Medtronic KDR603 Programming Guide
KAPPA® 700/600 SERIES
197907002A_view.pdf
PA C E M A K E R S
Model 9953 1.3
Pacemaker Programming Guide
Caution: Federal Law (USA) restricts this device to sale by or on
the order of a physician (or properly licensed practitioner).
Medtronic Kappa™ 700/600 Series
Pacemaker Programming Guide
A guide to using the 9790 Series
programmer for Medtronic
Kappa 700/600 Series
pacemakers
Refer to the Medtronic Kappa 700/600
Series Pacemaker Reference Guide for
information on the pacemakers.
The following are trademarks of Medtronic:
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, Quick Look, Search AV, Sensing Assurance, Significant
Events, Sinus Preference, and Vision.
How to Use This Guide
Information is Contained in Two Guides
Product information about Medtronic Kappa 700/600 Series software and
pacemakers is presented in two separate guides.
The Pacemaker Programming Guide (PPG) accompanies Medtronic
Kappa 700/600 Series software and contains instructions on how to use
the programmer and the programming software.
The Pacemaker Reference Guide (PRG) is a supplementary guide that
provides detailed information on Medtronic Kappa 700/600 Series
pacemakers.
About this Guide
This guide presents the following information to use the 9790
programmer.
■
How to setup and configure the programmer and access on-line help.
■
How to start a patient session, use the various follow-up features
during the session, and properly end the session.
■
How to use checklist to streamline a follow-up session.
■
How to view and print the patient’s ECG and EGM waveform traces.
■
How to configure the pacemaker to collect diagnostic data and how
to retrieve and view this information.
■
How to measure stimulation thresholds and sensing levels.
■
How to program parameter values and verify rate response
parameters settings.
How to Use This Guide
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide v
How to Use This Guide
About the Pacemaker Reference Guide
This supplementary guide describes in detail, how the pacemaker
operates and specifies the capabilities of each model.
■
Describes the pacing modes, rate response options, special therapy
features, telemetry types, and data collection options. In some cases,
guidelines are given on how to configure the pacemaker operation.
■
Contains troubleshooting information for electrical and hemodynamic
problems.
■
Specifies parameter and data collection capabilities, longevity
projections, and mechanical and electrical specifications.
■
Provides general warning and cautions, potential interference
sources, and general indications for pacing.
■
Contains a glossary of terms.
vi Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Table of Contents
1. Programmer Basics
2. Conducting a Patient Session
Table of Contents
How to Use This Guide v
Setting Up the 9790 Programmer 2
Connecting the Programmer to Skin Electrodes 6
Positioning and Using the Programming Head 7
About the Display Screen 12
Programming Emergency Parameters 19
Recording an ECG Strip 20
Using the On-line Help Feature 22
Important Reminders About Medtronic Kappa 700/600 Series
Pacemakers 2
Starting a Patient Session 5
Proceeding with Task Selection 11
Interrogating the Pacemaker 13
Taking a Quick Look at Pacemaker Operation 14
Viewing Battery and Lead Measurements 18
Checking the Present Parameter Settings 22
Viewing Patient Information Stored in the Pacemaker 23
Recording an ECG Strip of Magnet Operation 24
Checking the Patient’s Underlying Rhythm 27
Printing Data Reports 31
Ending a Patient Session 36
3. Streamlining Follow-up with Checklist
About the Checklist Feature 2
Using Checklist to Streamline a Follow-up Session 3
Creating a Custom Checklist 6
4. Viewing the Patient’s ECG and EGM Traces
Viewing the ECG and Other Rhythm Waveforms 2
Adjusting and Configuring the Display 7
Freezing and Analyzing a Waveform Strip 17
Recalling and Viewing Waveform Strips 25
5. Collecting Diagnostic Data
About Data Collected by the Pacemaker 2
Displaying Collected Data 9
Choosing Clinician-Selected Detailed Data Collection 25
Lead Impedance Detail 42
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide vii
Table of Contents
Programming Data Collection 44
Clearing Data From the Pacemaker 47
6. Evaluating Parameter Settings
Measuring Stimulation Thresholds 2
Determining a Sensitivity Setting 23
Using Temporary Programming to Evaluate Parameter Settings 31
7. Programming Pacemaker Parameters
Programming Parameters 2
Saving/Retrieving a Set of Parameter Values 14
8. Rate Response Setup
Using Exercise Test to Verify Rate Response 2
9. Miscellaneous Setup Options - Programmer and Pacemaker
Selecting System Operating Preferences 2
Adjusting Programmer Time and Date 4
Improving the Detection of Pacing Artifacts 5
Checking the Software Version 6
Starting the Demonstrations Option 7
Programming Patient Data into Pacemaker Memory 8
Retrieving Key Parameter History Information 10
Connecting an External Printer 11
A. Appendix: Parameter Values and Restrictions
Programmable Modes and Parameters 2
Automatic and Clinician-Selectable Diagnostics 12
Programming Restrictions 16
I. Index
viii Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Programmer Basics
This chapter provides an overview of setting up the
programmer and covers information you should be familiar
with before you begin a patient session.
This information includes such things as using the
programming head and stylus, programming Emergency
parameters, and recording an ECG strip. Sections include an
introduction to features of the display screen and use of the
on-line Help system.
For more detailed information on setting up your
programmer, refer to Programmer Description and Setup, a
guide supplied with your 9790 series programmer.
1
Setting Up the 9790
Programmer 1-2
Connecting the Programmer to Skin
Electrodes 1-6
Positioning and Using the
Programming Head 1-7
About the Display Screen 1-12
Programming Emergency
Parameters 1-19
Recording an ECG Strip 1-20
Using the On-line Help Feature 1-22
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-1
Programmer Basics
Setting Up the 9790 Programmer
Setting Up the 9790 Programmer
The following topics summarize the basic steps for setting up your 9790
series programmer. For more complete information on setting up your
programmer, refer to the guide, Programmer Description and Setup,
supplied with your programmer.
Programmer Setup Check List
Verify that the components illustrated below are properly connected to the
programmer.
Selector Pen
(Stylus)
Note: Do not disconnect the
Programming Head
1-2 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
stylus.
ECG Cable
Figure 1-1. The Programmer
Setting Up the 9790 Programmer
Figure 1-2. Power Cord
Programmer Basics
Figure 1-3. Programming Head
Figure 1-4. ECG Cable
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-3
Programmer Basics
Setting Up the 9790 Programmer
Calibrate Button
Connecting an External Monitor/Recorder
To connect an external monitor or recorder to your programmer, you need
the optional adaptor shown below. Connect the adaptor to the analog
output port on the right side of the programmer.
Connector Type: BNC
Output Signal: ± 1 Volt or ± 5 mV (switchable)
Signal Output Adaptor
A B C D
± 1V ± 5mV
Connecting Optional Adaptor to the Analog Output
Port on the Programmer.
Figure 1-5. Connecting the Optional External Adaptor
Adaptor Output Signals
(after model selection):
A - Patient’s ECG (upper most ECG on display)
B - Telemetered EGM (uppermost EGM on display)
C - Telemetered EGM (other EGM if programmed)
D - Marker Channel Telemetry
1-4 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Setting Up the 9790 Programmer
Programmer Basics
Using the Calibrate Button
Selecting the Calibrate button located next to the analog output port adds
a reference signal (as shown in Figure 1-6 and Figure 1-7) to the trace of
Marker Channel and EGM telemetry.
The Marker Channel signal shows the relative marker amplitudes, which
are not annotated with character codes on an external device. The EGM
calibration signal acts as a voltage reference for the displayed EGM.
Atrial Pace (AP)
Atrial Sense (AS)
Atrial Refractory Sense (AR)
Vent. Refractory Sense (VR)
Vent. Sense (VS)
Vent. Pace (VP)
Figure 1-6. Marker Channel Signals
5 mV
1 mV
Figure 1-7. EGM Calibration Signals
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-5
Programmer Basics
Connecting the Programmer to Skin Electrodes
Connecting the Programmer to Skin Electrodes
At the start of a patient session, the programmer must be connected to
skin electrodes on the patient. The ECG display and measurement
functions will not operate without detection of the surface ECG signal.
Use an electrode lead to connect each skin electrode to the appropriate
port on the ECG cable. Typical electrode placement is shown below. Use
standard procedures for attaching disposable skin electrodes to the
patient.
RA (R)
RL (N)
Figure 1-8. Connecting the Programmer to Skin Electrodes
Refer to the guide, Programmer Description and Setup, supplied with your
9790 programmer for more details on this procedure.
LA (L)
C (C)
LL (F)
( ) = IEC Coding
1-6 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Positioning and Using the Programming Head
Programmer Basics
Positioning and Using the Programming Head
In many of the procedures described in the following chapters, you will be
directed to position the programming head over the patient’s pacemaker.
When to Position the Programming Head
You must position the programming head over the patient’s pacemaker
whenever a procedure initiates communication between the programmer
and pacemaker. Examples are:
■
At the start of a patient session when you select the [Auto-Identify]
or [Start] button. The programmer automatically initiates an
interrogation that takes a number of seconds to complete.
■
Prior to executing any command that results in a telemetry or
programming transmission.
■
To view or record Marker Channel or EGM telemetry.
Caution: Do not position the programming head over an implanted
pacemaker during electrocautery or defibrillation procedures.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-7
Programmer Basics
Positioning and Using the Programming Head
How to Position the Programming Head
♦
The programming head must be properly positioned as described below.
An incorrectly positioned programming head can result in the failure of a
transmitted command and the loss of telemetry.
1. Hold the programming head directly against the patient’s skin with
the face of the programming head parallel to the pacemaker.
2. Position the programming head so that the amber light in the light
array goes out and one or more of the green lights come on. Move
the head a little in each direction to find the position that lights the
greatest number of green lights. This is the optimum position.
Figure 1-9. Positioning the Programming Head
Light Array
Figure 1-10. Light Array Indicator
1-8 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Green
Amber/Green
The present pacing mode
shows in the status bar at the
top of the screen.
Positioning and Using the Programming Head
Programmer Basics
Effect of the Programming Head on Pacemaker Operation
If model selection and application (software) loading are complete,
positioning the programming head over a Medtronic Kappa 700/600
Series pacemaker does not put the pacemaker in the magnet mode of
operation, as is the case with previous pacemaker models. The
programmer automatically sends a Cancel Magnet command to the
pacemaker, which causes it to continue to operate as programmed.
An exception to this operation can occur if the programming head does
not establish a telemetry link with the pacemaker (because of strong
electrical interference or because the programming head is improperly
positioned). In such cases, positioning the programming head would
result in magnet mode operation until a telemetry link is established. You
can easily verify the present pacing mode by observing the Status Line at
the top of the screen.
Pacemaker operation returns to its programmed state about 2 seconds
after you remove the programming head from its position over the
pacemaker.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-9
Programmer Basics
Positioning and Using the Programming Head
Observing Magnet Mode Operation
To observe Magnet mode operation during a patient session, you must
conduct the Magnet test described in Chapter 2. Initiating the Magnet test
results in a Threshold Margin Test (TMT) and causes the pacemaker to
operate in the Magnet mode.
Note: Between patient sessions before you select the pacemaker model,
positioning the programming head over a MedtronicKappa 700/600
Series pacemaker will result in magnet mode operation.
Alternative PROGRAM and
INTERROGATE Buttons
To initiate the Program and Interrogate commands, you have the option to
use the on-screen [Program] and [Interrogate] buttons or the Program
[P] and Interrogate [I] buttons on the programming head.
Light Array
[Interrogate] Button
Figure 1-11. Alternative Program and Interrogate
Programming Head Buttons
Note: The [P] or [I] button on the programming head is active only when
its counterpart is displayed as an active button on the display screen.
1-10 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
[Program] Button
Positioning and Using the Programming Head
Programmer Basics
Automatic Interrogation at the
Start of a Session
At the start of a session when you select [Start] or [Auto Identify], the
programmer automatically interrogates the patient’s pacemaker for most
of the data contained within the pacemaker. For this process, you must
position the programming head and hold it steady in place until the
interrogation is complete.
At the bottom center of the screen you will see an indicator showing the
progress of the interrogation. Because this interrogation retrieves most of
the data stored in the pacemaker, the process may take a number of
seconds.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-11
Programmer Basics
About the Display Screen
About the Display Screen
The programmer display screen is an interactive device that not only
displays information in the form of both text and graphics, but functions as
a control panel by displaying buttons and menu options that you can
select using the stylus.
Features and Conventions of the
Display Screen
This section describes the features and conventions of the display screen.
The Therapy Parameters screen below shows the main elements of the
typical screen.
Status Bar
Live Rhythm
Monitor Window
Task area
Active Field Button Tool PaletteCommand Bar
Figure 1-12. Main Elements of a Display Screen Example
1-12 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Status Bar
Programmer Basics
About the Display Screen
Note: For information on changing the language in the screens (for
example, from English to German), see “Selecting System
Operating Preferences” on page 9-2.
The Status Bar
The status bar at the top of the screen shows:
■
The present pacing mode.
■
When any one of a number of test conditions is occurring.
■
The pacemaker model.
The Live Rhythm Monitor Window
This window is a partial view of the full-screen display of ECG, Marker
Channel, and telemetered EGM waveform traces. You can expand this
window to its full size by selecting the small square button in the upperright corner of the window or by selecting the [Adjust...] button.
■
Heart rate and rate interval show if the programming head is
positioned over the pacemaker.
■
Annotations above the waveform trace show the point of
programmed parameter changes.
Live Rhythm Monitor Window
The waveform trace or traces that show in this window depend on the
selected task screen and how traces have been arranged in the fullscreen view. Refer to “Viewing the ECG and Other Rhythm Waveforms”
on page 4-2 for information about the live rhythm monitor.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-13
Programmer Basics
About the Display Screen
The Task Area
The portion of screen between the live rhythm monitor window at the top
and the command bar at the bottom changes according to the task or
function you select. The example in Figure 1-12 shows the Therapy
Parameters screen for programming pacemaker parameter settings. This
task area would appear much different if you selected, for example, the
Threshold Test Setup screen.
The Command Bar
The bar at the bottom of the screen always shows the command buttons
for programming “emergency” parameters settings, interrogating the
pacemaker, and ending the patient session.
For complete information on these functions, see “Programming
Emergency Parameters” on page 1-19, “Interrogating the Pacemaker” on
page 2-13, and “Ending a Patient Session” on page 2-36.
Active Fields
Unshaded areas, or boxes, appearing in the task area are “active fields”
that respond to the stylus.
Active fields show as
unshaded areas on
the screen.
Selecting a value, word, name, or phrase that appears in an active field
opens a menu or window of alternative options for whatever is
represented in that field.
1-14 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Programmer Basics
About the Display Screen
For example, touching the mode value “DDDR” in the Mode field with the
tip of the stylus opens a window of mode options. Selecting any one of
these options replaces the original DDDR value with the selected one.
Selecting an active field opens
a menu or window of
alternative options, or in some
cases, an
on-screen keyboard.
Buttons having a less
distinct shaded label are
not presently active.
Selecting some fields (those with terms ending in an ellipsis, such as
“Rate Response...”) opens a window displaying additional fields. Some
fields that require entry of information, such as patient data, open an
on-screen keyboard. How to use this keyboard is described later in
this section.
Buttons
Buttons like those shown below let you operate the programmer using the
stylus. You can “press” a button by touching it with the tip of the stylus.
Buttons may directly execute a command, such as the [Program] button,
or they may open a window that prompts another action. Usually such
buttons have a label ending with an ellipsis, such as the [Save...] or
[Get...] buttons shown above.
A procedure may instruct you to “press and hold” a button. In such cases,
you should touch the tip of the stylus to the button and continue to
maintain pressure against the button until it is time to “release” the button.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-15
Programmer Basics
About the Display Screen
Buttons
Icons
The Tool Palette
The collection of buttons and icons along the edge of the screen is
referred to as the “tool palette.” These are the controls you will use to
choose the task or function screen you want displayed. Once you have
started a patient session, the tool palette is always displayed, making it
quick and easy to move to the desired task or function.
Each of the icons acts like a button. To select an icon, touch the icon with
the stylus. The “<” symbol adjacent to four of the icons indicates that
selecting one of these icons opens a menu of related options. The icons
without the < symbol directly open a task screen.
Refer to Table 2-1 on page 2-6 for a brief explanation of the purpose of
each button and icon in the tool palette.
Note: The Demo icon is available only when the programmer is operating
in the Demo mode.
Using the On-Screen Keyboard
Certain fields on the screen allow you to enter data, such as the patient’s
name or chart number. Selecting such a field automatically displays the
on-screen keyboard shown below. By touching the letter or character
buttons with the stylus, you can use this display feature like an actual
keyboard.
Text Entry Window
Space Bar
Figure 1-13. Keyboard Screen
The function of the on-screen keyboard buttons are very similar to the
keys on a computer keyboard or typewriter.
1-16 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Cursor
Position Keys
Table 1 -1. Keyboard Buttons
Button or Feature Function
Text Entry Window
(See Figure 1-13)
Shows the text as you enter it using the keyboard.
You can enter only as many characters as can fit in
the selected field.
Clears all characters from the text entry window.
Closes the Keyboard screen without changing the
selected field.
Deletes the character to the left of the cursor in the
text entry window.
Has no effect.
Programmer Basics
About the Display Screen
Space Bar
(See Figure 1-13)
Locks all characters into upper case until the
key is selected again. While the
[Shift] and [Shift Lock] keys operate as
the
described below except that characters will shift to
lower case.
Shifts all of the characters into upper case and
replaces the top row of numbers with commonly used
symbols. This shift cancels automatically after you
select a character or symbol.
Locks all of the characters into upper case and
replaces the top row of numbers with commonly used
symbols. Press this key again to return to number
keys and lower case.
Shifts the keyboard to a limited set of characters.
Selecting a character or symbol cancels
Inserts a blank space.
Moves the cursor one space to the left or the right.
Closes the Keyboard screen and enters the text in the
text entry window into the selected field.
[Caps] key is down,
[Caps]
[Alt] key.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-17
Programmer Basics
About the Display Screen
Audible Tones
Certain events in the operation of the programmer result in an audible
signal. The following tones alert the user to the success or failure of
an action.
■
A two-tone beep (low-to-high) indicates confirmation of an
Interrogate or a Program command.
■
A single low-tone beep indicates that an Interrogate, Program, or
Emergency command was not confirmed. It can also indicate that
the selected command cannot be executed.
■
A single, short beep coincides with pressing the Interrogate or the
Program button. It also occurs upon automatic identification of the
pacemaker.
1-18 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Programming Emergency Parameters
Programming Emergency Parameters
The Emergency programming command is a safety feature that overrides
all other functions and immediately programs the pacemaker to preset
emergency values intended to provide pacing support under a variety of
conditions. This programming cancels any temporary function in effect
and restores Magnet mode operation.
Note: Use of the Emergency command will clear the Ventricular Chronic
Lead Trend and Capture Management Trend diagnostic data collected by
the pacemaker. If “Collected Data” has been interrogated previously
during the session, this data will be available for viewing and printing until
the session ends. Collection of new trend data starts after you end the
session.
To Program Emergency Parameters
♦
1. Position the programming head over the pacemaker.
2. Take either of the following actions:
■
Press the square red button on the left side of the display panel.
■
Or, select the on-screen [Emergency] button in the lower left
corner of the screen.
Programmer Basics
Emergency values are
programmed settings that provide
higher-than-normal energy output.
It is not intended that the
pacemaker be left at these
settings. Refer to
Medtronic.Kappa 700/600 Series
Pacemaker Reference Guide for a
list of Emergency parameters
settings for Kappa 700/600 Series
pacemakers.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-19
Red Button
Emergency Button
+
Emergency
3. Hold the programming head steady until a confirmation message
appears. If programming is not confirmed, verify that the
programming head is properly positioned and then reselect the
[Emergency] button or the square red button.
Programmer Basics
Recording an ECG Strip
Recording an ECG Strip
At any time during a patient session, you can initiate a continuous, realtime ECG recording as described below.
To Start an ECG Recording
♦
➤ Press the desired paper speed button (25 mm/sec or
12.5 mm/sec).
Paper Advance
25 mm/sec
12.5 mm/sec
Figure 1-14. ECG Chart Recorder Control Buttons
To Stop the Recording
♦
➤ Press the same paper speed button again.
Before you tear off the ECG strip, press the [Paper Advance] button
to advance the strip to a perforation.
1-20 Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide
Annotations
ECG Trace
Marker Telemetry
Programmer Basics
Recording an ECG Strip
About the ECG Recording
Because the printed recording provides a higher resolution, it may show
artifacts and events that do not appear on the display.
Annotation of Executed Commands – Information on the ECG printout
includes an indication of when certain commands to the pacemaker
occurred. When confirmation of the command is received, the command
name is printed at the appropriate point in the margin above the waveform
grid. A recording made during use of the following test functions will show
the programmed test values as they are programmed: Magnet,
Underlying Rhythm, Threshold, Sensing, and Temporary.
EGM Telemetry
Figure 1-15. Example ECG Printout with Marker and EGM Telemetry
Marker Channel and EGM Telemetry – If the programming head is
positioned over the patient’s pacemaker, the recording will include a trace
or traces of the telemetry being received from the pacemaker. In this
example, the patient’s ECG is accompanied by Marker and EGM
telemetry.
ECG and EGM Trace Adjustment – The ECG and EGM are recorded
according to control settings accessible from the Adjust window (see
“Adjusting and Configuring the Display” on page 4-7). The ECG source
(Lead I, II, or III) printed is the ECG trace appearing first in the live rhythm
monitor window on the programmer screen.
Medtronic Kappa™ 700/600 Series Pacemaker Programming Guide 1-21
Programmer Basics
Using the On-line Help Feature
Missing Markers – A programming command or interrogation
momentarily interrupts the transmission of Marker Channel telemetry.
This interruption can result in missing markers. The point at which the
command occurred is marked above the ECG trace by a “down” and/or
“up” arrow. The down arrow (▼) indicates a transmitted command from the
programmer; the up arrow (▲) indicates a telemetry response from the
pacemaker.
Using the On-line Help Feature
The On-line Help system provides information on-screen about many of
the features and operations of the programmer. When you request Help,
a Help window opens (covering much of the workspace temporarily). If the
initial Help window does not have the information you were seeking, you
can find another one that does by using the buttons and icons listed in
Ta bl e 1 -2 .
When you are ready to leave the On-line Help system, simply close the
Help window. You will return to the workspace that was in view before you
requested Help.
Table 1 -2.
Button or Icon What It Does
Specific Help — If this icon is displayed within a
screen or window, select it to get specific help related
to that screen or window.
This icon is displayed only if Specific Help is available.
General Help — Select this button at any time to enter
Help, starting with a Topics list.
[Previous] button Displays the Help window last viewed or closes the
Help window first opened.
[Close] button Closes the Help window.
[Index] button Displays a list of terms discussed in Help. From this
list, you can select a Help topic to learn about one of
the terms.
[Topics] button Displays a list of all available Help topics. From this list
you can select any topic.
Link icon — Indicates that more Help is available.
Select this symbol to jump to a related topic.
Some pictures may have links also.
Getting Around in the Help System
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