprogrammable

Notify if > (greater than) 1000, 2000, 3000, 4000 ohms

Monitor Sensitivity 2, 3, 4, … 16

a

Applies to KSR700 Series pacemaker when set to ventricular mode.

b

Tolerance for amplitudes from 0.5 V through 6.0 V is ± 10%, and for 7.5 V is -20/+0%. Tolerances are based on 37°C and a 500-ohm
load.

c

For single chamber models (KSR700 Series), lead monitor is available only for the paced chamber.

A-4

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 700/600 Series Pacemakers

Shipping Parameters

Shipping Parameters

Parameter settings are listed by a Kappa model series. Each model series represents the following model
numbers:

KDR700 Series → Models KDR701/703/706, KDR721, KDR731/733

KDR600 Series → Models KDR601/603/606

KD700 Series → Models KD701/703/706

KVDD700 Series → Models KVDD701

KSR700 Series → Models KSR701/703/706

Notes:

New parameters and parameters that have new values with 9953 version 3.1 software appear in bold. Only
tables that have new parameters or values appear in this supplement.

In the tables below, “Adaptive” indicates values adapted during normal operation.

Table A-3. Capture Management

Parameter KDR700 Series,

Ventricular Capture
Management

Amplitude Margin 1.5 x (times) 1.5 x (times) 1.5 x (times)

Pulse Width Margin 1.5 x (times) 1.5 x (times) 1.5 x (times)

Minimum Adapted
Amplitude

Minimum Adapted
Pulse Width

Capture Test Frequency Day at Rest Day at Rest Day at Rest

Acute Phase Days
Remaining

a

Ventricular capture management is activated after implant detection is completed.

a

KDR600 Series

Adaptive (KDR700),
Monitor Only (KDR600)

2.5 V (KDR700)

0.5 V (KDR600)

0.4 ms (KDR700)

0.12 ms (KDR600)

112 Days 112 Days 112 Days

KD700 Series,
KVDD700 Series

Adaptive Adaptive

2.5 V 2.5 V

0.4 ms 0.4 ms

KSR700 Series

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-5

Medtronic Kappa 700/600 Series Pacemakers

Shipping Parameters

Table A-4. Additional Features

Parameter KDR700 Series,

Sinus Preference Off (KDR700) – –

Sleep Off Off Off

Non-Competitive
Atrial Pacing

Single Chamber Hysteresis Off Off Off

Rate Drop Response Off (KDR700) – –

PMT Intervention Off Off –

PVC Response On On –

Ventricular Safety Pacing On On (KD700) –

Implant Detection On / Restart On / Restart On / Restart

KDR600 Series

On On (KD700) –

KD700 Series,
KVDD700 Series

KSR700 Series

A-6

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 700/600 Series Pacemakers

Clinician-Selectable Diagnostics

The diagnostics listed in Table A-5 may be programmed by selecting Data
Collection Setup under the Data icon. Refer to

Series Pacemaker Reference Guide

diagnostics are available for each pacemaker model.

Parameter settings are listed by a Kappa model series. Each model series
represents the following model numbers:

KDR700 Series → Models KDR701/703/706, KDR721, KDR731/733

KDR600 Series → Models KDR601/603/606

KD700 Series → Models KD701/703/706

KVDD700
Series

KSR700 Series → Models KSR701/703/706

Notes:

■

New parameters and values available with 9953 version 3.1 software
appear in bold. Only tables that have new parameters or values
appear in this supplement.

■

The parameters settings for the automatic High Rate Episode
diagnostics also apply to the corresponding clinician-selectable High
Rate Detail diagnostics.

■

For each diagnostic with EGM collection, there is an automatic
diagnostic collecting trend data.

Parameter Series Settings

Custom Rate Trend All

Duration Beat-to-Beat, 1 hour,

Collection Method Frozen, Rolling

Include Refractory
Senses?

Capture Management Detail KDR700,

→ Models KVDD701

Table A-5. Clinician-Selectable Diagnostics

Clinician-Selectable Diagnostics

Medtronic.Kappa 700/600

for information about which

24 hours

Include, Exclude

KD700,
KVDD700,
KSR700

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-7

Medtronic Kappa 700/600 Series Pacemakers

Clinician-Selectable Diagnostics

Table A-5. Clinician-Selectable Diagnostics (Continued)

Parameter Series Settings

EGM Collection

Collect Sensitivity Detail?

Sensitivity Detail KDR700,

a

b

KD700,
KVDD700,
KSR700

OFF, Atrial EGM,
Ventricular EGM, Summed
EGM

Yes, No

A-8

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 700/600 Series Pacemakers

Clinician-Selectable Diagnostics

Table A-5. Clinician-Selectable Diagnostics (Continued)

Parameter Series Settings

Atrial High Rate Detail All

Min. Detection Rate

Detection Duration

Events To Terminate

Include Refractory
Senses?

EGM Collection

a

EGM Timeout 1, 2, 3 … 12, 14, 16, … 24

Collection Method Set in automatic diagnostic

Ventricular High Rate Detail All

Min. Detection Rate

Events To Detect

Events To Terminate

Include Refractory
Senses?

EGM Collection

a

EGM Timeout 1, 2, 3 … 12, 14, 16, … 24

Collection Method Set in automatic diagnostic

Mode Switch Detail K

Include Refractory
Senses?

EGM Collection

a

Collection Method Set in automatic diagnostic

EGM Timeout 1, 2, 3 … 12, 14, 16, … 24

c

Set in automatic diagnostic
Atrial High Rate Episodes.

Include, Exclude

OFF, Atrial EGM,
Ventricular EGM, Summed
EGM

weeks

Atrial High Rate Episodes.

c

Set in automatic diagnostic
Ventricular High Rate
Episodes.

Include, Exclude

OFF, Atrial EGM,
Ventricular EGM, Summed
EGM

weeks

Ventricular High Rate
Episodes.

DR700,

KDR600,
KD700,
KVDD700

Include, Exclude

OFF, Atrial EGM,
Ventricular EGM, Summed
EGM

Mode Switch Episodes.

weeks

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-9

Medtronic Kappa 700/600 Series Pacemakers

Clinician-Selectable Diagnostics

Table A-5. Clinician-Selectable Diagnostics (Continued)

Parameter Series Settings

Rate Drop Response Detail KDR700

Include Refractory
Senses?

AV Interval Histogram KDR700,

Lead Monitor Impedance
Trend

Remote Assistant Exercise KDR700,

Remote Assistant Symptoms KDR700,

EGM Collection

EGM Timeout 1, 2, 3 … 12, 14, 16, … 24

a

For single chamber models (KSR700 Series), EGM is available for the paced chamber.

b

Capture management can include an EGM or a detailed sensitivity trend.

c

For single chamber models (KSR700 Series), high rate detail is available for the paced
chamber.

Include, Exclude

KD700,
KVDD700

KDR700,
KD700,
KVDD700,
KSR700

KD700,
KVDD700,
KSR700

KD700,
KVDD700,
KSR700

a

OFF, Atrial EGM,
Ventricular EGM, Summed
EGM

weeks

A-10

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

VDD Mode Indications

Medtronic Kappa Series pacemakers are also indicated for VDD modes
in patients having adequate atrial rates and the following indications:

■

Requirements for ventricular pacing when adequate atrial rates and
adequate intracavitary atrial complexes are present. This includes
the presence of complete AV block when atrial contribution is needed
for hemodynamic benefit or when pacemaker syndrome has existed
or is anticipated.

■

Normal sinus rhythm and normal AV conduction in patients needing
ventricular pacing intermittently.

Medtronic Kappa 700/600 Series Pacemakers

VDD Mode Indications

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

A-11

Medtronic Kappa 700/600 Series Pacemakers

VDD Mode Indications

A-12

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 400
Series Pacemakers

Section B provides new programmable and preset
parameters for the following Medtronic Kappa pacemakers:
Models K

DR401/403 and Models KSR401/403.

B

B

Programmable Modes and
Parameters B-2

Preset Parameter Values B-3

Clinician-Selectable
Diagnostics B-4

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

B-1

Medtronic Kappa 400 Series Pacemakers

Programmable Modes and Parameters

Programmable Modes and Parameters

Note: New parameters and values available with 9952 version 3.1

software appear in bold. Only tables that have new parameters or values
appear in this supplement.

Table B-1. Sensor (Rate Response)

Models KDR401/403 Models KSR401/403

Parameter Settings Settings Notes

Rate Response Type Kappa, Thera Look

Rate Response Curve 1, 2, 3, … 10 Thera Look only.

Sensor Integrated, MV, Activity,

Integrated (Initializing), MV (Initializing),

Activity (Initializing)

Sensor Cross-Check On, Off Kappa rate response only

MV Chamber Atrium, Ventricle Set to mode chamber in

Optimization must be off
and Sensor must be
Activity.

“… (Initializing)” are
nonselectable sensor status
settings.

single chamber modes
when using Kappa rate
response.

Table B-2. Algorithm (Rate Response)

Models KDR401/403 Models KSR401/403

Parameter Settings Settings Notes

ADL Setpoint 5, 6, 7, … 40, 42, 44, 46, … 80 Adjustable only during an

UR Setpoint 15, 16, 17, … 40, 42, 44, 46, … 80,

Activity Threshold Low, Medium Low, Medium,

Activity Acceleration 15, 30, 60 seconds Applies to activity-only rate

Activity Deceleration 2.5, 5.0, 10 minutes, Exercise Applies to activity-only rate

Activity Contribution Minimum, Moderate, Maximum Applies to Kappa Rate

B-2

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

85, 90, 95, … 180

Medium High, High

Exercise test.

Adjustable only during an
Exercise test.

Applies when Sensor is
Integrated or Activity.

response modes.

response modes.

Response when Sensor is
Integrated or Activity.

Medtronic Kappa 400 Series Pacemakers

Preset Parameter Values

Preset Parameter Values

Listed below are the Shipping, Nominal, Electrical Reset, and Emergency parameter values for the
Models K

Notes:

New parameters and values available with 9952 version 3.1 software appear in bold. Only tables that have
new parameters or values appear in this supplement.

Some parameter values are dependent on the mode or other parameters. “As Pgm” or “As Programmed”
denotes parameter setting is unchanged by nominal programming or a reset. “Auto” or “Automatic”
denotes parameter values automatically set by the pacemaker.

Parameter Shipping Nominal Electrical Reset Emergency

DR401/403 and the Models KSR401/403.

Table B-3. Rate Response

KDR401
KDR403

ADL Rate 95 ppm 95 ppm 95 ppm

Rate Profile Optimization On As Pgm Off or On

ADL Response 3-Mod Active As Pgm 3-Mod Active

Exertion Response 3-Mod Frequent As Pgm 3-Mod Frequent

Rate Response Type Kappa Kappa Kappa Kappa Kappa Kappa

Sensor Integrated As Pgm Activity or

Sensor Cross-Check On On As Pgm As Pgm Off Off

MV Chamber Auto As Pgm Atrium

Activity Threshold Auto Auto As Pgm As Pgm MedLow

Activity Acceleration 30 sec 30 sec

Activity Deceleration 2.5 min 2.5 min

Activity Contribution Maximum Maximum Maximum

a

Parameter setting for a full electrical reset.

KSR401
KDR403

KDR401
KDR403

KSR401
KDR403

KDR401
KDR403

Integrated

or Auto

a

KSR401
KDR403

a

a

MedLow
or Auto

All Models

a

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

B-3

Medtronic Kappa 400 Series Pacemakers

Clinician-Selectable Diagnostics

Clinician-Selectable Diagnostics

The diagnostics listed in Table B-4 are programmed by selecting Data
Collection Setup under the Data icon.

■

The parameters listed under the clinician-selectable Atrial and
Ventricular High Rate Detail diagnostics also apply to the Atrial and
Ventricular High Rate Episodes.

■

The Bipolar Lead Monitor parameters apply to the Lead Monitor
Impedance Trend diagnostic.

Note: New parameters available with 9952 version 3.1 software appear in
bold.Only tables that have new parameters or values appear in this
supplement.

Table B-4. Clinician-Selectable Diagnostics

Parameter Setting KDR401

Atrial High Rate

a

Detail

Pre-detection
EGM Timeout

Collection Method High Rate, Mode Switch

Min. Detection
Rate

Detection
Duration

Termination Beats 2, 3, 4, … 20 beats

Ventricular High
Rate Detail

Pre-detection
EGM Timeout

Min. Detection
Rate

Detection Beats 2, 3, 4, … 50 beats

Termination Beats 2, 3, 4, … 20 beats

Rate Drop Response
Detail

Lead Monitor
Impedance Trend

c

a

1, 2, 3, … 12 weeks

80, 85, 90, … 180, 200,
220, 240, … 320, 330, 350,
370, 380, 400 ppm

1, 2, 3, … 20 seconds

1, 2, 3, … 12 weeks

80, 85, 90, … 180, 200,
220, 240, … 320, 330, 350,
370, 380, 400 ppm

KDR403

✓✓

✓✓

b

✓✓

✓✓

✓

✓✓

KSR401
KSR403

B-4

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Medtronic Kappa 400 Series Pacemakers

Clinician-Selectable Diagnostics

Table B-4. Clinician-Selectable Diagnostics (Continued)

Parameter Setting KDR401

KDR403

Sample Interval 2 Seconds, 2 Minutes,

2 Hours

Remote Assistant

✓✓

Symptoms

Pre-detection

1, 2, 3, … 12 weeks

✓✓

EGM Timeout

Remote Assistant

✓✓

Exercise

Custom Rate Trend ✓✓

Duration Beat-to-Beat,

15 minute, 1 hour,
24 hours

Collect Frozen, Rolling

Include Refractory

Include, Exclude

Senses?

a

For single chamber Models KSR401/403, High Rate Detail is available for the paced
chamber.

b

Applies only to dual chamber Models KDR401/403.

c

Model KSR401 uses Detection Beats 2 , 3, 4 … 50.

KSR401
KSR403

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

B-5

Medtronic Kappa 400 Series Pacemakers

Clinician-Selectable Diagnostics

B-6

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Index

C

C

A

accessing data 2-16
Activity Contribution 3-2
Activity Contribution figure 3-4
Activity sensor

acceleration

settings B-2

deceleration

settings B-2

threshold

settings B-2
Activity Sensor Signal and Activity Threshold figure 3-2
ADL setpoint

settings B-2

amplitude sensitivity trends

P-Wave 2-6

R-Wave 2-8
atrial channel settings A-2
Atrial High Rate Detail B-4
Atrial High Rate diagnostics 2-11

detail (clinician-selected) B-4

episodes (automatic) 2-11

screen, episodes (automatic) 2-11
Atrial High Rate Episodes screen 2-11
AV Conduction Histograms 2-15

screen 2-16
AV Interval Histogram A-10

C

Capture Management diagnostics

detail (clinician-selected) A-7
Last Measured Threshold screen 2-3
overview 2-3

Capture Management Trend 2-5

screen 2-5
Checklist 1-7
Chronic Lead Trend

see

Lead Impedance Trend

clinician-selectable diagnostics

Kappa 400 B-4

Kappa 700/600 A-7
curve rate response
Custom Rate Trend B-5

diagnostics A-7

see

Thera Look

D

data

Atrial High Rate Episodes screen 2-11

AV Conduction Histogram screen 2-15

Lead Impedance trend B-4

Lead Impedance Trend screen 2-10

Mode Switch Episodes screen 2-13

programming collection 2-19

viewing 1-4
Data Collection Setup screen 2-19, 2-20, 2-21
detail data

accessing 2-16

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

C-1

Index

displaying 2-16
Device Memory report 1-3
diagnostics

Data Collection - Setup screen 2-19, 2-20, 2-21

interrogating Kappa 400 pacemaker data 2-18

programming data collection 2-19

updated screens 2-2

viewing 1-4

E

EGM monitoring period for Medtronic Kappa 700/600

series pacemakers, programming 2-19
EGM timeout 2-19, 2-21
Electrical Reset Settings

Kappa 400 B-3

Emergency settings

Kappa 400 B-3

episodes

atrial 2-11
Capture Management A-7
high rate 2-11
Sensing Assurance A-8
ventricular 2-11

F

Final Report 1-2
follow-ups with Checklist 1-7

G

Go-To Task Button 1-7

H

Heart Rate Histogram Screen 2-14
Heat Rate Histograms 2-14
high rate diagnostics 2-11

detail (clinician-selected) A-9
episodes (automatic) 2-11
screen, episodes (automatic) 2-11

histograms

AV Conduction 2-15
AV Interval A-10

I

Initial Interrogation Report 1-2
Interrogating Diagnostic Data for Kappa 400 series

pacemakers 2-18

L

Lead Impedance Trend

automatic 2-10
displaying 2-10
screen 2-10

Lead Monitor

Impedance Trend A-10

link, quick 1-4

M

Mode Switch diagnostics 2-13

detail (clinician-selected) A-9
episodes (automatic) 2-13
screen, episodes (automatic) 2-13

MV chamber B-2

N

new software capabilities iv
Nominal settings

Kappa 400 B-3

O

one-step printing 1-8

P

parameters

programmable A-2, B-2

Pre-detection EGM monitoring period for Medtronic

Kappa 400 series pacemakers,
programming 2-21

preferences

options 1-5
printing 1-6
tests 1-6

user 1-5
printing preferences 1-6
printing, streamlining 1-8
programmable diagnostics B-4

C-2

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

Index

atrial high rate detail B-4
Custom Rate Trend B-5
mode switch detail B-4
Rate Drop Response detail B-4
Remote Assistant diagnostic

exercise B-5
symptom B-5

Ventricular High Rate Detail B-4

programmable modes and parameters

Kappa 400 B-2

Kappa 700/600 A-2
programming guide supplement overview iii
P-Wave amplitude sensitivity trends 2-6

Q

Quick Look

enhancements 1-4

screen 1-4
QuickLink 1-4

R

Rate Drop Response diagnostics

Kappa 400l B-4

Kappa 700/600 A-10
Rate response

ADL setpoint B-2
rate response

UR setpoint B-2
Remote Assistant diagnostic

exercise B-5

symptom B-5
Remote Assistant diagnostics

Exercise mode A-10

Symptoms mode A-10
reports

device memory 1-3

final 1-2

initial interrogation 1-2

overview 1-2
Reset settings

Kappa 400 B-3
R-Wave amplitude sensitivity trends 2-8

S

Sensing Assurance diagnostics 2-6

detail (clinician-selected) A-8
displaying 2-7
P-Wave Trend 2-6
R-Wave Trend 2-8
screen, trend (automatic) 2-6, 2-8
trend (automatic) 2-6

sensitivity trend

see

Sensing Assurance diagnostics

sensitivity trends

P-Wave 2-6
R-Wave 2-8

Sensor

cross checking B-2
MV chamber B-2
settings B-2

Settings

emergency B-3
nominal B-3
reset B-3
shipping A-5, B-3

Shipping settings

Kappa 400 B-3

Kappa 700/600 A-5
Significant Events 2-16
software, new capabilities iv
steady-state pacing rate, determining 3-5

T

tests preferences 1-6
Thera Look

basic operation 3-5

influences rate 3-5

programming 3-8

programming guidelines 3-7

Rate Response 3-5

setting for a pediatric patient 3-6

settings for an elderly patient 3-6

steady-state pacing rate 3-5

typical rate response settings 3-7
timeout, EGM 2-19, 2-21
trends

Custom Rate A-7

Lead Impedance A-10, B-4

Mode Switch A-9

Sensing Assurance 2-6

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

C-3

Index

U

UR setpoint

settings B-2

user preferences 1-5

V

VDD mode indications A-11
ventricular channel settings A-4
Ventricular High Rate diagnostics 2-11

detail B-4
episodes (automatic) 2-11

C-4

Medtronic Kappa® 700/600/400 Series Pacemaker Programming Guide

4

Europe

Europe/Africa/Middle East Headquarters

Medtronic Europe S.A.
Route du Molliau
1131 Tolochenaz
Switzerland
Internet: www.medtronic.co.uk
Tel. [phone]
Fax [phone]

Medtronic E.C. Authorized Representative

Medtronic B.V.
Wenckebachstraat 10
6466 NC Kerkrade
The Netherlands
Tel. [phone]
Fax [phone]

Asia-Pacific

Japan

Medtronic Japan
Solid Square West Tower 6F
580 Horikawa-cho, Saiwai-ku
Kawasaki, Kanagawa 210-0913
Japan
Tel. [phone]
Fax [phone]

Australia

Medtronic Australasia Pty. Ltd.
Unit 4/446 Victoria Road
Gladesville NSW 2111
Australia
Tel. [phone]
Fax [phone]

Asia

Medtronic International Ltd.
Suite 1602 16/F, Manulife Plaza
The Lee Gardens, 33 Hysan Avenue
Causeway Bay
Hong Kong
Tel. [phone]
Fax [phone]

Latin America

Medtronic, Inc.
600 West Hillsboro Boulevard
Suite 500
Deerfield Beach, FL 33441
USA
Tel. [phone]
Fax [phone]

North America

Canada

Medtronic of Canada Ltd.
6733 Kitimat Road
Mississauga, Ontario L5N 1W3
Canada
Tel. [phone]
Fax [phone]
Toll-free in Canada: 1-800-268-5346

United States

World Headquarters
Medtronic, Inc.
7000 Central Avenue, NE
Minneapolis, MN 55432-3576
USA
Internet: www.medtronic.com
Tel. [phone]
Fax [phone]

Medtronic USA, Inc.

Toll-free in the USA: 1-800-505-4636
(24-hour consultation for physicians
and medical professionals)

*198349001*

© Medtronic, Inc. 2000
All Rights Reserved.

UC200003874 EN 198349
January 2000

-001